Post written by Partha Pal, MD, DNB, MRCP (UK), ESEGH, FASGE, from the Asian Institute of Gastroenterology, Hyderabad, India. We present the case of a 47-year-old man with ileocolonic Crohn’s disease who developed recurrent obstructive symptoms despite biologic therapy. Preprocedural intestinal ultrasound (IUS) identified a short, predominantly fibrotic ascending colon stricture with upstream fecaliths. Colonoscopy confirmed a …
Tag: Crohn’s disease
Endoscopic diagnosis and management of adult inflammatory bowel disease: a consensus document from the American Society for Gastrointestinal Endoscopy IBD Endoscopy Consensus Panel
Post written by Bo Shen, MD, FASGE, from the Columbia University Irving Medical Center/NewYork-Presbyterian Hospital, New York, New York, USA. Endoscopy plays a key role in diagnosis, assessment of disease activity and treatment response, postoperative disease monitoring, dysplasia surveillance, and delivery of therapy. Ileocolonoscopy (occasionally with upper endoscopy or enteroscopy) establishes the diagnosis of Crohn’s disease (CD) …
Endoscopic incisional therapy for giant bridged pseudopolyposis of the esophagus in a patient with upper GI Crohn’s disease
Post written by Sarang Gupta, MD, and Jeffrey Mosko, MD, from St. Michael’s Hospital and the University of Toronto, Toronto, Canada. A 38-year-old man with stricturing esophageal Crohn’s disease (eCD) was referred for evaluation of progressive solid-food dysphagia despite medical therapy and prior dilation attempts. After balloon dilation of a proximal esophageal stricture, examination of the distal esophagus revealed a …
Repeated endoscopic dilation and needle-knife stricturotomy for Crohn’s disease strictures
Post written by Julien D. Schulberg, MBBS, PhD, and Michael A. Kamm, MBBS, PhD, from the Department of Gastroenterology, St Vincent’s Hospital, and the Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia. The focus of this study was to evaluate the safety, feasibility, and efficacy of intensive endoscopic therapy for treating symptomatic Crohn’s disease—related strictures. It compares standard …
Deep learning–based lesion detection and severity grading of small-bowel Crohn’s disease ulcers on double-balloon endoscopy images
Post written by Wanqing Xie, PhD, from the Department of Intelligent Medical Engineering, School of Biomedical Engineering, Anhui Medical University, Hefei, China, and Beth Israel Deaconess Medical Center, Harvard Medical School, Harvard University, Boston, Massachusetts, USA. We studied the lesion classification of small-bowel Crohn’s disease (CD) and ulcer severity grading in terms of depth, size, and …
Initial safety and efficacy of a novel drug-coated balloon for treatment of benign intestinal strictures
Post written by Bo Shen, MD, from Columbia University Irving Medical Center, NewYork-Presbyterian Hospital, New York, New York, USA. Benign and malignant primary (ie, disease-associated) or anastomotic strictures in the lower GI tract are common in gastroenterology. The focus of this article is the endoscopic treatment of benign primary or anastomotic strictures (eg, diverticular diseases). The …
Diagnostic yield and technical performance of the novel motorized spiral enteroscopy compared with single-balloon enteroscopy in suspected Crohn’s disease: a prospective study (with video)
Post written by Partha Pal, MD, DNB, MRCP (UK), from the Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India. In this study, we compared single-balloon enteroscopy with motorized spiral enteroscopy in suspected Crohn’s disease (CD) in a prospective manner. We aimed to compare the technical success, diagnostic yield, depth of maximal insertion, enteroscopy time, …
Editor’s Choice: Differential risk of disease progression in CD
GIE Associate Editor, Dr. Lisa L. Strate, MD, MPH, highlights this article from the August issue “Differential risk of disease progression between isolated anastomotic ulcers and mild ileal recurrence after ileocolonic resection in patients with Crohn’s disease” by Jacob E. Ollech, MD, et al. Crohn's disease recurrence after ileocolonic resection is a common problem. It …
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Utility of video capsule endoscopy for longitudinal monitoring of Crohn’s disease activity in the small bowel
Post written by Gil Y. Melmed, MD, from the F Widjaja Inflammatory Bowel and Immunobiology Research Institute, Cedars Sinai Medical Center, Los Angeles, California, USA. We aimed to determine the utility of using video capsule endoscopy for serial evaluations of Crohn’s disease activity. While the literature has demonstrated good correlation between WCE and colonoscopy at …
Prediction of clinical outcomes in Crohn’s disease by using confocal laser endomicroscopy
Post written by Gian Eugenio Tontini, MD, PhD, and Helmut Neumann, MD, PhD, from the Gastroenterology and Digestive Endoscopy Unit, IRCCS Policlinico San Donato, San Donato Milanese, Milan, Italy, and the Department of Interdisciplinary Endoscopy, I. Medizinische Klinik und Poliklinik, University Hospital, Mainz, Germany. Our study focuses on the value of Confocal Laser Endomicroscopy (CLE) …
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