ASGE Interventional IBD: Management of Complications (On-Demand)| March 2022-Biological Therapy for Crohn's Disease Fistula: Endoscopic Ultrasound Will Guide You

Biological Therapy for Crohn's Disease Fistula: Endoscopic Ultrasound Will Guide You

Video Transcription

Video Summary

In this video, Dr. David Schwartz, a professor of medicine and director of the IBD Center at Vanderbilt University Medical Center, discusses the use of endoscopic ultrasound (EUS) to optimize outcomes for patients with Crohn's perianal fistulas. He emphasizes the importance of accurate assessment of perianal anatomy in order to determine the most effective treatment strategies. Dr. Schwartz presents data from various studies that demonstrate the efficacy of EUS in evaluating fistula anatomy and guiding therapy. He also discusses the use of imaging to monitor fistula healing and make adjustments to treatment as necessary. Dr. Schwartz highlights the high prevalence and poor outcomes of perianal fistulas in patients with Crohn's disease and underscores the significant impact on healthcare costs. He concludes by suggesting that the use of EUS guidance may improve outcomes for patients with Crohn's perianal fistulas.

Asset Subtitle

David A. Schwartz, MD

Keywords

endoscopic ultrasound

Crohn's perianal fistulas

perianal anatomy

treatment strategies

fistula anatomy

EUS guidance