Partha Pal

So what do I do on Monday morning?”

🧠 When should I use intestinal ultrasound—and when is CTE/MRE truly needed—in small-bowel Crohn’s disease?

🚨 Guidelines endorse IUS but remain unclear on escalation, especially in L4 disease & suspected strictures.

📊 CACTUS-CD (prospective, real-world): 🌵🌵🌵 in Red Journal @AmJGastro
• n = 407
• Isolated SB disease: n = 149
• Multifocal SB disease: n = 107
• High L4 burden (vs ~3% in METRIC)

🔍 Where does CTE/MRE truly add incremental value?

🎯 CACTUS-CD shows escalation is most useful for:
• Proximal & mid small-bowel disease
• Surgical planning
• Planning endoscopic intervention
• Extra-intestinal manifestations (EIMs)
• Diagnostic dilemmas / suspected malignancy

💡 Take-home:
✅ Ultrasound-first works for most
➕ SICUS improves stricture detection
🎯 CTE/MRE should be targeted, not routine

#IBD #Crohns #IUS #SICUS #Imaging #Guidelines #POCUS

@BowelUltrasound @iUSCAN @GENIUS_health1 @saia_gi @AmCollegeGastro @AIGHospitals @DrDNReddy

Correlation and Assessment of Small Bowel Lesions Using... : Official journal of the American College of Gastroenterology | ACG journals.lww.com/ajg/abstract/9…

For short Crohn’s strictures, should we dilate or cut?

BEST-CD compared balloon dilation with stricturotomy in a randomized trial.

How might these findings influence your approach to a short, accessible stricture? #IBD #Endoscopy

Four years from a clinical question to BEST-CD! 🔬

Proud to share our randomised trial comparing balloon dilation with endoscopic stricturotomy for short Crohn’s strictures, in Clinical Gastroenterology and Hepatology.
@AGA_CGH
@AmerGastroAssn
@AIGHospitals

Grateful to our patients and team. 🙏

cghjournal.org/article/S1542-…

🎤 Spoke on emerging endoscopic interventions at #AIDDS2026, Asan, Seoul.

A focused, high-level IBD meeting spanning AI, dysplasia, fibrosis, creeping fat and interventional endoscopy—with stimulating discussions across disciplines! 🇰🇷

Grateful to Asan IBD’s Prof @BDYE_IBD , Prof @sang_hyoung , Prof Dong-Hoon Yang & Prof Sung Wook Hwang for the warm hospitality, and to @IBD_Sir , Prof Yasuharu Maeda & fellow Korean speakers for the excellent scientific exchanges! 🙏

#AIDDS2026 #IBD

🎓 WISE completed at Asan Medical Center, Seoul! 🇰🇷

An incredible week of interventional EUS: HGS, gallbladder drainage, pseudocyst drainage with HOT SPAXUS, EUS-GJ, TTNB, fiducial placement & RFA.

📸 Special highlight: performing EUS-HGS in pig model!

🙏 Grateful to Prof. Dong-Wan Seo, the Asan team & WEO for their generous mentorship—and colleagues for lasting friendships.

❤️ Thank you, Riya, for inspiring me to pursue WISE when I doubted whether an IBD-focused clinician could take this step. You helped me believe.
@WorldEndoOrg @AIGHospitals, Banjara Hills