ASGE Interventional IBD: Management of Complications (On-Demand)| March 2022-Abdominal Imaging Before You Do Anything: Evaluation of Stricture, Fistula & Abscess

Abdominal Imaging Before You Do Anything: Evaluation of Stricture, Fistula & Abscess

Video Transcription

Video Summary

In this pre-recorded presentation, Dr. David Brueni, an associate professor in medicine at the Mayo Clinic, discusses the importance of abdominal imaging before endoscopic intervention. He starts by highlighting the limitations of relying solely on patient symptoms to determine disease activity. He presents studies that show a lack of correlation between symptoms and endoscopic findings in patients with Crohn's disease. Dr. Brueni emphasizes the value of radiologic imaging in assessing disease activity and guiding treatment decisions. He discusses different imaging modalities, including CT enterography, MR enterography, and ultrasound, and their advantages and limitations. He also discusses the importance of standardized nomenclature in reporting and assessing disease severity, such as defining strictures and response to treatment. Dr. Brueni concludes by highlighting the role of imaging in planning and guiding endoscopic interventions, including identifying high-risk patients, evaluating treatment response, and detecting potential complications. He encourages healthcare providers to utilize cross-sectional imaging in their practice and emphasizes its value in improving patient care. This presentation was given as part of a course or conference, and Dr. Brueni expresses gratitude for being invited to speak and offers to answer any questions or concerns by email.

Asset Subtitle

David H. Bruining, MD, FASGE

Keywords

abdominal imaging

endoscopic intervention

disease activity

radiologic imaging

imaging modalities

cross-sectional imaging