Post written by Luciano Lenz, PhD, from the Instituto do Cancer do Estado de São Paulo, and Fleury Medicina e Saude, São Paulo, São Paulo, Brazil. The focus of our study was to compare recurrence after underwater endoscopic mucosal resection (UEMR) and after conventional endoscopic mucosal resection (CEMR) for naïve nonpedunculated lesions. This study is important …
Category: GIE
Prophylactic EUS-guided gallbladder drainage prevents acute cholecystitis in patients with malignant biliary obstruction and cystic duct orifice involvement: a randomized trial (with video)
Post written by Carlos Robles-Medranda, MD, from the Instituto Ecuatoriano de Enfermedades Digestivas, Guyaquil, Ecuador. This study focuses on the benefits of prophylactic EUS-guided gallbladder drainage (EUS-GBD) in patients with unresectable malignant biliary obstruction (MBO) and occlusion of the orifice of the cystic duct (OCD). Although acute cholecystitis (AC) will not always develop in patients with …
Closure of large mucosal defects for prevention of strictures after duodenal endoscopic submucosal dissection (with video)
Post written by Yoko Kubosawa, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, and the Division of Research and Development for Minimally Invasive Treatment, Cancer Center, Keio University School of Medicine, Tokyo, Japan. We analyzed the incidence of post–endoscopic submucosal dissection (ESD) strictures after wide-field duodenal ESD. Although it is known that …
Motorized spiral enteroscopy versus double-balloon enteroscopy: a case-matched study
Post written by Ravishankar Asokkumar, MBBS, FRCP, FASGE, from the Department of Gastroenterology and Hepatology, Singapore General Hospital, and the Division of Medicine, DUKE-NUS Graduate Medical School, Singapore. Evaluation of the small intestine can be tedious and challenging because of its anatomical nature. For a long time, double-balloon enteroscopy (DBE) has been considered the gold standard …
Computer-aided detection, mucosal exposure device, their combination, and standard colonoscopy for adenoma detection: a randomized controlled trial
Post written by Satimai Aniwan, MD, from the Division of Gastroenterology, Faculty of Medicine, Chulalongkorn University, and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand. This study aimed to compare adenoma detection rate (ADR) differences among computer-aided detection (CADe), endocuff-assisted colonoscopy (EAC; Endocuff Vision ARV 110; Olympus Corporation, Tokyo, Japan), and the combination of CADe …
Impact of withdrawal time on adenoma detection rate: results from a prospective multicenter trial
Post written by Madhav Desai, MD, MPH, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota Medical Center, Minneapolis, Minnesota, USA. Achieving an optimal adenoma detection rate (ADR), a priority quality metric for screening colonoscopy, is necessary for a high-quality colonoscopy. Studies have shown that a higher ADR is linked to a lower risk …
Diagnostic yield and technical performance of the novel motorized spiral enteroscopy compared with single-balloon enteroscopy in suspected Crohn’s disease: a prospective study (with video)
Post written by Partha Pal, MD, DNB, MRCP (UK), from the Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India. In this study, we compared single-balloon enteroscopy with motorized spiral enteroscopy in suspected Crohn’s disease (CD) in a prospective manner. We aimed to compare the technical success, diagnostic yield, depth of maximal insertion, enteroscopy time, …
Effectiveness of prophylactic clipping in preventing postpolypectomy bleeding in aspirin users: a propensity-score analysis
Post written by Louis H.S. Lau, MBChB, and Francis K. L. Chan, MD, from the Department of Medicine and Therapeutics, Faculty of Medicine, and the Institute of Digestive Diseases, The Chinese University of Hong Kong, Hong Kong SAR. This study focused on examining the benefit of prophylactic clipping after colonoscopic polypectomy or endoscopic resection in high-risk …
Computer-assisted detection versus conventional colonoscopy for proximal colonic lesions: a multicenter, randomized, tandem-colonoscopy study
Post written by Wai K. Leung, MD, from the Department of Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong, China. A meta-analysis reported that up to 26% of colorectal adenomas could be missed during colonoscopy. Computer-assisted detection (CADe) has been shown to enhance colorectal adenoma and polyp detection. However, it remains uncertain whether CADe …
Outpatient flexible endoscopic diverticulotomy for the management of Zenker’s diverticulum: a retrospective analysis of a large single-center cohort
Post written by Christopher Teshima, MD, PhD, from the Center for Advanced Therapeutic Endoscopy and Endoscopic Oncology, Division of Gastroenterology and Hepatology, Department of Medicine, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada. We evaluated the outcomes of 240 patients who underwent endoscopic therapy for Zenker’s diverticulum over a 6-year study period at our center. …
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