Role of Endoscopic Ultrasound in the Diagnosis and Management of Complications of Inflammatory Bowel Disease.

Gursimran S Kochhar, Jay Bapaye, Saurabh Chandan

Journal: Gastrointestinal endoscopy clinics of North America 2024;35(1):235-253

PMID: 39510690

Full Text on Elsevier Science View on PubMed

Abstract

Inflammatory bowel disease-related complications are associated with a decreased quality of life, requirement for surgery, and increased morbidity. Endoscopic ultrasound (EUS) is accurate at identifying and characterizing perianal fistulae and abscesses and helps guide treatment decisions. EUS also allows us to accurately assess for mucosal and transmural inflammation and thus can help differentiate Crohn's disease from ulcerative colitis (UC). EUS use can help predict dysplasia in UC, and monitoring transmural inflammation can help assess response to treatment. In addition to diagnostic EUS, therapeutic EUS techniques have been used to endoscopically drain abscesses and bypass strictures in Crohn's disease.

Address: Department of Gastroenterology, Carilion Clinic Virginia Tech Carilion School of Medicine (VTCSOM), 3 Riverside Circle, Roanoke, VA 24016, USA.; Center for Interventional Endoscopy (CIE), Advent Health, 601 East Rollins Street, Orlando, FL 32803-1248, USA.; Division of Gastroenterology, Hepatology & Nutrition, Allegheny Health Network, Pittsburgh, PA, USA. Electronic address: [email protected].

DOI: 10.1016/j.giec.2024.07.005

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MeSH Terms: Humans, Endosonography, Crohn Disease, Inflammatory Bowel Diseases, Abscess, Rectal Fistula, Colitis, Ulcerative