Endoscopic ultrasound is widely underused for the management of perianal fistulas in people with Crohn’s disease.
Although both EUS and MRI are superior to manual assessment of fistulas by a surgeon, even when patients are under anesthesia, ultrasound is particularly versatile, said David A. Schwartz, MD, director of the IBD Center at Vanderbilt University Medical Center, in Nashville, Tenn.
“One advantage of EUS is that it can be performed immediately after a colonoscopy evaluation