GIE Associate Editor Monique Barakat, MD, highlights this article from the December issue: “Magnetic compression anastomosis for the treatment of complete biliary obstruction after cholecystectomy” by Sung Ill Jang, MD, PhD, et al. Post-cholecystectomy biliary strictures are generally managed endoscopically. However, when complete occlusion of the duct occurs, management with entirely endoscopic approaches is not possible. This study describes …
Category: GIE
Top tips for pneumatic dilation of the lower esophageal sphincter (with video)
Post written by David L. Diehl, MD, FASGE, AGAF, FACP, from the Department of Gastroenterology and Hepatology, Geisinger Commonwealth School of Medicine, Geisinger Medical Center, Danville, Pennsylvania, USA. Although pneumatic dilation (PD) of the lower esophageal sphincter has had a long—and successful—history of use in the management of achalasia and related disorders, the advent of peroral endoscopic …
Continue reading Top tips for pneumatic dilation of the lower esophageal sphincter (with video)
Pancreas and biliary ablation devices
Post written by Dennis Chen, MD, from the Center for Endoscopic Research and Therapeutics, University of Chicago, Chicago, Illinois, USA. This Technology Status Evaluation Report evaluates the available ablative therapy devices for pancreatic and biliary ductal conditions and reviews the devices, techniques, indications, efficacy, and safety profiles of the existing technology. Ablative therapies have been increasingly used …
A new artificial intelligence system for both stomach and small-bowel capsule endoscopy
Post written by Xia Xie, MD, PhD, and Shi-Ming Yang, MD, PhD, from the Department of Gastroenterology, The Second Affiliated Hospital, The Third Military Medical University, Chongqing, China. This research primarily focuses on analysis of artificial intelligence (AI)’s capacity for recognizing lesions in the stomach and small intestine as well as its potential to augment the diagnostic …
Recellularization via electroporation therapy of the duodenum combined with glucagon-like peptide-1 receptor agonist to replace insulin therapy in patients with type 2 diabetes: 12-month results of a first-in-human study
Post written by Celine Busch, MD, and Annieke van Baar, MD, PhD, from Gastroenterology and Hepatology, Amsterdam University Medical Centers, Amsterdam, The Netherlands. The duodenum has proven to play a crucial role in glucose homeostasis. It is thought that obesogenic diets cause certain alterations in the duodenal mucosa, eventually leading to metabolic syndrome and type 2 diabetes …
Virtual indigo carmine chromoendoscopy images: a novel modality for peroral cholangioscopy using artificial intelligence technology (with video)
Post written by Ryosuke Sato, MD, and Kazuyuki Matsumoto, MD, PhD, from the Department of Gastroenterology and Hepatology, Okayama University Hospital, Okayama, Japan. Our study focused on developing and evaluating a novel imaging technique that combines artificial intelligence with peroral cholangioscopy to improve visualization of biliary strictures. We used cycle-consistent adversarial network (CycleGAN) technology to convert standard …
Effects of glucagon-like peptide-1 receptor agonists on gastric mucosal visibility and retained gastric contents during EGD
Post written by Ramzi Mulki, MD, from the University of Alabama at Birmingham, Birmingham, Alabama, USA. This study focused on evaluating the impact of glucagon-like peptide-1 receptor agonists (GLP-1RAs) on gastric mucosal visibility and retained contents during EGD. Specifically, it investigated whether GLP-1RAs use affects visibility scores (with validated scores) and retained contents, which could …
Comparison of EMR versus endoscopic submucosal dissection for Barrett’s neoplasia and esophageal adenocarcinoma: a systematic review and meta-analysis
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 …
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 …
endoscopedia.com 