ASGE Postgraduate Course at ACG: Evidence-based Updates for the Practicing Gastroenterologist

Video Transcription

Video Summary

Dr. Gersimran Koshar, an assistant professor of medicine and associate division chief at the Allegheny Center for Digestive Health, delivered a presentation on stricture therapy in inflammatory bowel disease (IBD). He discussed the role of endoscopic balloon dilatation in managing IBD strictures and the emerging roles of endoscopic strictureotomy and enteral stenting. Strictures, which result from chronic inflammation and fibrosis, are a common complication in IBD, with up to 24% of patients experiencing them. While surgery is currently the gold standard treatment, endoscopic therapy offers a less invasive alternative. Dr. Koshar highlighted the technique and outcomes of balloon dilatation and strictureotomy, emphasizing the importance of patient selection and proper procedure execution. He also discussed enteral stents, though their efficacy in IBD is still being evaluated. Dr. Koshar concluded that endoscopic therapy, when used appropriately, can effectively manage IBD strictures and reduce the need for surgical intervention.

Asset Subtitle

Gursimran S. Kochhar, MD, CNSC, FACP

Keywords

stricture therapy

inflammatory bowel disease

endoscopic balloon dilatation

endoscopic strictureotomy

enteral stenting

surgical intervention