New concept for colonoscopy including side optics and artificial intelligence

Post written by Joel Troya, MSc, from Interventional and Experimental Endoscopy (InExEn), Internal Medicine II, University Hospital Würzburg, Würzburg, Germany. The combination of artificial intelligence (AI) and side optics might help detect adenomas that otherwise could be missed. Several studies have demonstrated that the adenoma detection rate is the critical parameter for reducing the incidence …

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Real-time use of artificial intelligence for diagnosing early gastric cancer by magnifying image-enhanced endoscopy: a multicenter diagnostic study (with videos)

Post written by Honggang Yu, MD, from the Department of Gastroenterology, Key Laboratory of Hubei Province for Digestive System Disease, and Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision, Renmin Hospital of Wuhan University, Wuhan, China. In this study, we used deep learning models to develop an artificial intelligence system called ENDOANGEL-ME …

Continue reading Real-time use of artificial intelligence for diagnosing early gastric cancer by magnifying image-enhanced endoscopy: a multicenter diagnostic study (with videos)

Incremental benefit of dye-based chromoendoscopy to predict the risk of submucosal invasive cancer in large nonpedunculated colorectal polyps

Post written by Mayenaaz Sidhu, MBBS, from the Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia. This study was conducted to evaluate the incremental benefit of dye-based chromoendoscopy (DBC) to predict the risk of submucosal invasive cancer (SMIC) for large nonpedunculated colorectal polyps (LNPCPs) among independent observers. Real-time optical evaluation of the lesion’s surface …

Continue reading Incremental benefit of dye-based chromoendoscopy to predict the risk of submucosal invasive cancer in large nonpedunculated colorectal polyps

Artificial intelligence for the assessment of bowel preparation

Post written by Ji Young Lee, MD, PhD, from the Health Screening and Promotion Center, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, South Korea. This study demonstrated objective assessment of bowel preparation adequacy using an artificial intelligence (AI)/convolutional neural network algorithm developed from colonoscopy videos. An adequate bowel preparation impacts quality indicators …

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EUS-guided transhepatic biliary drainage: a large single-center U.S. experience

Post written by Todd H. Baron, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.  This study focused on transhepatic biliary drainage using endoscopic ultrasound for management of benign and malignant biliary obstruction. Although EUS-guided hepaticogastrostomy was first described nearly 20 years ago, almost …

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Colorectal cancer patients advocating screening to their siblings: a randomized behavioral intervention

Post written by Ker-Kan Tan, PhD, from the Division of Colorectal Surgery, University Surgical Cluster, National University Health System, Singapore.  The aim of this study was twofold. First, we sought to understand if colorectal cancer (CRC) patients would be willing to advocate cancer screening to their siblings (who would be considered higher-risk, first-degree relatives [FDRs]). …

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Prediction and management of bleeding during endoscopic necrosectomy for pancreatic walled-off necrosis: results of a large retrospective cohort at a tertiary referral center

Post written by Ian Holmes, MD, from Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.  Over the last 10 years, the management of pancreatic walled-off necrosis (WON) has evolved with the development of minimally invasive endoscopic approaches to cystgastrostomy and necrosectomy. Endoscopic necrosectomy (EN) has become a widely favored strategy because of the low rates of …

Continue reading Prediction and management of bleeding during endoscopic necrosectomy for pancreatic walled-off necrosis: results of a large retrospective cohort at a tertiary referral center

Efficacy and factors affecting procedure results of short-type single-balloon enteroscopy–assisted ERCP for altered anatomy: a multicenter cohort in Japan

Post written by Yuki Tanisaka, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. ERCP is considered challenging in patients with surgically altered anatomy. Procedural outcomes using a conventional endoscope have not been satisfactory. A short-type single-balloon enteroscopy (short SBE)–assisted ERCP has been reported as useful in patients with …

Continue reading Efficacy and factors affecting procedure results of short-type single-balloon enteroscopy–assisted ERCP for altered anatomy: a multicenter cohort in Japan

Cost-effectiveness analysis of optimal diagnostic strategy for patients with symptomatic cholelithiasis with intermediate probability for choledocholithiasis

Post written by Faisal S. Ali, MD, from the Center for Interventional Gastroenterology at UTHealth (iGUT), University of Texas Health Science Center at Houston, Houston, Texas, USA. Our study aimed to provide further guidance on evaluating intermediate probability choledocholithiasis (IPC) in patients with cholelithiasis. The updated American Society for Gastrointestinal Endoscopy (ASGE) guideline recommends endoscopic …

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Performance of perioperative antibiotics against post–endoscopic submucosal dissection coagulation syndrome: a multicenter randomized controlled trial

Post written by Yoji Takeuchi, MD, FJGES, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. Post—endoscopic submucosal dissection (ESD) coagulation syndrome (PECS) sometimes occurs after colorectal ESD and leads to extended hospitalization. Although the efficacy of perioperative antibiotics preventing PECS had been uncertain, perioperative antibiotics had been used to prevent PECS …

Continue reading Performance of perioperative antibiotics against post–endoscopic submucosal dissection coagulation syndrome: a multicenter randomized controlled trial