Post written by Yusuke Fujiyoshi, MD, from the Department of Medicine, Division of Gastroenterology, University of Ottawa, Ottawa, Ontario, Canada. EMR and endoscopic submucosal dissection (ESD) are both accepted resection strategies for Barrett’s esophagus—related neoplasia and esophageal adenocarcinoma (EAC). This study aimed to systematically review and synthesize the evidence comparing EMR versus ESD in treating …
Author: GIEjournal
Introducing antireflux mucoplasty with valve: a novel endoscopic treatment for GERD
Post written by Kazuki Yamamoto, MD, PhD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This video case introduces the effectiveness of antireflux mucoplasty (ARM-P) with valve (ARM-P/V) for proton pump inhibitor—refractory GERD. Antireflux mucosectomy (ARMS) and antireflux mucosal ablation (ARMA) are effective treatments for proton pump inhibitor—refractory or dependent GERD, as supported …
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Trends in endoscopic training: the impact of subspecialization and productivity-based compensation on gastroenterology fellowships
Post written by David L. Diehl, MD, FASGE, AGAF, from the Department of Medicine and Pathology, Geisinger Commonwealth School of Medicine, Department of Gastroenterology, Geisinger Medical Center, Danville, Pennsylvania, USA. It’s time to rethink endoscopic training in gastroenterology. The practice of gastroenterology is changing because of increased subspecialization as well as current mechanisms of reimbursement. In the …
Virtual reality intervention to improve quality of care during colonoscopy: a hybrid type 1 randomized controlled trial
Post written by Mahdi Shamali, PhD, from Copenhagen University Hospital–Herlev and Gentofte, Copenhagen, Denmark. This study explored an innovative approach using virtual reality (VR) as a nonpharmacologic tool to manage pain, anxiety, and discomfort during colonoscopies. Colonoscopy procedures often induce stress and discomfort, affecting patient willingness to complete the procedure and comply with follow-ups. Our research tested …
Star-Loop: a novel, low-cost method of multipoint traction for colonic endoscopic submucosal dissection
Post written by Ciaran Judge, MD, MB, BCh, BAO, and Niroshan Muwanwella, MD, from the Royal Perth Hospital, Perth, Western Australia, Australia. Endoscopic submucosal dissection (ESD) is an important tool for resection of colorectal lesions with features suggestive of superficial submucosal invasion. However, resection of proximal lesions can be challenging for several reasons. We present the case of a 68-year-old man …
Endoscopic treatment of bile duct stones with benign choledochojejunal anastomotic stenosis
Post written by Akihiko Kida, MD, PhD, from the Department of Gastroenterology, Public Central Hospital of Matto Ishikawa, Hakusan, Japan, and the Department of Gastroenterology, Kanazawa University Hospital, Kanazawa, Japan. The number of patients with biliopancreatic malignancies with long-term survival after surgery has increased with advances in chemotherapy, and there have been many opportunities to treat benign …
Immersion endoscopic submucosal dissection with saline pressure method for duodenal sessile serrated lesion with severe surgical scar fibrosis
Post written by Chen-Shuan Chung, MD, MSc, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Far Eastern Memorial Hospital, New Taipei City, Taiwan. In this case, we described a modified endoscopic submucosal dissection (ESD) method for management of a fibrotic duodenal neoplasm. A 77-year-old woman presented with a 2.5-cm 0-IIa lesion on a surgical …
Comparative diagnostic performance of rapid urease test with the sweeping method versus tissue sampling method after Helicobacter pylori eradication (with video)
Post written by Choong-Kyun Noh, MD, PhD, from the Department of Gastroenterology, Ajou University School of Medicine, Suwon, South Korea. Helicobacter pylori infection is associated with gastric diseases such as gastritis, peptic ulcers, mucosa-associated lymphoid tissue lymphoma, and gastric cancer. As H pylori eradication can reduce gastric cancer incidence and metachronous gastric cancer rate after …
Mobile health technology in pediatric EGD quality indicators assessment: results from a national program of the Italian Society of Pediatric Gastroenterology, Hepatology and Nutrition
Post written by Lorenzo Norsa, MD, PhD, from the Department of Pediatrics, Vittore Buzzi Children’s Hospital, University of Milan, Milan, Italy, Salvatore Oliva, MD, PhD, from the Pediatric Gastroenterology and Liver Unit, Maternal and Child Health Department, Sapienza University of Rome, Rome, Italy, and Francesco Morotti, MD, from the Neonatology and Neonatal Intensive Care Unit, Spedali Civili Children’s Hospital, …
Cecal intubation rates: data from the New Hampshire Colonoscopy Registry
Post written by Alexander Miller, MD, from Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire, USA, and Joseph C. Anderson, MD, from the Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, White River Junction VA Medical Center, White River Junction, Vermont, USA, and New Hampshire Colonoscopy Registry, Lebanon. We explored the association between patient, endoscopist, and examination factors and cecal …
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