Endoscopic evaluation of surgically altered bowel in inflammatory bowel disease: a consensus guideline from the Global Interventional Inflammatory Bowel Disease Group

Shen, Bo; Kochhar, Gursimran; Navaneethan, Udayakumar; Cross, Raymond K.; Farraye, Francis A.; Iacucci, Marietta; Schwartz, David A.; González-Lama, Yago; Schairer, Jason; Kiran, Ravi P.; Kotze, Paulo Gustavo; Kobayashi, Taku; Bortlík, Martin; Liu, Xiuli; Levy, Alexander N.; Suárez, Begoña González; Tang, Shou Jiang; Coelho–Prabhu, Nayantara; Lukáš, Martin; Bruining, David H.; El‐Hachem, Sandra; Charles, Roger; Chen, Yan; Sood, Ajit; Mao, Ren; Loras, Carme; Dulai, Parambir S.; Picoraro, Joseph A.; Chiorean, Michael; Lukáš, Milan; Shergill, Amandeep K.; Silverberg, Mark S.; Sandborn, William J.; Bernstein, Çharles N.

doi:10.1016/s2468-1253(20)30394-0

Cited by 34 publications

(41 citation statements)

References 71 publications

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“…There is a recent grade C consensus recommendation to pay attention to areas prone to leaks during pouchoscopy, including suture or staple lines, the tip of the “J,” or posterior wall of the pouch-anal anastomosis suture line. 16 A large retrospective study classified post-IPAA leaks into 6 categories, including pouch-anal anastomosis leak with or without abscess, pouch-cutaneous fistula, pouch-vaginal fistula (PVF), radiologic leak, and pouch leak (those that arose from the pouch itself rather than from the pouch-anal anastomosis). 32…”

Section: Resultsmentioning

confidence: 99%

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Endoscopic Therapy for Pouch Leaks and Strictures: A Systematic Review

Lee

Shen

2022

Diseases of the Colon &Amp; Rectum

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BACKGROUND:Patients with ulcerative colitis refractory to medication or familial adenomatous polyposis may require ileal pouch-anal anastomosis after a colectomy. IPAA is generally well tolerated. However, patients can experience posttreatment complications, including pouch strictures and leaks. Medical therapy has a limited role in mechanical fibrotic strictures, whereas surgery is invasive and costly. In the past few decades, endoscopic therapies have provided a less invasive and less costly intervention for pouch strictures and leaks. OBJECTIVE:This systematic literature review aimed to describe the status of advancements in endoscopic therapy for pouch leaks and strictures. DATA SOURCES:The sources used were PubMed and Cochrane databases.

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Section: Resultsmentioning

confidence: 99%

“…This may include cross-sectional imaging including computed tomography enterography (CTE), magnetic resonance imaging (MRI), gastrografin enema (GGE), or small bowel series. 16 On-site fluoroscopy may be used to characterize defects undergoing endoscopic intervention.…”

Section: Resultsmentioning

confidence: 99%

Endoscopic Therapy for Pouch Leaks and Strictures: A Systematic Review

Lee

Shen

2022

Diseases of the Colon &Amp; Rectum

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“…The activity of IBD is closely related to readmission rates and prognosis of patients and leading to significant increases in morbidity and mortality. In patients with inflammatory bowel disease, endoscopy plays a key role in the assessment of disease activity, disease recurrence, treatment response, dysplasia surveillance, and delivery of endoscopic therapy [18]. Although less invasive biomarkers are in development, diagnosis still relies on endoscopy and histological assessment of biopsy specimens [19].…”

Section: Discussionmentioning

confidence: 99%

The Correlation between Endotoxin, D-Lactate, and Diamine Oxidase with Endoscopic Activity in Inflammatory Bowel Disease

et al. 2022

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Background and Objective. The disease activity monitoring of inflammatory bowel disease (IBD) plays a crucial role for making therapeutic strategies. Endoscopy has been recognized as a gold standard for evaluating disease activity of IBD. However, this method is invasive. Currently, a noninvasive biomarker that could replace endoscope is needed in clinical practice. In this study, we examined whether the diamine oxidase (DAO), D-lactate, and endotoxin (ETX) could monitor the disease activity and predict endoscopic remission in patient with IBD. Methods. A total of 149 eligible IBD patients including 82 Crohn disease (CD) and 67 Ulcerative colitis (UC) who had received both endoscopic examination and intestinal barrier function detection in our hospital were enrolled in this study. Endoscopic activity was estimated by the Simple Endoscopic Score (SES-CD) for Crohn's Disease and the ulcerative colitis endoscopic index of severity (UCEIS) for ulcerative colitis. The predictive value and optimal predictive thresholds for those biomarkers were determined by receiver operating characteristic analysis. Results. For UC patients, DAO, D-lactate, and ETX showed better correlation with UCEIS than erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) and exhibited satisfactory predictive value in predicting remission. Among patients with CD, DAO and ETX not only showed a better correlation than WBC, ESR, and CRP with SES-CD but also capable to identify more severe patients. Conclusion. DAO and ETX could be used to distinguish different endoscopic activity of CD. DAO, Dlactate, and ETX could predict UC endoscopic remission.

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“…The common complications are anastomotic bleeding, anastomotic strictures, and acute or chronic anastomotic leaks [ 33 ]. The endoscopist should be familiar with post-operative bowel anatomy by careful review of operative reports, pre-procedural imaging, and prior endoscopy report before delivering endoscopic therapy [ 10 , 34 ].…”

Section: Post-operative Complicationsmentioning

confidence: 99%

Interventional inflammatory bowel disease: endoscopic therapy of complications of Crohn’s disease

Shen

2022

Gastroenterology Report

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Endoscopic therapy for inflammatory bowel diseases (IBD) or IBD surgery-associated complications or namely interventional IBD has become the main treatment modality for Crohn’s disease, bridging medical and surgical treatments. Currently, the main applications of interventional IBD are (i) strictures; (ii) fistulas and abscesses; (iii) bleeding lesions, bezoars, foreign bodies, and polyps; (iv) post-operative complications such as acute and chronic anastomotic leaks; and (v) colitis-associated neoplasia. The endoscopic treatment modalities include balloon dilation, stricturotomy, strictureplasty, fistulotomy, incision and drainage (of fistula and abscess), sinusotomy, septectomy, banding ligation, clipping, polypectomy, endoscopic mucosal resection, and endoscopic submucosal dissection. The field of interventional IBD is evolving with a better understanding of the underlying disease process, advances in endoscopic technology, and interest and proper training of next-generation IBD interventionalists.

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Endoscopic evaluation of surgically altered bowel in inflammatory bowel disease: a consensus guideline from the Global Interventional Inflammatory Bowel Disease Group

Cited by 34 publications

References 71 publications

Endoscopic Therapy for Pouch Leaks and Strictures: A Systematic Review

Endoscopic Therapy for Pouch Leaks and Strictures: A Systematic Review

The Correlation between Endotoxin, D-Lactate, and Diamine Oxidase with Endoscopic Activity in Inflammatory Bowel Disease

Interventional inflammatory bowel disease: endoscopic therapy of complications of Crohn’s disease

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