Impact of experience on self-assessment accuracy of clinical colonoscopy competence

On March 20, 2018March 5, 2018 By GIEjournalIn GIE, InvestigationsLeave a comment

Post written by Michael A. Scaffidi, BSc(Hon) MEd, and Catharine M. Walsh, MD, MEd, PhD, FRCPC, from the Division of Gastroenterology, St. Michael’s Hospital and the Division of Gastroenterology, Hepatology and Nutrition, Hospital for Sick Children, University of Toronto, Toronto, Canada. Assessment of gastrointestinal endoscopy competence is integral to delivering high-quality patient care. Endoscopic competence …

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Feasibility and efficacy of double over-the-scope clipping for colonic iatrogenic perforation

On March 18, 2018March 7, 2018 By GIEjournalIn Investigations, VideoGIELeave a comment

Post written by Paola Soriani, MD, from the Digestive Endoscopy Unit, Azienda USL Modena, Ramazzini Hospital, Carpi, Italy. An 89-year-old woman underwent colonoscopy. In a setting of severe diverticular disease, a perforation of 20-25 mm occurred in the sigmoi-rectal juntion. The leakage was completely closed after the deployment of 2 over-the-scope clips, tightly adjacent to …

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Editor’s Choice: Inadequate Boston Bowel Preparation Scale scores predict the risk of missed neoplasia

On March 16, 2018March 5, 2018 By GIEjournalIn GIE, InvestigationsLeave a comment

Associate Editor, Dr. Seth Gross, highlights this article from the March issue “Inadequate Boston Bowel Preparation Scale scores predict the risk of missed neoplasia on the next colonoscopy” by Matthew A. Kluge, MD, et al. This article further supports the notion of the importance of bowel preparation and its impact on adenoma detection. The study demonstrates …

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Cold snare polypectomy for polyp adjacent to colonic diverticulum

On March 14, 2018March 7, 2018 By GIEjournalIn Investigations, VideoGIE1 Comment

Post written by Yoko Kubosawa, MD, and Toshio Uraoka, MD, PhD, from the Department of Gastroenterology, National Hospital Organization Tokyo Medical Center, and the Department of Gastroenterology, Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan. We report 2 cases of cold snare polypectomy for polyp …

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EMR is superior to rectal suction biopsy for analysis of enteric ganglia in constipation and dysmotility

On March 12, 2018March 5, 2018 By GIEjournalIn GIE, InvestigationsLeave a comment

Post written by Kenneth Barshop, MD, from the Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA. This study demonstrated a potential new application of an existing technique, endoscopic mucosal resection (EMR), to aid in the diagnosis of Hirschsprung’s Disease. While EMR has been established as a therapeutic and diagnostic procedure …

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Digital cholangioscopic evaluation of a post–liver transplantation stricture

On March 10, 2018March 7, 2018 By GIEjournalIn Investigations, VideoGIELeave a comment

Post written by Shyam Menon, MSc, MD, FRCP, from the Department of Liver Medicine, University Hospitals Birmingham, NHS Foundation Trust, Birmingham, United Kingdom. Post liver transplantation anastomotic strictures can be technically challenging to manage. We describe a patient who presented a few months after liver transplantation with progressively deteriorating liver function tests and an episode …

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Clinical outcomes of endoscopic submucosal dissection for colorectal tumors

On March 8, 2018March 5, 2018 By GIEjournalIn GIE, InvestigationsLeave a comment

Post written by Kazuki Boda, MD, from the Department of Gastroenterology and Metabolism, Hiroshima University Hospital, Hiroshima, Japan. The focus of our study was to investigate the clinical outcomes of colorectal endoscopic submucosal dissection (ESD) at a regional level. Because the morbidity associated with colon carcinomas is rising in Japan, the number of ESDs for …

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EMR with an over-the-scope clip for superficial nonampullary duodenal epithelial tumor with fibrosis

On March 7, 2018 By GIEjournalIn Investigations, VideoGIELeave a comment

Post written by Tomoaki Tashima, MD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. A 52-year-old man was found to have a flat-elevated tumor measuring approximately 10 mm in diameter in the second part of the duodenum. First, the border of the target lesion was marked using the tip of …

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Diagnosis and predictors of sessile serrated adenoma

On March 4, 2018March 1, 2018 By GIEjournalIn GIE, InvestigationsLeave a comment

Post written by Dan Li, MD, from the Department of Gastroenterology, Kaiser Permanente Northern California, Santa Clara, California, USA. In this retrospective cohort study, we sought to investigate whether educational training significantly improved the diagnosis rate of sessile serrated adenoma (SSA) among community gastroenterologists and pathologists. In addition, we also examined patient-level predictors of SSA …

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EUS diagnosis of cystic pancreatic neuroendocrine tumors

On March 2, 2018March 1, 2018 By GIEjournalIn Investigations, VideoGIE2 Comments

Post written by Harry R. Aslanian, MD, from the Section of Digestive Disease, Yale New Haven Medical Center, School of Medicine, New Haven, Connecticut, USA. We present a series of cases highlighting the EUS features of cystic pancreatic neuroendocrine tumors. Pancreas neuroendocrine tumors are rare and are less commonly cystic. The recognition and targeting of wall …

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