Artificial intelligence–assisted real-time monitoring of effective withdrawal time during colonoscopy: a novel quality marker of colonoscopy

Post written by Wai K. Leung, MD, from the University of Hong Kong, Hong Kong, China. In this study, we developed a novel artificial intelligence (AI)-based quantitative measurement for effective withdrawal time (EWT) during colonoscopy. This measurement also takes into consideration the quality of the images obtained during colonoscope withdrawal. Standard withdrawal time, a simple measurement …

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Fully covered versus partially covered self-expandable metal stents for palliation of distal malignant biliary obstruction: a systematic review and meta-analysis

Post written by Giuseppe Vanella, MD, from the Pancreatobiliary Endoscopy and Endosonography Division, IRCCS San Raffaele Scientific Institute, Milan, and Chiara Coluccio, MD, from the Gastroenterology Department, Morgagni-Pierantoni Hospital, Forlì, Italy. Our study delves into the pivotal topic of biliary stent selection in the management of distal malignant biliary obstruction (dMBO). Specifically, we compared outcomes of …

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Defining “true acid reflux” after peroral endoscopic myotomy for achalasia: a prospective cohort study

Post written by Aniruddha Pratap Singh, MD, DM, Neeraj Singla, MD, DM, Ekant Budhwani, MD, Wladyslaw Januszewicz, MD, PhD, Zaheer Nabi, MD, DNB, Nitin Jagtap, MD, DNB, Rakesh Kalapala, MD, DNB, Sundeep Lakhtakia, MD, DM, Santosh Darisetty, DA, Sana Fathima Memon, MBA, Duvuur Nageshwar Reddy, MD, DM, and Mohan Ramchandani, MD, DM, from the Asian Institute …

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Novel miniature transendoscopic telerobotic system for endoscopic submucosal dissection (with videos)

Post written by Xiuli Zuo, MD, PhD, from Qilu Hospital of Shandong University, Jinan, China. The focus of my study includes medical mechatronics, balloon enteroscopy, inflammatory bowel diseases, and early GI cancer diagnosis and endoscopic treatment. It is known that using a conventional endoscope to perform endoscopic submucosal dissection (ESD) is difficult because of the 1-handed …

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Diagnostic utility of CT angiography compared with endoscopy in patients with acute GI hemorrhage

Post written by Jason Erno, MD, and Don C. Rockey, MD, from the Digestive Disease Research Core Center, Medical University of South Carolina, Charleston, South Carolina, USA. This cohort study examined patients with acute GI bleeding who underwent CT angiography (CTA) and compared its accuracy with that of subsequent endoscopy. CTA has gained great popularity as …

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EUS-guided coil injection therapy in the management of gastric varices: the first U.S. multicenter experience (with video)

Post written by Ahmad Najdat Bazarbashi, MD, from Washington University in St. Louis School, St. Louis, Missouri, USA. The focus of this study was to evaluate the efficacy and safety profile of EUS-guided coil therapy for the management of gastric varices through a multicenter retrospective collaborative effort in the United States—the first of its kind. There …

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Long-term outcomes after EUS-guided antegrade intervention for benign bilioenteric anastomotic stricture

Post written by Kazumasa Nagai, MD, PhD, from Tokyo Medical University, Tokyo, Japan. Bilioenteric anastomotic stricture (BES) is a significant adverse event after hepaticojejunostomy. Recently, EUS-guided antegrade intervention (EUS-AI) has been developed in cases of balloon enteroscopy–assisted ERCP failure. Several reports have demonstrated the efficacy and safety of EUS-AI. However, the results of these studies were …

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Ultrathin endoscope equipped with ultrasonic miniprobe for upper GI US in a porcine model

Post written by Hanchao Pan, MM, from the Department of Gastroenterology, First Affiliated Hospital of Soochow University, Suzhou, China. A 1.4-mm diameter EUS miniprobe catheter system (20 MHz and 30 MHz) was designed and fabricated. This system can be compatible with the existing ultrathin gastroscope working channel. Miniprobe ultrasonography through the ultrathin gastroscope can be realized …

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What we need to do to integrate artificial intelligence into GI endoscopy

Post written by Michael B. Wallace, MD, MPH, from Mayo Clinic, Division of Gastroenterology and Hepatology, Sheikh Shakhbout Medical City, Abu Dhabi, United Arab Emirates, and Mayo Clinic Florida, Jacksonville, Florida, USA. This Top Tips article was timely given the rapid expansion of artificial intelligence (AI) tools that are applicable to GI and medicine in …

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Prophylactic stenting to decrease the incidence of esophageal strictures after extensive endoscopic submucosal dissection: the first U.S. experience

Post written by Antonio Mendoza Ladd, MD, FACG, FASGE, from the University of California, Davis, Davis, California, USA. This case series focused on the effect of prophylactic placement of fully covered self-expandable metal stents after esophageal endoscopic submucosal dissection (ESD).  ESD of esophageal lesions has increased significantly over the last 10 years in the United States. …

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