Post written by Giuseppe Vanella, MD, PhD, from San Raffaele Hospital, Vita-Salute San Raffaele University, Milan, Italy. When dealing with symptomatic or infected peripancreatic fluid collections (PFCs), EUS-guided drainage has become the standard of care. In about one-half of cases, drainage alone will be enough to solve the issue. Yet, a fraction of patients will require further …
Category: GIE
Risk of post–endoscopic retrograde cholangiopancreatography pancreatitis due to placement of biliary self-expandable metal stents: a single-center retrospective study
Post written by Bashar Qumseya, MD, MPH, FASGE, from the University of Florida, Gainesville, Florida, USA. This study focuses on the risk of post-ERCP pancreatitis (PEP) in patients who receive self-expandable metal stents (SEMSs) compared with plastic biliary stents at the time of ERCP. We observed several patients who underwent PEP with seemingly no other …
Endoscopic suturing to prevent migration of esophageal fully covered self-expandable metal stents: a randomized controlled trial (with video)
Post written by Shailendra Singh, MD, from West Virginia University, Morgantown, West Virginia, USA. Fully covered self-expandable metal stents (FC-SEMSs) are widely used in the management of both benign and malignant esophageal disorders, including strictures, leaks, and perforations. However, high migration rates—often exceeding 30% to 60%—remain a major limitation of their use, leading to recurrent …
Editor’s Choice: Development and validation of the SDLD score: a simplified tool to predict successful endoscopic papillectomy in ampullary lesions
GIE Associate Editor Monique Barakat, MD, highlights this article from the October issue: “Development and validation of the SDLD score: a simplified tool to predict successful endoscopic papillectomy in ampullary lesions” by Kien Vu Trung, MD, et al. This study provides valuable insights into the predictors of incomplete resection in patients undergoing endoscopic papillectomy for ampullary lesions. The study …
Physical recovery after local resection of nonpedunculated rectal adenomas and T1 carcinomas: endoscopic submucosal dissection versus transanal minimally invasive surgery
Post written by Nik Dekkers, MD, from Leiden University Medical Center, Leiden, The Netherlands. The focus of our study was to quantitatively assess physical recovery after endoscopic submucosal dissection (ESD) and transanal minimally invasive surgery (TAMIS) for large rectal lesions. We used wearable accelerometers (smartwatches) to objectively measure physical activity and to investigate key factors influencing recovery. We …
Safety and efficacy of EUS-guided pelvic abscess drainage with lumen-apposing metal stents for complicated acute diverticulitis
Post written by Andrea Lisotti, MD, from the Gastroenterology Unit, Hospital of Imola, University of Bologna, Italy, and the Gastroenterology Unit, Hôpital Privé Jean Mermoz, Lyon, France. Our study evaluated the safety and efficacy of endoscopic ultrasound—guided pelvic abscess drainage (EUS-PAD) using lumen-apposing metal stents in patients with complicated acute diverticulitis. This minimally invasive approach …
Optical enhancement with magnification versus white-light endoscopy for detecting gastric intestinal metaplasia and neoplasia: a randomized controlled trial
Post written by Zhen Li, MD, from the Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, China. We conducted a randomized controlled trial comparing optical enhancement combined with magnification endoscopy (ME-OE) with conventional white-light endoscopy (WLE) for detection of gastric intestinal metaplasia (GIM), gastric intraepithelial neoplasia (GIN), and early gastric cancer (EGC). Detection of …
Surveillance findings in high-risk patients after baseline computer-assisted detection colonoscopy: a propensity score matching analysis
Post written by Wai Keung Leung, MD, from the Department of Medicine, School of Clinical Medicine, The University of Hong Kong, Hong Kong, China. This study aimed to determine long-term colonoscopy outcomes in patients after computer-assisted detection (CADe) colonoscopy at baseline. Although CADe colonoscopy has been consistently demonstrated to increase the colorectal adenoma or polyp detection rate, …
Outcomes of interval cholecystectomy after EUS-guided gallbladder drainage: a systematic review and meta-analysis
Post written by Suchapa Arayakarnkul, MD, and Rahul Karna, MD, from the University of Minnesota, Minneapolis, Minnesota, and Mohammad Bilal, MD, from the University of Colorado Anschutz School of Medicine, Aurora, Colorado, USA. In this systematic review and meta-analysis, we assessed the outcomes of interval cholecystectomy (CCY) after EUS-guided gallbladder drainage (EUS-GBD), with a focus on technical successes, surgical techniques, and procedural safety …
Superiority of linear-array EUS over MRCP in diagnosing pancreas divisum: evidence from a multicenter retrospective study in Oriental cohorts (with video)
Post written by Jianbo Ni, MD, Yuqing Mao, MD, and Baiwen Li, MD, PhD, from the Department of Gastroenterology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China. Our multicenter study demonstrates that linear-array EUS (L-EUS) outperformed MRCP in diagnosing pancreas divisum (PD), particularly in symptomatic patients. With a sensitivity of 90.8% and an area under the receiver operating …
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