ASGE Postgraduate Course at ACG 2022: Expanding the Scope of Fundamental and Advanced Endoscopy (On-Demand)

8 Shen_Interventional IBD

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Dr. Bo Shen, a professor at Columbia University Irving Medical Center/NewYork Presbyterian Hospital, delivered a State of the Art Lecture on the role of endoscopy in the management of inflammatory bowel disease (IBD). He discussed various methods of endoscopic treatment for different aspects of IBD, including strictures, fistulas and abscesses, bezoars and foreign bodies, IBD surgery-associated complications, and colitis-associated neoplasia.<br /><br />For strictures, Dr. Shen discussed balloon dilation, stricturotomy/strictureplasty, and stenting as treatment options. He highlighted the importance of identifying the type and characteristics of the stricture to determine the most appropriate therapy.<br /><br />In terms of fistulas and abscesses in IBD, Dr. Shen mentioned fistulotomy, stenting, and incision and drainage as possible interventions. He emphasized the need for individualized treatment based on the specific characteristics of the fistula.<br /><br />Dr. Shen also discussed the management of bezoars, foreign bodies, and luminal lesions, including fragmentation, retrieval, and polypectomy techniques. He highlighted the importance of tailored approaches for these unique cases.<br /><br />The lecture also covered endoscopic treatment for IBD surgery-associated complications, such as bleeding control, clipping, sinusotomy, and fistulotomy. Dr. Shen emphasized the need for a multidisciplinary approach to optimize patient outcomes.<br /><br />Lastly, Dr. Shen addressed the management of colitis-associated neoplasia, including polypectomy, endoscopic mucosal resection (EMR), and endoscopic submucosal dissection (ESD). He emphasized the importance of early detection and appropriate intervention for effective cancer prevention.<br /><br />Throughout the lecture, Dr. Shen presented key technical aspects and evidence-based recommendations for each intervention. He also touched on emerging techniques and potential future developments in interventional IBD.<br /><br />Overall, the lecture provided a comprehensive overview of the role of endoscopy in the management of various aspects of IBD, highlighting the importance of individualized treatment approaches and multidisciplinary care.

Keywords

endoscopy

inflammatory bowel disease

strictures

fistulas

abscesses

bezoars

surgery-associated complications

colitis-associated neoplasia

balloon dilation

polypectomy