Peroral endoscopic myotomy for achalasia: a prospective multicenter study in Japan

Post written by Hironari Shiwaku, MD, PhD, from the Department of Gastroenterological Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan. Peroral endoscopic myotomy (POEM) is a standard treatment for achalasia. The reported efficacy of POEM in the prospective multicenter study by Dr Von Renteln's group was 82%. However, a retrospective multicenter study in Japan reported …

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Outcomes of delayed endoscopic management for esophageal soft food impactions

Post written by Timothy Krill, MD, from the Department of Gastroenterology and Hepatology, University of Texas Medical Branch, Galveston, Texas, USA. The focus of this study was to evaluate rates of adverse events in esophageal soft food impactions relative to time to endoscopy. We compared differences in outcomes between those who underwent an EGD within …

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Clinical importance of cold polypectomy during the insertion phase in the left side of the colon and rectum

Post written by Akira Teramoto, MD, from the Gastrointestinal Center, Sano Hospital, Kobe, Japan. We believe that all endoscopists are very familiar with this situation; small polyps are identified during insertion phase of colonoscopy without having any intention to search for them. The clinical question, whether we should resect now or later, seems to be …

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Effect of individualized feedback on learning curves in EGD and colonoscopy

Post written by Samuel Han, MD, MSCS, and Sachin Wani, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA. In this study, we aimed to perform a multicenter, randomized, controlled trial examining the effect of individualized feedback on learning curves in EGD and colonoscopy among GI fellows. …

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Comparison of smear cytology and liquid-based cytology in EUS-guided FNA of pancreatic lesions

Post written by Kai-xuan Wang, MD, PhD, from the Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China. The objective of this article was to compare the diagnostic efficacy of liquid-based cytology (LBC) and smear cytology (SC) in diagnosing solid pancreatic lesions. The diagnostic efficacy of SC and LBC for cytological samples obtained …

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Comparison of liquid-based cytology with conventional smear cytology for EUS-guided FNA of solid pancreatic masses

          Post written by Sang Hyub Lee, MD, PhD, and Haeryoung Kim, MD, PhD, from the Department of Internal Medicine and Liver Research Institute, and the Department of Pathology, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Korea. The purpose of this study was to evaluate the diagnostic …

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Endoscopic clipping closure for preventing coagulation syndrome after colorectal ESD

Post written by Takaya Shimura, MD, PhD, from the Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, 1 Kawasumi, Mizuho-cho, Mizuho-ku, Nagoya 467-8601, Japan. The aim of this RCT (CliPEC study) is to assess the usefulness of endoscopic clipping closure to prevent Post-ESD coagulation syndrome (PECS) and delayed perforation. In …

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Endocytoscopy for the differential diagnosis of colorectal low-grade adenoma

Post written by Toyoki Kudo, MD, PhD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. We aimed to reveal which endocytoscopic findings may be used as indicators of low-grade adenoma and to assess whether a “resect and discard” strategy using endocytoscopy is feasible. A normal pit-like structure in endocytoscopic images was …

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Evaluation of a robotic arm-assisted endoscope to facilitate ESD

          Post written by Minho Hwang, PhD, and Seung Woo Lee, MD, PhD, from the Department of Mechanical Engineering, Korea Advanced Institute of Science and Technology (KAIST), Daejeon, and the Division of Gastroenterology, Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea. This study …

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EUS-guided gastroenteric anastomosis as a bridge to definitive treatment in benign gastric outlet obstruction

Post written by Theodore W. James, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA. We evaluated the use of EUS-guided gastroenteric anastomoses for patients with benign gastric outlet obstruction (GOO). We wanted to see if patients were able to successfully avoid surgery using this method. We …

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