Role of interventional inflammatory bowel disease in the era of biologic therapy: a position statement from the Global Interventional IBD Group.

Abstract

Interventional (or therapeutic) inflammatory bowel disease (IBD) endoscopy has an expanding role in the treatment of disease and surgical adverse events. Endoscopic therapy has been explored and used in the management of strictures, fistulas/abscesses, colitis-associated neoplasia, postsurgical acute or chronic leaks, and obstructions. The endoscopic therapeutic modalities include balloon dilation, stricturotomy, stent placement, fistulotomy, fistula injection and clipping, sinusotomy, EMR, and endoscopic submucosal dissection. With a better understanding of the disease course of IBD, improved long-term impact of medical therapy, and advances in endoscopic technology, we can foresee interventional IBD becoming an integrated part of the multidisciplinary approach to patients with complex IBD.

• Authors: Bo Shen, Gursimran Kochhar, Udayakumar Navaneethan, Xiuli Liu, Francis A Farraye, Yago Gonzalez-Lama, David Bruining, Darrell S Pardi, Martin Lukas, Martin Bortlik, Kaicun Wu, Ajit Sood, David A Schwartz, William J Sandborn, Global Interventional Inflammatory Bowel Disease Group
• Journal: Gastrointestinal endoscopy (Gastrointest Endosc) Vol. 89 Issue 2 Pg. 215-237 (02 2019) ISSN: 1097-6779 [Electronic] United States
• PMID: 30365985 (Publication Type: Journal Article, Review)
• Copyright: Copyright © 2019 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.

Chemical References

• Biological Products

Topics

• Abdominal Abscess (etiology, surgery)
• Anastomotic Leak (surgery)
• Biological Products (therapeutic use)
• Colorectal Neoplasms (etiology, surgery)
• Constriction, Pathologic
• Endoscopic Mucosal Resection
• Endoscopy, Gastrointestinal
• Humans
• Inflammatory Bowel Diseases (complications, drug therapy, surgery)
• Intestinal Fistula (etiology, surgery)
• Intestinal Obstruction (etiology, surgery)