Trends in performance of ERCP among patients with surgically unresectable pancreatic cancer

Post written by Patrick Yachimski, MD, MPH, from the Division of Gastroenterology, Hepatology & Nutrition, Vanderbilt University Medical Center, Nashville, Tennessee, USA. This study was conducted to assess whether there has been a change over time in the use of ERCP among patients with surgically unresectable pancreas cancer, and if so, if there was any …

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Guidance for setting easy-to-adopt competence criteria for optical diagnosis of diminutive colorectal polyps: a simulation approach

Post written by Britt B.S.L. Houwen, MD, from the Department of Gastroenterology and Hepatology, Amsterdam University Medical Centers, location Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. Implementation of the optical diagnosis strategy for diminutive colorectal polyps by endoscopists and computer-aided diagnosis (CADx) systems is hampered as the current competence criteria [PIVI] are impractical …

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Transpapillary gallbladder stent placement for long-term therapy of acute cholecystitis

Post written by Andrew C. Storm, MD, from the Division of Gastroenterology & Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Acute cholecystitis (AC) is a common disease, and while gallbladder removal surgery is one of the most commonly performed operations, some patients are not candidates for surgery. Left untreated, patients with AC can develop gangrene and gallbladder perforation, …

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Artificial intelligence in the diagnosis of gastric precancerous conditions by image-enhanced endoscopy

Post written by Honggang Yu, MD, from the Department of Gastroenterology, the Key Laboratory of Hubei Province for Digestive System Disease, and the Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision, Renmin Hospital of Wuhan University, Wuhan, China. In this study, we conducted a deep convolutional neural network (DCNN) system to detect …

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Efficacy and histologic accuracy of underwater versus conventional endoscopic mucosal resection for large (>20 mm) colorectal polyps

Post written by Saurabh Chandan, MD, from the Gastroenterology and Hepatology, CHI Creighton University Medical Center, Omaha, Nebraska, USA. Underwater endoscopic mucosal resection (U-EMR) is a simple and easy-to-learn technique for resection of colorectal lesions. It eliminates the need of using submucosal injection to “lift” the lesion prior to resection. The main aim of our …

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Evaluating the impact of frailty on periprocedural adverse events and mortality among patients with GI bleeding

Post written by Camilo J. Acosta, MD David Goldberg, MD Sunil Amin, MD, MPH, from the Department of Medicine, University of Miami/Jackson Memorial Hospital, Miami, Florida, USA and Division of Digestive Health and Liver Diseases, University of Miami Miller School of Medicine, Miami, Florida, USA. Frailty is common and has been extensively studied as a …

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Impact of margin status on outcomes after endoscopic resection of well-differentiated duodenal neuroendocrine tumors

Post written by Shruti Mony, MD, from the Department of Gastroenterology, Johns Hopkins University, Baltimore, Maryland, USA. The focus of our study was to assess the recurrence patterns after endoscopic resection of nonampullary duodenal neuroendocrine tumors [DNETs]. Specifically, we wanted to identify the risk factors, effect of positive histologic margins, and optimal surveillance strategies including …

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GIE September Podcast

Dr. Doug Adler, GIE Senior Associate Editor, chats with Dr Saurabh Chandan about his article "Efficacy and histologic accuracy of underwater versus conventional endoscopic mucosal resection for large (>20 mm) colorectal polyps: a comparative review and meta-analysis" from the September issue. Our guest for the September 2021 GIE Podcast is Dr Saurabh Chandan, Assistant Professor, …

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Colorectal cancer in 18- to 49-year-olds: rising rates, presentation, and outcome in a large integrated health system

Post written by Nimish Vakil, MD, from the Department of Medicine, University of Wisconsin School of Medicine and Public Health, Madison, and the Department of Gastroenterology, Advocate Aurora Health, Milwaukee, Wisconsin, USA. Colon cancer is rising in young people and the cause is unknown. There is little information on outcomes in this group. Colorectal cancer …

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Single-pass 1-needle actuation versus single-pass 3-needle actuation technique for EUS-guided liver biopsy sampling

Post written by David L. Diehl, MD, FACP, FASGE, from the Department of Gastroenterology and Nutrition, Geisinger Medical Center, Danville, Pennsylvania, USA. The focus of this study is to further refine the optimal method for EUS-guided liver biopsy. Some reports in the literature utilize a single pass, single-needle throw for obtaining a liver biopsy specimen. …

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