Director, IBD, AIG Hospitals, Banjara Hills, Hyderabad, India; Special interest: Clinical & Interventional IBD, Intestinal Ultrsound
Hyderabad, India
Joined May 2021
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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/abstrac…
Partha Pal retweeted
✂️ Cut, don't stretch? First RCT of stricturotomy vs balloon dilation in Crohn's Disease
📍 BEST-CD: 106 adults with short (<3 cm) symptomatic CD strictures, randomised 1:1 to endoscopic balloon dilation (EBD) or endoscopic stricturotomy (ES)
🎯 Clinical recurrence at 1 year: 30.1% with ES vs 54.7% with EBD (p=0.01)
🔁 Reintervention: 24.5% vs 49.1% · Emergency visits: 18.9% vs 50.9% · Hospitalisation: 15.1% vs 34%
🔪 Surgery 1.9% vs 11.3% (NS) · Adverse events similar (13.2% vs 22.6%)
⚠️ Expert-centre data, 1-year follow-up: needs multicentre validation
👇 The data in one image
🔗 doi.org/10.1016/j.cgh.2026.1…
#MedTwitter #GITwitter #MedEd #IBD #CrohnsDisease #Endoscopy
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…
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…
Complementary preclinical evidence: a randomized porcine study also favoured stricturotomy over balloon dilation, with greater luminal enlargement at 6 months. Different endpoints, but an interesting parallel with BEST-CD.
doi.org/10.1007/s00464-026-1…
In 106 patients with Crohn’s strictures <3 cm, stricturotomy resulted in lower 1-year clinical recurrence, fewer reinterventions and healthcare use than balloon dilation.
Encouraging findings from a single-centre, single-operator RCT—multicentre validation is needed.
#IBD #endoscopy
Partha Pal retweeted
First #RCT in interventional #IBD comparing Endoscopic Stricturotomy vs Balloon Dilation @ibd_pal
👉106 #Crohn <3cm symptomatic stricture
👉Randomized ES vs EBD
ES had lower 1 year:
👉Clinical recurrence: 30.1% vs 54.7%
👉Reintervention: 24.5% vs 49.1%
cghjournal.org/article/S1542…
Partha Pal retweeted
In Short Crohn's strictures - Endoscopic stricturotomy > Endoscopic balloon dilatation in this RCT from @ibd_pal @AIGHospitals published in @AGA_CGH. Congratulations!
doi.org/10.1016/j.cgh.2026.1…
🎤 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
A stellar faculty, insightful discussions and practical cases on dysplasia in IBD! Delighted to help bring this ASGE IIBD SIG meeting together with @SandraElHachem2 @GKochharMD @NayantaraCoelho @MariettaIacucci
@PhilFleshnerMD
Interested in IBD and the evolving role of endoscopy?
Join the @ASGEendoscopy Interventional IBD SIG to learn, exchange ideas and connect with colleagues who share your interest.
🎥 Recording coming soon to @ASGEendoscopy GI Leap!
#ASGE #IIBDSIG #IBD #endoscopy
Honoured to receive the Best Oral Presentation Award at #EUSSummit2026, Seoul🇰🇷, for our study comparing TPUS, EUS, MRI and EUA in perianal fistula assessment. Grateful to our gastroenterology, radiology and surgery teams at @AIGHospitals Banjara Hills.
Pleased to present TRANSIT-CD at #EUSSummit2026 in Seoul 🇰🇷
A prospective quadrimodal comparison of TPUS, MRI, EUS and EUA for perianal fistula assessment—with management-impact analysis.
Grateful to our AIG team and faculty for the discussion!
#IBD #TRANSITCD
#WISE #EUSsummit2026
@AIGHospitals Banjara Hills
Gentle reminder for IIBD SIG members for the Webinar tonight on Dysplasia management in IBD
@ASGEendoscopy
@GKochharMD
@SandraElHachem2
@NayantaraCoelho
@MariettaIacucci
@PhilFleshnerMD
📢 Join us for the ASGE IIBD SIG webinar on Dysplasia Management in IBD—expert talks, cases and panel discussion.
📅 October 24, 2026 | 7:30 pm IST
🔒 Exclusive to ASGE IIBD SIG members.
Interested in interventional IBD? Learn more about the SIG through the @ASGEendoscopy website.
#ASGE #IBD #InterventionalIBD #Dysplasia
@GKochharMD @SandraElHachem2
Partha Pal retweeted
From building your foundation to leading teams and advancing the field, ASGE connects you with the expertise, resources and GI community to keep moving forward. Wherever you are in your journey, ASGE is here to support you. Renew your membership to stay connected. hubs.ly/Q04BpYCc0
#GITwitter #Membership #Community
📢 Join us for the ASGE IIBD SIG webinar on Dysplasia Management in IBD—expert talks, cases and panel discussion.
📅 October 24, 2026 | 7:30 pm IST
🔒 Exclusive to ASGE IIBD SIG members.
Interested in interventional IBD? Learn more about the SIG through the @ASGEendoscopy website.
#ASGE #IBD #InterventionalIBD #Dysplasia
@GKochharMD @SandraElHachem2
Partha Pal retweeted
Beyond bowel wall thickness: Is the international bowel ultrasound segmental activity score ready for prime time in Crohn’s disease?
Editorial by @ibd_pal @Kayalvn
link.springer.com/article/10…
🔍 Detect. 🔮 Predict. 🛠️ Treat. 📊 Monitor.
🎯 Decide Better.
Great to share our work and perspectives on modern endoscopic tools for better clinical decision-making in #IBD at #WCOG2026 🌍
From detection to interventional endoscopy — technology should ultimately help us make better decisions.
@WorldGastroOrg
@AIGHospitals
A wonderful surprise at #WCOG2026! 🙏
Grateful to @IJG_Journal for the Best Reviewer 2026 and Best Systematic Review recognitions. Thank you to the IJG team!
@WorldGastroOrg
#WCOG2026
@AIGHospitals
