ASGE Postgraduate Course at ACG 2022: Expanding the Scope of Fundamental and Advanced Endoscopy | October 2022-8_Shen Role of Endoscopy in the Management of Inflammatory Bowel Disease

8_Shen Role of Endoscopy in the Management of Inflammatory Bowel Disease

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Dr. Bo Shen, a professor at Columbia University Irving Medical Center, delivered a state-of-the-art lecture on the role of endoscopy in the management of inflammatory bowel disease (IBD). He discussed various treatment methods for different manifestations of IBD, including strictures, fistulas, abscesses, bezoars, surgical complications, and colitis-associated neoplasms. <br /><br />For strictures, Dr. Shen highlighted balloon dilation, stricturotomy/strictureplasty, and stenting as effective interventions. He emphasized the importance of appropriate indications and considerations such as balloon size, duration of insufflation, and the use of intralesional steroid injection. He also presented the cost-effectiveness analysis of balloon dilation compared to surgical resection for both primary and anastomotic strictures in Crohn's disease.<br /><br />In the management of fistulas and abscesses, Dr. Shen discussed the use of fistulotomy, stenting, and incision and drainage techniques, emphasizing their efficacy and providing relevant case studies. He also addressed the retrieval and removal methods for bezoars, foreign bodies, and blocking luminal lesions.<br /><br />Regarding surgical complications of IBD, Dr. Shen presented various endoscopic techniques for bleeding control, clipping, sinusotomy, and fistulotomy. He highlighted the importance of endoscopic surveillance and intervention in the detection and treatment of colitis-associated neoplasms, such as polypectomy, endoscopic mucosal resection, and endoscopic submucosal dissection.<br /><br />Dr. Shen also discussed the evolving field of interventional IBD and its future directions, including standardization, advancements in stenting technology, deep scope advancements, drug-eluting stents, cell therapy, and the oncological outcomes of endoscopic resection.<br /><br />Overall, Dr. Shen's lecture provided insights into the current state of endoscopic management of IBD and highlighted key treatment modalities and considerations for different manifestations of the disease.

Keywords

endoscopy

inflammatory bowel disease

management

treatment methods

strictures

fistulas

abscesses

bezoars

surgical complications

colitis-associated neoplasms