Ampullectomy of an unusual dysplastic lesion after deroofing of a type III choledochocele

Post written by Elena De Cristofaro, MD, PhD, from the Gastroenterology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy, and Mathieu Pioche, MD, PhD, from the Gastroenterology and Endoscopy Unit, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France. We report a rare case of a type III choledochocele with a polypoid lesion suspicious for dysplasia. …

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Efficacy and safety of endoscopic hemostasis with a self-assembling peptide solution in patients with colonic diverticular bleeding: a multicenter pilot study (with video)

Post written by Daisuke Yamaguchi, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, and the Department of Gastroenterology, Ureshino Medical Center, Ureshino, Japan. This study evaluated the efficacy and safety of using a self-assembling peptide solution (PuraStat; 3-D Matrix, Tokyo, Japan) for endoscopic hemostasis in patients with colonic …

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Endoscopic submucosal tunneling techniques versus flexible endoscopic septotomy for Zenker’s diverticulum: a systematic review and meta-analysis

Post written by Lucas Monteiro Delgado from the Universidade Federal de Minas Gerais, Belo Horizonte, and Gilmara Coelho Meine, MD, MSc, from the Division of Gastroenterology, Department of Internal Medicine, Feevale University, Novo Hamburgo, Brazil. Zenker’s diverticulum is the most common type of esophageal diverticulum, predominantly affecting elderly men. Although its incidence is low, it is expected to rise …

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Comparison of quality performance metrics in screening and surveillance colonoscopy: a single-center experience

Post written by James Love, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA. Our study focused on comparing quality performance metrics between screening and surveillance colonoscopies. Although screening colonoscopies have well-established benchmarks, particularly for adenoma detection rate (ADR), surveillance procedures lack such validated metrics. This …

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EUS-directed transgastric PEG for long-term enteral feeding in patients with Roux-en-Y gastric bypass anatomy

Post written by Christina S. Gainey, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. We present a novel method for placing a PEG tube into the excluded stomach of Roux-en-Y gastric bypass patients, allowing for bolus gastric feeding. Although percutaneous endoscopic jejunostomy tubes are standard …

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Top tips for finding and treating serrated colon lesions (with video)

Post written by Evelien Dekker, MD, PhD, from the Department of Gastroenterology and Hepatology, Amsterdam University Medical Center, University of Amsterdam, Cancer Center Amsterdam, Amsterdam Gastroenterology, Endocrinology & Metabolism, Amsterdam, The Netherlands. In this edition of Top Tips, this study highlights the clinical significance of serrated polyps, focusing on optimal recognition, removal, and appropriate follow-up strategies. In …

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Endoscopic radical treatment of a giant ampullary tumor with biliopancreatic duct extensions using multimodality approaches

Post written by Kazuki Hama, MD, and Takao Itoi, MD, PhD, FASGE, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Ampullary tumors with intraductal extension are typically treated with pancreaticoduodenectomy, a procedure associated with significant morbidity, especially in elderly patients. Recently, endoscopic approaches using adjunctive ablative therapies such as intraductal radiofrequency ablation (ID-RFA) and argon …

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Unveiling the effectiveness of Chat-GPT 4.0, an artificial intelligence conversational tool, for addressing common patient queries in gastrointestinal endoscopy

Post written by Roberta Maselli, MD, PhD, from the Department of Biomedical Sciences, Humanitas University, Pieve Emanuele, Italy. This study evaluates the effectiveness and reliability of Chat Generative Pre-Trained Transformer 4.0 (Chat-GPT 4.0; OpenAI, San Francisco, Calif, USA) in addressing common patient queries regarding GI endoscopy. By assessing responses in terms of reliability, accuracy, and comprehensibility, the …

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Safety and efficacy of underwater EMR for 10- to 20-mm colorectal serrated lesions (SEA CLEAR study)

Post written by Kenichiro Imai, MD, FJGES, from Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, and Yohei Yabuuchi, MD, from the Department of Gastroenterology, Kobe City Medical Center General Hospital, Kobe, Japan. Given the limitations of conventional EMR and the high recurrence rate associated with incomplete resection, our study focused on the safety and efficacy of underwater EMR (UEMR). …

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Editor’s Choice: Impact of difficult biliary cannulation on post-ERCP pancreatitis: secondary analysis of the stent versus indomethacin trial dataset

GIE Associate Editor Shivangi T. Kothari, MD, FACG, FASGE, highlights this article from the March issue: “Impact of difficult biliary cannulation on post-ERCP pancreatitis: secondary analysis of the stent versus indomethacin trial dataset” by Samuel Han, MD, MS, et al. Post-ERCP pancreatitis (PEP) remains one of the most unpredictable, humbling, and challenging adverse events of ERCP. This study highlights …

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