Associate Editor, Dr. Lisa Strate, highlights this article from the August issue “The colonoscopist's guide to the vocabulary of colorectal neoplasia: histology, morphology, and management” by Douglas K. Rex, MD, Cesare Hassan, MD, and Michael J. Bourke, MD This is a wonderfully comprehensive yet concise guide to the vocabulary regarding colonoscopy with polypectomy and its …
Category: GIE
Impact of cap-assisted colonoscopy on detection of proximal colon adenomas
Post written by Madhav Desai, MD, MPH, from the University of Kansas Medical Center. Proximal or right-sided colon lesions are often missed even after a meticulous screening colonoscopy and can often contribute to interval colon cancer. Cap-attached colonoscopy has the potential to increase yield in the right side of colon. Our goal was to assess …
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Editor’s Choice: Colorectal cancer screening
Editor-in-Chief, Dr. Michael Wallace, highlights this article from the July issue “Colorectal cancer screening: Recommendations for physicians and patients from the U.S. Multi-Society Task Force on Colorectal Cancer” by Douglas K. Rex, MD, et al. Colorectal cancer screening is likely the single most common activity performed by gastroenterologists in the United States. Every few years, …
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Impact of gum chewing on the quality of bowel preparation
Post written by Yu Bai, MD, PhD, from the Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China. Polyethylene glycol (PEG) is widely used for bowel preparation; however, it is reported that up to 20 to 25% of patients have inadequate bowel preparation, so the methods to improve the quality of bowel preparation …
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Risk of colorectal cancer in chronic liver diseases
Post written by Yuga Komaki and Atsushi Sakuraba from the Section of Gastroenterology, Hepatology, and Nutrition at The University of Chicago Medicine. We performed a systematic review and meta-analysis to assess the risk of colorectal cancer in various chronic liver diseases compared to the general population. We also assessed whether the risk would change with …
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Indomethacin and diclofenac in the prevention of post-ERCP pancreatitis
Post written by Árpád V. Patai, MD, from Semmelweis University, 2nd Department of Medicine, Budapest, Hungary. Although post-ERCP pancreatitis (PEP) is the most frequent complication of ERCP and mortality of severe PEP is high, ERCP is still inevitable in our therapeutic armamentarium, so it is fundamental to assess the efficacy of all potential preventive measures, …
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Diagnostic accuracy of probe-based confocal laser endomicroscopy
Post written by Adriana Vaz Safatle-Ribeiro from the Cancer Institute, Department of Gastroenterology, University of São Paulo, Brazil. The focus was to evaluate the accuracy of probe-based confocal laser endomicroscopy (pCLE) for the diagnostic differentiation of non-neoplastic and neoplastic Lugol-unstained esophageal lesions in patients with head and neck cancer (HNC) under surveillance for a second …
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History of Diminutive and Small Colorectal Polyps
Post written by Jasper L.A. Vleugels from the Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. This study explored the natural history of diminutive polyps that were left without resection and were followed up. At a certain point, I was in the endoscopy room, and the patient undergoing colonoscopy asked why these diminutive polyps …
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CO2 and air insufflation during consecutive EGD and colonoscopy
Post written by Jun-Won Chung from the Divison of Gastroenterology, Department of Internal Medicine, Gachon University, Gil Medical Center, Incheon, South Korea. Endoscopy is performed with air insufflation and is usually associated with abdominal pain. It is well recognized that carbon dioxide (CO2) is absorbed more quickly into the body than air; however, to date, …
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Endoscopic therapy for Crohn’s fistula and abscess
Post written by Bo Shen, MD, FASGE, from the Interventional IBD Unit, the Cleveland Clinic Foundation, Cleveland, Ohio. Treatment of disease-related or surgery-related Crohn’s fistula, abscess, and surgical anastomotic leaks with endoscopy-guided fistulotomy and sinusotomy with electroincision, seton placement, through-the-scope or over-the-scope clipping, suturing, incision and drainage. Crohn’s disease has 3 phenotypes: inflammatory, structuring, and …
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