ASGE Interventional IBD: Management of Complications | March 2022-Principles of Interventional IBD: Indications, Contraindications & Precautions

Video Transcription

Video Summary

In this video, Dr. Boshan discusses the role of interventional inflammatory bowel disease (IBD) and its various indications, contraindications, precautions, and procedures. He emphasizes the importance of principles in endoscopy rather than technique or equipment. Dr. Boshan recommends certain steps for preparing therapeutic endoscopy in IBD, including pre-procedural imaging, bowel preparation, anticoagulation, antibiotic use, corticosteroid use, and biopsy. He mentions consensus guidelines that recommend cross-sectional imaging for patients undergoing therapeutic endoscopy. Dr. Boshan also discusses other topics such as ultrasound elastography, orientation for therapeutic endoscopy, bowel prep using PEG solution, stenting, fistula and abscess treatment, foreign body and luminal lesion removal, fecal microbiota transplant, and management of IBD surgery-associated complications and colitis-associated neoplasia. He emphasizes the importance of precautions during procedures, such as avoiding concurrent steroid use, using CO2 insufflation, and utilizing antibiotic prophylaxis for therapy in diverted bowel. Overall, the goal is to deliver definitive therapy for IBD while avoiding invasive surgery.

Asset Subtitle

Bo Shen, MD

Keywords

Interventional Inflammatory Bowel Disease

Therapeutic Endoscopy

Pre-procedural Imaging

Bowel Preparation

Consensus Guidelines

IBD Surgery-associated Complications