Intraoperative Endoscopic Interventions of Inflammatory Bowel Disease

Gastrointest Endosc Clin N Am. 2022 Oct;32(4):817-827. doi: 10.1016/j.giec.2022.05.004.

Abstract

Gastrointestinal endoscopy provides detailed information for diagnosis, differential diagnosis, and disease monitoring and delivers therapy for inflammatory bowel disease. Inflammatory bowel diseases are associated with complications such as strictures, gastrointestinal hemorrhage, fistula, perforation, and abscesses. Endoscopic intervention is a valid therapeutic modality for intestinal strictures and other morbidities. The multisegmental involvement of Crohn's disease, surgically altered bowel anatomy, and the postoperative extensive adhesions have made conventional diagnostic and therapeutic enteroscopy difficult. Intraoperative enteroscopy offers a feasible option for diagnosis and therapy. We report intraoperative enteroscopy in the management of small intestinal strictures and other intestinal morbidities.

Keywords: Crohn’s disease; Endoscopy; Enteroscopy; Gastrointestinal tract stricture; Inflammatory bowel disease; Intraoperative enteroscopy.

Publication types

  • Review

MeSH terms

  • Constriction, Pathologic / etiology
  • Constriction, Pathologic / surgery
  • Crohn Disease* / complications
  • Crohn Disease* / diagnosis
  • Crohn Disease* / surgery
  • Endoscopy, Gastrointestinal / adverse effects
  • Humans
  • Intestinal Obstruction* / etiology
  • Intestine, Small