GIE Senior Associate Editor, Dr. Douglas G. Adler MD, FACG, AGAF, FASGE, highlights this article from the June issue “Deep learning algorithm detection of Barrett’s neoplasia with high accuracy during live endoscopic procedures” by Albert J. de Groof, MD, et al. Computer aided detection (CAD) is undergoing rapid development. It seems likely that, in the …
Category: GIE
A clinical model predicting the risk of esophageal high-grade lesions in opportunistic screening
Post written by Yang Ke, MD, and Zhonghu He, PhD, from the Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Laboratory of Genetics, Peking University Cancer Hospital & Institute, Beijing, P.R. China. Endoscopic screening provides an opportunity for early detection and endoscopic therapy of esophageal lesions. In contrast to organized screening programs, which …
Second-generation magnetically controlled capsule gastroscopy with improved image resolution and frame rate
Post written by Zhuan Liao, MD, from the National Clinical Research Center for Digestive Diseases, Department of Gastroenterology, Changhai Hospital, Naval Medical University, Shanghai, China. We first described an updated magnetically controlled capsule gastroscopy (MCCG-2) highlighted with improvements in frame rate, image resolution, field of view, battery life, and data transmission compared to first generation …
Digital single-operator peroral cholangioscopy-guided biopsy sampling versus ERCP-guided brushing for indeterminate biliary strictures
Post written by Mohan Ramchandani, MD, from the Asian Institute of Gastroenterology Hospitals, Hyderabad, India. The aim of this study was to assess the diagnostic accuracy of digital single-operator cholangioscopy (DSOC) compared with ERCP-based assessment using traditional sampling technology in patients with indeterminate biliary strictures (IBS). Indeterminate biliary stricture was defined as a suspected intrinsic …
Impact of en bloc resection on long-term outcomes after EMR
Post written by Mayenaaz Sidhu, MBBS, from the Department of Gastroenterology and Hepatology, Westmead Hospital, and Westmead Clinical School, The University of Sydney, Sydney, New South Wales, Australia. The focus of this study was to assess long-term outcomes of sized-matched laterally spreading colorectal lesions (LSL) resected en bloc (e-EMR) as compared to piece-meal resection (p-EMR). …
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Optimal stent placement strategy for malignant hilar biliary obstruction
Post written by Bing Hu, MD, PhD, from the Department of Endoscopy, Eastern Hepatobiliary Hospital, Second Military Medical University, Yangpu District, and the Department of Gastroenterology, Third Affiliated Hospital, Second Military Medical University, Jiading District, Shanghai, China. We compared, for the first time, 4 major stenting modalities simultaneously to determine an optimal strategy for the …
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Pathology definitions and resection strategies for early colorectal neoplasia
Post written by Makoto Nishimura, MD, from the Gastroenterology, Hepatology and Nutrition Service, Memorial Sloan Kettering Cancer Center, New York, New York, USA. Well-known discrepancies exist between the East and West classifications of colorectal neoplasia. For example, ‘intra-mucosal carcinoma’ in Japan is recognized as ‘high-grade dysplasia’ in the U.S. To resolve these interobserver discrepancies between …
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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 …
Continue reading Peroral endoscopic myotomy for achalasia: a prospective multicenter study in Japan
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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