Corrective Endoscopy and Surgery in Inflammatory Bowel and Colorectal Diseases

CH Title Main contents Proposed authors1 Overview of common benign and malignant colorectal diseases • Crohn’s disease• ulcerative colitis• pelvic disorders• diverticular diseases• colon neoplasia Yaniuska Lescaille, MD (SUNY Downstate, [email protected]), Garrett Lawlor< MD (Columbia University, [email protected]), Ravi Kiran (Columbia University, [email protected])Bo Shen, MD (Columbia University, [email protected])2 Overview of common endoscopic and surgical procedures for the management of colorectal disease • endoscopic balloon dilation• endoscopic stricturotomy• endoscopic strictureplasty• endoscopic stent placement• endoscopic sinusotomy• endoscopic septectomy• endoscopic fistulotomy• endoscopic clipping• endoscopic suturing• surgical resection• surgical strictureplasty• surgical repair• diverting ostomy• surgical redo Ravi Kiran, MD (Columbia University, [email protected]) and Bo Shen, MD (Columbia University, [email protected])3 Risk factors for endoscopy- or surgery-associated complications in colorectal disease • Colonoscopy polypectomy• EBDendoscopic stricturotomy• complications of CD surgery• complications of UC surgery• complication of CRC surgery• complications of diverticular diseases• Geeta Kulkarni, MS (Cleveland Clinic, [email protected]), and Bo Shen, MD (Columbia University, [email protected])

4 Proper handling of mesentery: Prevention of colorectal surgery-associated complications • anatomy• associated disease conditions • as risk factors for postop disease recurrence and complications• proper intraoperative handling Xianrui Wu MD, PhD (Sun Yat-sen University, [email protected]), and Colvin Coffey, MD (University of Lamrick, [email protected])5 Principles, techniques, and precautions of endoscopic and surgical management of complications in colorectal disease • principles• equipment and supplies• techniques Makram Gedeon, MD (Columbia University, [email protected]) Bo Shen, MD (Columbia University, [email protected])6 Endoscopy-associated complications in colorectal diseases (clinical presentations and diagnostic evaluation) • bleeding• ileus and aspiration• perforation, bacteremia, sepsis Alex Levy (Tufts University, Boston, MA, [email protected]) with coauthor7 Surgery-associated complications in colorectal diseases • anastomotic ulcers• bleeding• abscess• strictures• prolapse• twist Debbie Bakes, MD (Columbia University, [email protected]),Ravi Kiran, MD (Columbia University, [email protected])

8 Construction of anastomosis strictures and perforation in animal model • principles• techniques• clinical applications Martin Lucas, MD (University of Prague, [email protected]), Martin Bortlik, MD (University of Prague, [email protected])

9 Radiographic evaluation and management of endoscopy- or surgery-associated complications in colorectal diseases • KUB• gastrograffin enema• barium defecography• fistulogram• CT• MRI Stuart Bentley-Hibbert, MD (Columbia [email protected]) or Bo Shen, MD (Columbia University, [email protected])10 Histopathological features of perforation, anastomotic leaks, abscesses, and strictures • perforation• abscess• anastomotic stricture• mesentery in health and diseased• radiation proctitis Xiuli Liu, MD, PhD (University of Florida, [email protected])11 Salvage endoscopy in the management of acute endoscopy-associated complications • perforation• bleeding• ileus• postpolypectomy appendicitis Andrew Joelson, MD (Columbia University, [email protected])Bo Shen, MD (Columbia University, [email protected])12 Endoscopic management for anastomosis strictures in colorectal diseases (exclusion of pouch) • balloon dilation• stricturotomy• strictureplasty• stent Udayakumar Navaneethan, MD (University of Central Florida, [email protected])13 Endoscopic management of ileal pouch strictures • balloon dilation• Endoscopic stricturotomy• Endoscopic strictureplasty• stent Nan Lan, MD, PhD (Aultman Medical Center, ) and Bo Shen, MD (Columbia University, [email protected])14 Endoscopic management of floppy pouch complex • frequency• risk factors• banding therapy Bo Shen, MD (Columbia University, [email protected])15 Endoscopic management of acute anastomosis leaks • frequency• settings• risk factors• endo vac• endoscopic stent drainage• endoscopic suturing Bo Shen, MD (Columbia University, [email protected])16 Endoscopic management of chronic anastomotic fistula • rectal vaginal/bladder fistula• pouch vaginal/bladder fistula• enteroenteric fistula• enterocutaneous fistula• other fistulae Bo Shen, MD (Columbia University, [email protected])17 Endoscopic management of presacral sinuses • frequency (pouch; ileo-rectal anastomosis; colorectal anastomosis)• risk factors• principles and techniques• outcomes Bo Shen, MD (Columbia University, [email protected])18 Endoscopic management of stoma complications • fistulae• abscesses• stoma strictures• stoma prolapse• stoma retraction Bo Shen, MD (Columbia University, [email protected])19 Endoscopic management of perirectal fistula and abscess • endoscopic incision and drainage• fistulotomy• stem cell therapy Bo Shen, MD (Columbia University, [email protected])20 Endoscopic management of complications of diverted or bypassed bowel • diversion colitis with bleeding• diversion strictures• surveillance of dysplasia Bo Shen, MD (Columbia University, [email protected])21 Endoscopic management of colon cancer surgery-associated complications • APC for radiation proctitis• anastomotic leaks• anastomotic stricture• fistulae Bo Shen, MD (Columbia University, [email protected])22 Endoscopic evaluation and management of constipation after failed surgical treatment • principles• techniques • outcomes Bo Shen, MD (Columbia University, [email protected])23 Salvage interventional radiology and surgery in acute anastomotic leak and abscess • medical management• IR drainage• surgical approach Marco Bertucci Zoccali, MD (Columbia University, [email protected])24 Salvage surgery (non-redo) for chronic anastomotic leaks • fistulas• sinuses Christopher R. Mascarenhas, MD (Columbia University, [email protected]), Ravi Kiran, MD (Columbia University, [email protected])

25 Salvage surgery for iatrogenic endoscopy-associated perforation • causes (dx or tx associated)• open surgery• lap surgery• robotic surgery• resection vs. repair Yi Li, MD, PhD (Jingling Hospital, [email protected])26 Redo J pouch • J to J conversion principles• techniques• follow-up• management of adverse sequelae (perianal dermatitis, prolapse) James M. Kiely, MD (Columbia University, [email protected]), Ravi Kiran, MD (Columbia University, [email protected])

27 Salvage surgery for vaginal fistulas • injection• plugs• mucosal or muscle flap advancement Beatrice Dionigi, MD (now Columbia Universty; ([email protected]); Ravi Kiran, MD (Columbia University, [email protected])28 Stem cell therapy for fistulas in colorectal diseases • rectovaginal fistula• pouch-vaginal fistula• perianal fistula Amy Lightner, MD (Cleveland Clinic, [email protected])

29 Diverting ostomy in the management of endoscopy- or surgery- complications (Jejunostomy, ileostomy, colostomy) • types• indications• techniques Steve Lee-Kong (Columbia University, [email protected]>30 Conversion of failed J pouch to Kock pouch • principles• techniques• precautions Xianrui Wu, MD, PhD (Sun Yat-sen University, [email protected]), Ping Lan, MD, PhD (Sun Yat-sen University, [email protected]), Ravi Kiran, MD (Columbia University, [email protected])

31 Clinical nutrition in the prevention and management of postoperative complications in colorectal diseases • preoperative EN/TPN/PPN• enteral and parental nutrition in the treatment of surgical leaks. Le-chu Su, MD, PhD, Columbia University, [email protected]) 32 Multidisciplinary approach for endoscopy- and surgery- associated complications • principles• team and interaction• techniques• “tumor board” model Ravi Kiran, MD (Columbia University, [email protected]), Bo Shen, MD (Columbia University, [email protected])33 Overview of common endoscopic and surgical procedures related to the continent ileostomy • indications of K pouch• diagnostic endoscopy• surgical techniques• endoscopic treatment of stricture• endoscopic treatment of fistula• endoscopic treatment of bezoar Ravi Kiran, MD (Columbia University, [email protected]) and Bo Shen, MD (Columbia University, [email protected])34 Common K pouch or BCIR related complications– clinical endoscopic, histologic, and radiographic characterization • frequency• disease classification• clinical presentation• endoscopic evaluation• histologic evaluation• radiographic evaluation Bo Shen, MD (Columbia University, [email protected])35 Endoscopic corrective procedures for K pouch related problems/complications • stricture therapy• fistula therapy• removal of bezoars and foreign bodies Bo Shen, MD (Columbia University, [email protected])36 Surgical corrective procedures for K pouch related problems/complications • frequency• indications• techniques Ravi Kiran, MD (Columbia University, [email protected])

37 ‘Pouchitis’ due to mechanical or functional issues- endoscopic management • classic pouchitis• fecal stasis theory• mechanical and functional outlet obstruction Bo Shen, MD (Columbia University, [email protected])