A standardized imaging protocol is accurate in detecting recurrence after EMR

Post written by Lobke Desomer, MD, from Westmead Hospital, Department of Gastroenterology and Hepatology, Sydney, NSW, Australia. Endoscopic mucosal resection (EMR) is an increasingly used, safe, and effective technique for the removal of large laterally spreading colorectal lesions ≥20 mm. At present, EMR is seen as a 2-stage procedure with the first surveillance colonoscopy at …

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Classification of nuclear morphology in endocytoscopy of colorectal neoplasms

Post written by Toyoki Kudo, MD, PhD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. Endoscopic diagnosis makes it possible to differentiate between colorectal carcinomas with slight submucosal invasion (SM-s), defined as carcinomas with a vertical invasion depth of less than 1000 µm in the submucosal layer, and massive submucosal invasion …

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Efficacy and safety outcomes of multimodal endoscopic eradication therapy

Post written by Madhav Desai, MD, MPH, and Prateek Sharma, MD, from the University of Kansas Medical Center. Barrett’s esophagus increases your risk for dysplastic changes that can turn into cancer. This subject has drawn our attention in last 2 decades with its rising prevalence, and now, we are in an era in which we …

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Conflict of Interest: 2 Case Studies for Reviewers

Written by Lyndon Hernandez, MD, MPH, FASGE, Chair of the GIE Editorial Review Board Conflict of interest is not always clear cut and could pull us in the opposite direction, but thankfully we have guidelines to follow that will help. We have 2 practical cases that illustrate norms and behaviors we expect from our reviewers. …

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Rectal polyp reaching the dentate line: underwater EMR without submucosal lift

Post written by Sauid Ishaq, FRCP from the Gastroenterology Department, Dudley Group Hospitals, Birmingham City University in Birmingham, United Kingdom and St George's University in Grenada, West Indies. In this video we demonstrate a novel technique of underwater endoscopic mucosal resection (UEMR) without submucosal lift of a low rectal recurrent polyp (90 mm) reaching the dentate line. …

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Advanced endoscopy imaging in IBD

Post written by Markus F. Neurath, MD, from the Medical Clinic 1, Department of Medicine, University Hospital Erlangen, University of Erlangen-Nuremberg, Erlangen, Germany. The introduction of mucosal healing as a key therapeutic goal in IBD patients has highlighted the importance of endoscopy for therapeutic monitoring. Additionally, endoscopy plays a crucial role in cancer surveillance in …

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Use of circumferential radiofrequency ablation for early esophageal squamous neoplasias

Post written by Wen-Lun Wang, MD, PhD and Ching-Tai Lee, MD, from the Department of Internal Medicine, E-Da Hospital/I-Shou University, Kaohsiung, Taiwan. Our study focused on the efficacy and safety of radiofrequency ablation (RFA) for early esophageal squamous cell neoplasias (ESCNs) in patients with well-compensated cirrhosis accompanied by esophageal varices. Heavy alcohol consumption is a …

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Maneuverability and safety of a magnetic-controlled capsule endoscopy system

Post written by Hongxiang Gu, MD, from the Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China. Colon capsule endoscopy has become an alternative method to evaluate the colonic mucosa without pain, sedation, and gas insufflation in recent years. The magnetic-controlled capsule endoscopy (MCCE) system is a capsule endoscopy robot system. We performed a …

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Percutaneous transhepatic versus EUS-guided gallbladder drainage

Post written by Jaihwan Kim, MD, from the Seoul National University College of Medicine, Seoul National University Bundang Hospital. We want to introduce the feasibility, safety, long-term patency, and economic issue of EUS-GBD in patients with malignant cystic duct obstruction. In real practice, physicians meet some patients who need a long indwelling PTGBD which seriously …

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