Multifaceted Endoscopic Approach (Stricturotomy, Balloon Dilation, Fistulotomy, and Seton Placement) Guided by Intestinal Ultrasound to Avert Surgery in Complicated Crohn's Disease During Lactation

Partha Pal; Mohammad Abdul Mateen; Rajesh Gupta; Manu Tandan; D Nageshwar Reddy

doi:10.1093/ibd/izaf076

Multifaceted Endoscopic Approach (Stricturotomy, Balloon Dilation, Fistulotomy, and Seton Placement) Guided by Intestinal Ultrasound to Avert Surgery in Complicated Crohn's Disease During Lactation

Inflamm Bowel Dis. 2025 May 2:izaf076. doi: 10.1093/ibd/izaf076. Online ahead of print.

Authors

Partha Pal¹, Mohammad Abdul Mateen², Rajesh Gupta¹, Manu Tandan¹, D Nageshwar Reddy¹

Affiliations

¹ Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India.
² Diagnostic Radiology and Imaging, Asian Institute of Gastroenterology, Hyderabad, India.

PMID: 40327777
DOI: 10.1093/ibd/izaf076

No abstract available

Keywords: endoscopic balloon dilation; endoscopic fistulotomy; endoscopic seton; endoscopic stricturotomy; intestinal ultrasound.

Plain language summary

A multidisciplinary endoscopic approach combining stricturotomy, balloon dilation, seton placement, and fistulotomy effectively managed a lactating female with ileocolonic Crohn’s disease and perianal fistula, achieving symptom resolution, fistula healing, and re-initiation of biologic therapy without complications.