ASGE Interventional IBD: Management of Complications (On-Demand)| March 2022-Endoscopic Management of IBD Fistula: Clip or Cut

Video Transcription

Video Summary

Dr. Simran Kocher, Associate Chief of Gastroenterology at Allegheny Health Network, gives a presentation on the endoscopic management of fistulas in inflammatory bowel disease (IBD). She discusses the current advances in fistula management, the specific techniques used in endoscopic fistulas, and the advances in managing leaks and abscesses. Dr. Kocher explains that fistulas can affect up to 50% of patients with Crohn's disease, with perianal fistulas being the most common. She outlines the various theories on the pathogenesis of fistulas, including stricture formation and inflammation caused by the mesentery. Dr. Kocher emphasizes that while surgery and medicine remain the mainstays of treatment, endoscopic therapy is evolving as an adjunct. She describes the different options for endoscopic management, including injection of fibrin glue and plugs, stem cells, stents, and suturing. Dr. Kocher provides examples and case studies to illustrate these techniques. She concludes by highlighting future tools and advancements in endoscopic fistula management. Dr. Kocher encourages healthcare professionals to be involved in the field of interventional IBD and mentions upcoming SIG events and a combined medical endoscopic IBD fellowship.

Asset Subtitle

Gursimaran S. Kochhar, MD, CNSC, FACP

Keywords

Dr. Simran Kocher

Gastroenterology

Endoscopic management

Fistulas

Inflammatory bowel disease (IBD)