Post written by David L. Diehl, MD, FASGE, from the Departments of Medicine and Pathology, Geisinger Commonwealth School of Medicine, and the Department of Gastroenterology and Hepatology, Geisinger Medical Center, Danville, Pennsylvania, USA.

It was a fun but challenging task to pick the top articles on colonoscopy published in 2024. The fun part was seeing how the very mature field of colonoscopy can find new ways to provide value. The difficult part was deciding which articles to include (I was up against a word limit ) and trying not to miss important articles in the field.

I am happy with my choices, but I admit that many other outstanding articles were worthy of everyone’s attention that I was unable to include because of space restrictions. The studies that I felt “made the cut” included:

• Results of a prospective randomized trial of cold snaring of polyps larger than 20 mm.
• Another prospective trial of endoscopic submucosal dissection versus EMR for colon polyps larger than 25 mm.
• Two articles on newer uses of artificial intelligence in colonoscopy other than the well-known application for polyp detection.
• Endoscopist-controlled propofol for colonoscopy sedation (a study from Italy).
• A GIE Top Tips from Dr Bing-Rong Liu covering endoscopic retrograde appendiceal therapy (ERAT) for management of acute appendicitis.
• Room for improvement regarding adherence to colonoscopy follow-up guidelines as determined by the very large GI Quality Improvement Consortium database of more than 2.5 million outpatient screening colonoscopies.
• The effects of glucagon-like peptide-1 receptor agonists on colonoscopy preparations.

I would like to congratulate all the authors of these included articles for their hard work in moving endoscopy forward. Special mention goes as well to authors of outstanding research articles that were not included in this admittedly brief list.

Please be sure to check out my review, “The best of colonoscopy in 2024,” in the December issue of GIE!

Read the full article online.

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