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Endoscopic Management of Colitis-Associated Neoplasia
This article reviews the latest data concerning the use of advanced therapeutic techniques for endoscopically treating colitis-associated neoplastic lesions and discusses factors associated with improved outcomes. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - September 6, 2022 Category: Gastroenterology Authors: Nathaniel A. Cohen, David T. Rubin Source Type: research

Diagnosis and Classification of Fistula from Inflammatory Bowel Disease and Inflammatory Bowel Disease-Related Surgery
Fistula in inflammatory bowel disease (IBD) is a well-known yet poorly understood phenotype. Pathophysiology is largely based on the activation of the epithelial –mesenchymal transition (EMT); however, interactions with the microbiome, genetics, mechanical stress and the presence of stricturing disease, and surgical complications play a role. Perianal penetrating disease represents a more severe phenotype in IBD. Pouch-associated fistula can arise as a res ult of an anastomotic leak, surgical complications, or Crohn’s disease (CD) of the pouch. Classification is site-dependent, includes a range of severity, and informs...
Source: Gastrointestinal Endoscopy Clinics of North America - September 6, 2022 Category: Gastroenterology Authors: Sarah Householder, Joseph A. Picoraro Source Type: research

Endoscopic Evaluation and Management of Perianal Disease
Perianal Crohn ’s disease is associated with decreased quality of life, high morbidity, and high health care use. Treatment goals are to provide infection control, stop fistula drainage, and heal fistula tracts while preserving the anorectal sphincter. Treatment includes a combination of medical and surgical int ervention, but new techniques are using interventional endoscopy to act as either a bridge to surgery or to decrease the need for surgical intervention. The decision on which approach to pursue requires knowledge of prior surgery, altered anatomy, prior fistula treatment, and imaging and endoscopic evaluation of ...
Source: Gastrointestinal Endoscopy Clinics of North America - September 6, 2022 Category: Gastroenterology Authors: Audrey L. Bennett, David A. Schwartz Source Type: research

Endoscopic Balloon Dilation of Strictures
EBD is safe and effective for the treatment of strictures. Here we describe the technique of endoscopic balloon dilation (EBD) of strictures including preprocedure considerations, indications, contraindications, and postprocedure complications. The short- and long-term outcomes of EBD including factors associated with improved outcomes are also discussed. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - September 6, 2022 Category: Gastroenterology Authors: Barathi Sivasailam, Barton F. Lane, Raymond K. Cross Source Type: research

Imaging Evaluation of Inflammatory Bowel Disease Complications
This article highlights and discusses various radiologic imaging techniques and their application to the diagnosis and management of IBD complications. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - September 6, 2022 Category: Gastroenterology Authors: David J. Bartlett, Guilherme Piovezani Ramos, Joel G. Fletcher, David H. Bruining Source Type: research

Endoscopic Stricturotomy and Strictureplasty
Strictures in inflammatory bowel disease (IBD) usually occur because of long-standing inflammation and fibrosis causing luminal narrowing. Strictures in the setting of Crohn ’s disease (CD) can occur de novo, or in the postsurgical setting (anastomotic strictures). Historically these strictures are managed with invasive surgical procedures which may result in considerable morbidity. Endoscopic interventions for IBD complications have evolved significantly in the last decade providing a minimally invasive option. Endoscopic balloon dilation is the commonly performed technique for CD strictures. Endoscopic stricturotomy an...
Source: Gastrointestinal Endoscopy Clinics of North America - September 6, 2022 Category: Gastroenterology Authors: Udayakumar Navaneethan, Dennisdhilak Lourdusamy Source Type: research

Principles, Preparation, Indications, Precaution, and Damage Control of Endoscopic Therapy in Inflammatory Bowel Disease
Interventional inflammatory bowel disease (IBD) or endoscopic therapy for IBD or IBD surgery-associated complications has emerged as a main treatment modality bridging medical and surgical treatment. It delivers therapy more definitive than medical therapy and less invasive than surgical treatment. The main applications of interventional IBD are strictures, fistulas, abscesses, bleeding, foreign bodies, postoperative complications, and colitis-associated neoplasia. The major endoscopic treatment modalities are balloon dilation, stricturotomy, strictureplasty, fistulotomy, sinusotomy, septectomy, banding ligation, incision ...
Source: Gastrointestinal Endoscopy Clinics of North America - September 6, 2022 Category: Gastroenterology Authors: Bo Shen Source Type: research

Endoscopic Therapy for Fistulas and Abscesses in Crohn Disease
Crohn disease (CD) patients can develop fistula or abscess from persistent active disease or postsurgical complications. Penetrating CD is traditionally treated with medication and surgery. The role of medication alone in the treatment of fistula is limited, except perianal fistulas or enterocutaneous fistula. Surgery is the standard treatment in those with hollow-organ to hollow-organ fistula, like ileovesicular fistula. Surgery is invasive with a higher risk of postoperative complications. Endoscopic therapy has evolved as a valid option. Fistulotomy, surgical or endoscopic, should be considered first-line therapy when f...
Source: Gastrointestinal Endoscopy Clinics of North America - September 6, 2022 Category: Gastroenterology Authors: Nan Lan, Bo Shen Source Type: research

Endoscopic Treatment of Acute and Chronic Anastomotic Leaks from Inflammatory Bowel Disease Surgery
This article discusses a variety of endoscopic techniques that have either been established or are under current evaluation, for the management of anastomotic leaks in patients with IBD. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - September 6, 2022 Category: Gastroenterology Authors: Aditya Pokala, Bo Shen Source Type: research

Endoscopic Treatment of Postoperative Bleeding, Bezoars, and Foreign Bodies
This article will focus on postoperative bleeding, bezoar formation, and video capsule retention in patients with inflammatory bowel disease . Endoscopic management of these conditions is useful and is becoming an increasingly popular alternative to surgery. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - September 6, 2022 Category: Gastroenterology Authors: Alyyah Malick, Bo Shen Source Type: research

Prevention and Management of Complications of Biliary Endoscopy
Endoscopic retrograde cholangiopancreatography (ERCP) is an essential procedure for the management of pancreaticobiliary disorders. ERCP is, however, associated with the risk of complications including pancreatitis, bleeding, perforation, infection, and instrument failure, which can often be fatal. It is, therefore, necessary to recognize the risk of ERCP-associated complications and understand the methods to prevent and treat such complications. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - June 10, 2022 Category: Gastroenterology Authors: Venkata S. Akshintala, Anmol Singh, Vikesh K. Singh Source Type: research

Endoscopy for Biliary Disease Continues to Advance
Endoscopic management of biliary disease, benign and malignant, has become widely available throughout the world. The major pillar of endoscopy for biliary disease is endoscopic retrograde cholangiopancreatography (ERCP), in which the papilla of Vater is identified with a duodenoscope and a flexible cannula is directed into the bile duct to inject radiographic contrast dye to visualize the biliary system. The first ERCP was performed by Dr William McCune in 1968. In 1972, Dr Peter Cotton in England published his experience with 60 diagnostic ERCP procedures, and in 1973, Dr Keiichi Kawai in Japan and Dr Meinhard Classen in...
Source: Gastrointestinal Endoscopy Clinics of North America - June 10, 2022 Category: Gastroenterology Authors: Charles J. Lightdale Tags: Foreword Source Type: research

Advances in Biliary Endoscopy
GASTROINTESTINAL ENDOSCOPY CLINICS OF NORTH AMERICA (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - June 10, 2022 Category: Gastroenterology Authors: Mouen Khashab Source Type: research

Copyright
ELSEVIER (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - June 10, 2022 Category: Gastroenterology Source Type: research

Contributors
CHARLES J. LIGHTDALE, MD (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - June 10, 2022 Category: Gastroenterology Source Type: research