Endoscopic Therapy for Anastomotic Bleeding in Inflammatory Bowel Disease

Weiwei Zheng; Ravi P Kiran; Bo Shen

doi:10.1007/s10620-025-09029-4

Endoscopic Therapy for Anastomotic Bleeding in Inflammatory Bowel Disease

Dig Dis Sci. 2025 Apr 25. doi: 10.1007/s10620-025-09029-4. Online ahead of print.

Authors

Weiwei Zheng¹, Ravi P Kiran¹, Bo Shen²

Affiliations

¹ Center for Inflammatory Bowel Disease and the Global Center of Integrated Colorectal Surgery and IBD Interventional Endoscopy, Columbia University Irving Medical Center/New York Presbyterian Hospital, New York, NY, USA.
² Center for Inflammatory Bowel Disease and the Global Center of Integrated Colorectal Surgery and IBD Interventional Endoscopy, Columbia University Irving Medical Center/New York Presbyterian Hospital, New York, NY, USA. bs3270@cumc.columbia.edu.

PMID: 40278991
DOI: 10.1007/s10620-025-09029-4

Abstract

Lower gastrointestinal (GI) anastomotic bleeding in patients with inflammatory bowel disease (IBD) is rare but can be detrimental. Time and effective management is critical to prevent morbidity. Endoscopy has emerged as a minimally invasive and highly effective treatment modality for the management of this complication. However, endoscopic treatment for anastomotic bleeding faces challenges such as recurrent bleeding, complication of the procedure, and need for interdisciplinary collaboration. In this study, we focus on the techniques, efficacy, and safety of endoscopic interventions for the treatment of lower GI anastomotic bleeding in patients with IBD.

Keywords: Anastomosis; Bleeding; Endoscopy; Gastrointestinal; Inflammatory bowel disease; Therapy.

Publication types

Review