Metallic coil and N-butyl-2-cyanoacrylate for closure of pancreatic duct leak

Post written by Ara B. Sahakian, MD, from the Division of Gastrointestinal and Liver Diseases, University of Southern California Keck School of Medicine, Los Angeles, California, USA. Pancreatic fistulae are a common complication of pancreatic surgery, which often respond to conservative management or transpapillary pancreatic duct stenting. However, a small proportion of these leaks do …

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Editor’s Choice: Risk factors for gastric adenocarcinoma

Associate Editor, Dr. Sharmila Anandasabapathy, highlights this article from the April issue “Association of gastric intestinal metaplasia and East Asian ethnicity with the risk of gastric adenocarcinoma in a U.S. population” by Alyssa Y. Choi, MD, et al.  In the United States, gastric adenocarcinoma is the forgotten stepchild, often believed to be a disease of …

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Comparison of uncovered with covered SEMSs

Post written by Sunguk Jang, MD, Department of Gastroenterology and Hepatology, Cleveland Clinic, Cleveland, Ohio, USA. This article compares the efficacy and safety of covered versus uncovered metallic biliary stents in patients with malignant biliary strictures. There remains a controversy over the increased risk of cholecystitis after the placement of covered metallic stents for malignant …

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Width and depth of resection for small colorectal polyps

Post written by Sho Suzuki, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan. We conducted this prospective, randomized, exploratory study to investigate the resection width and depth achieved by cold snare polypectomy (CSP) for small colorectal polyps compared to those achieved by hot snare …

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Hemostatic power in malignant GI bleeding

Post written by Rapat Pittayanon, MD, MSc, and Alan Barkun, MD, MSc, from the Division of Gastroenterology, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital of the Thai Red Cross, Bangkok, Thailand, and the Division of Gastroenterology, McGill University and the McGill University Health Centre, Montreal, Canada. This study was focusing on prognostic …

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Endoscopically inserted biodegradable biliary stents

Post written by Antti Siiki, MD, PhD, from the Department of Gastroenterology and Alimentary Tract Surgery, Tampere University Hospital, Tampere, Finland. Our group (Siiki, Rinta-Kiikka, Sand, and Laukkarinen) reported the first long-term results of endoscopically inserted biodegradable stents in human bile duct. The novel stents were used in 2 indications in ERCP with a standard …

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A prospective comparison of live and video-based assessments of colonoscopy performance

Post written by Michael A. Scaffidi, BSc(Hon), MEd, and Catharine M. Walsh, MD, MEd, PhD, from the Division of Gastroenterology, St. Michael’s Hospital and the Division of Gastroenterology, Hepatology and Nutrition, Hospital for Sick Children, University of Toronto, Toronto, Canada. Assessment is a critical process to determine endoscopic competence. Real-time, or “live” assessment, involves an …

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Impact of experience on self-assessment accuracy of clinical colonoscopy competence

Post written by Michael A. Scaffidi, BSc(Hon) MEd, and Catharine M. Walsh, MD, MEd, PhD, FRCPC, from the Division of Gastroenterology, St. Michael’s Hospital and the Division of Gastroenterology, Hepatology and Nutrition, Hospital for Sick Children, University of Toronto, Toronto, Canada. Assessment of gastrointestinal endoscopy competence is integral to delivering high-quality patient care. Endoscopic competence …

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Editor’s Choice: Inadequate Boston Bowel Preparation Scale scores predict the risk of missed neoplasia

Associate Editor, Dr. Seth Gross, highlights this article from the March issue “Inadequate Boston Bowel Preparation Scale scores predict the risk of missed neoplasia on the next colonoscopy” by Matthew A. Kluge, MD, et al.  This article further supports the notion of the importance of bowel preparation and its impact on adenoma detection. The study demonstrates …

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EMR is superior to rectal suction biopsy for analysis of enteric ganglia in constipation and dysmotility

Post written by Kenneth Barshop, MD, from the Department of Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA. This study demonstrated a potential new application of an existing technique, endoscopic mucosal resection (EMR), to aid in the diagnosis of Hirschsprung’s Disease. While EMR has been established as a therapeutic and diagnostic procedure …

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