Freehand Endoscopic Fistulotomy Guided by Perineal Ultrasound in Crohn's Perianal Abscess: A Day-Care Alternative to Surgery Allowing Continuation of Biologics

CC BY 4.0 · Journal of Digestive Endoscopy
DOI: 10.1055/s-0045-1812481

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Authors

Partha Pal

¹Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, Telangana, India
Mohammad Abdul Mateen

²Department of Diagnostic Radiology and Imaging, Asian Institute of Gastroenterology, Hyderabad, Telangana, India
Rajesh Gupta

¹Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, Telangana, India
Manu Tandan

¹Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, Telangana, India
Duvvuru Nageshwar Reddy

¹Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, Telangana, India

References
1 Pal P, Rebala P, Nabi Z. et al. Endoscopic setons placement for complex perianal fistulizing Crohn's disease by fistuloscopy using ultra-thin endoscope introduced into fistula cavity. J Dig Endosc 2023; 14 (04) 245-246
2 Pal P, Rebala P, Gupta R, Tandan M, Reddy DN. Endoscopic fistulotomy (through the scope and freehand) as a salvage procedure for recurrent perianal fistula with abscess postsurgery in Crohn's disease. J Dig Endosc 2024; 15 (04) 256-257
3 Pal P, Mateen MA, Gupta R, Tandan M, Reddy DN. 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; 31 (09) 2602-2603
4 Kochhar G, Shen B. Endoscopic fistulotomy in inflammatory bowel disease (with video). Gastrointest Endosc 2018; 88 (01) 87-94
5 Pal P, Mateen MA, Gupta R, Tandan M, Reddy DN. Transperineal ultrasound-guided endoscopic sinusotomy for recurrent perianal sinus in Crohn disease. ACG Case Rep J 2025; 12 (07) e01769