ASGE Postgraduate Course at ACG: Evidence-based Updates for the Practicing Gastroenterologist (On-Demand) | October 2021 OLPGATACG21-Questions and Answers: Session Five

Video Transcription

Video Summary

In this video, two doctors discuss various aspects of endoscopic procedures for anal strictures in patients with inflammatory bowel disease (IBD). They address concerns about potential damage to the anal sphincter during stricturotomy, explaining that thermal therapies are less likely to cause damage compared to dilatation with self-dilators. They also discuss the use of balloon sizing for dilatation, explaining that the size of the balloon depends on the type of scope being used and the severity of the stricture. They mention the role of technology such as artificial intelligence (AI) in IBD, suggesting that AI could potentially aid in disease detection and dysplasia surveillance. They also discuss the use of chromoendoscopy and the potential role of fecal DNA testing for dysplasia surveillance. They highlight the importance of maximizing dysplasia detection and offer training opportunities for endoscopists in IBD procedures.

Keywords

endoscopic procedures

anal strictures

inflammatory bowel disease

thermal therapies

dysplasia surveillance