GIE Senior Associate Editor, Dr. John R. Saltzman, MD, FASGE, highlights this article from the February issue “TTC-325 hemostatic powder versus current standard of care in managing malignant GI bleeding” by Yen-I Chen, MD, et al. Gastrointestinal bleeding from a malignancy is a difficult management challenge as no current endoscopic therapy has been proven effective. …
Category: GIE
Endoscopic sleeve gastroplasty versus high-intensity diet and lifestyle therapy
Post written by Vivek Kumbhari, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Medicine, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. The goal of this study was to assess the potential value of endoscopic sleeve gastroplasty (ESG) as a treatment for obesity; this study aimed to compare weight loss outcomes of …
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Impact of a real-time automatic quality control system on colorectal polyp and adenoma detection
Post written by Yan-Qing Li, MD, PhD, from the Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, China. We focused on investigating the real clinical impact of an automatic quality control system on colorectal polyp and adenoma detection. Quality control should be conducted for daily colonoscopy examinations routinely. Artificial intelligence showed the potential for …
Real-time automated diagnosis of precancerous lesions and early esophageal squamous cell carcinoma
Post written by Bing Hu, MD, from the Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, China. The focus of this study is to develop and validate a real-time automated diagnosis of precancerous lesions and early esophageal squamous cell carcinoma using a deep learning model. Esophageal squamous cell carcinoma (ESCC) accounts for more than …
Endotherapy of postcholecystectomy biliary strictures with multiple plastic stents
Post written by Andrea Tringali, MD, PhD, from the Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia, Digestive Endoscopy Unit, and the Università Cattolica del Sacro Cuore, Roma, Italia. Centre for Endoscopic Research Therapeutics and Training—CERTT. Our study is focused on a large series of patients treated by endoscopic insertion of multiple plastic stents (MPS) …
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Risk of progression in Barrett’s esophagus indefinite for dysplasia
Post written by Rajesh Krishnamoorthi, MD, from the Digestive Diseases Institute, Virginia Mason Medical Center, Seattle, Washington, USA. The current study is systematic review and meta-analysis to estimate the risk of progression to high-grade dysplasia and/or esophageal adenocarcinoma in patients with Barrett's esophagus indefinite for dysplasia. Barrett’s esophagus (BE) is a precursor lesion for esophageal …
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Initial clinical experience of a steerable access device for EUS-guided biliary drainage
Post written by Vivek Kumbhari, MD, from the Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. EUS-guided biliary drainage (EUS-BD) is an accepted method to treat biliary pathology in those that have failed ERCP. A recent consensus statement recommended that of the 4 major EUS-BD techniques, EUS-guided rendezvous should be the …
Editor’s Choice: Trends in EMR for nonmalignant colorectal polyps in the United States
GIE Associate Editor, Dr. Lyndon Hernandez, MD, MPH, highlights this article from the January issue “Trends in EMR for nonmalignant colorectal polyps in the United States” by Jessica X. Yu, MD, MS, et al. Using a large health insurance claims database, the authors observed an increase in the performance of EMR for colorectal lesions. However, …
Comparison between fine-needle biopsy and fine-needle aspiration for EUS-guided sampling of subepithelial lesions
Post written by Antonio Facciorusso, MD, PhD, from the Gastroenterology Unit, University of Foggia, Foggia, Italy. Endoscopic ultrasound (EUS) fine-needle aspiration (FNA) did not prove to outperform bite-on-bite biopsy in patients with subepithelial lesions (SELs) showing a pooled diagnostic yield as high as 60%. Based on this evidence, current guidelines recommend EUS-guided sampling only in …
A risk-scoring system to predict clinical failure for patients with achalasia after peroral endoscopic myotomy
Post written by Ping-Hong Zhou, MD, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China. As a novel treatment approach for achalasia, POEM has achieved satisfactory long-term effectiveness. However, there are still around 10% of patients facing treatment failure, and there are currently no clinical predictive rules that could characterize …
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