Endoscopic fistulotomy in inflammatory bowel disease

Post written by Gursimran Kochhar, MD, from the Mayo Clinic, Jacksonville, Florida. Fistulas indicate one advanced disease phenotype in patients with IBD. Currently, there is no definitive therapy for management of fistulas. Medical therapy is not adequate, and surgical therapy forms the cornerstone of management of fistulas in patients with IBD. Although surgical therapy is …

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Early precut fistulotomy for biliary access

Luís Lopes, MD from Hospital de Santa Luzia in Viana do Castelo, Portugal discusses his Original Article "Early precut fistulotomy for biliary access: time to change the paradigm of 'the later, the better'?" from the October issue. We assessed the efficacy and safety of 2 alternative strategies in the setting of a difficult biliary cannulation: …

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