ASGE Interventional IBD: Management of Complications (On-Demand)| March 2022-Interventional IBD: Damage Control

Video Transcription

Video Summary

The video transcript is a presentation given by Dr. Boshan on the topic of interventional IBD damage control. Dr. Boshan is a professor of medicine and surgery at Columbia University and discusses various aspects of interventional IBD, including the management of complications such as bleeding and perforation. He emphasizes the importance of avoiding or minimizing the use of corticosteroids in these procedures and discusses techniques such as balloon dilation, knife therapy, and endoscopic structurotomy. He also highlights the increased risk of complications in IBD patients and the need for close monitoring during and after procedures. Dr. Boshan provides recommendations to lower the risk of complications, such as using gentle balloon dilation for mixed or inflammatory strictures, having clips and D50 glucose readily available, and having surgical backup in case of perforation. He concludes by discussing post-procedural ileus and the need to lower the threshold for intubation if aspiration risk is high. Overall, the presentation provides valuable insights and tips for interventional IBD procedures.

Asset Subtitle

Bo Shen, MD, FASGE

Keywords

interventional IBD damage control

complications

balloon dilation

knife therapy

endoscopic structurotomy

risk of complications