Adenoma recurrence after piecemeal colonic EMR is predictable

Post written by David J. Tate, MA (Cantab), MBBS, MRCP, from Westmead Hospital, Department of Gastroenterology and Hepatology, and Westmead Campus, University of Sydney Medical School, Sydney, Australia. Recurrence is the main limitation of wide-field endoscopic mucosal resection (EMR) for large laterally spreading colonic lesions (LSL). We aimed to derive a set of clinically useful …

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A standardized imaging protocol is accurate in detecting recurrence after EMR

Post written by Lobke Desomer, MD, from Westmead Hospital, Department of Gastroenterology and Hepatology, Sydney, NSW, Australia. Endoscopic mucosal resection (EMR) is an increasingly used, safe, and effective technique for the removal of large laterally spreading colorectal lesions ≥20 mm. At present, EMR is seen as a 2-stage procedure with the first surveillance colonoscopy at …

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Classification of nuclear morphology in endocytoscopy of colorectal neoplasms

Post written by Toyoki Kudo, MD, PhD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. Endoscopic diagnosis makes it possible to differentiate between colorectal carcinomas with slight submucosal invasion (SM-s), defined as carcinomas with a vertical invasion depth of less than 1000 µm in the submucosal layer, and massive submucosal invasion …

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Efficacy and safety outcomes of multimodal endoscopic eradication therapy

Post written by Madhav Desai, MD, MPH, and Prateek Sharma, MD, from the University of Kansas Medical Center. Barrett’s esophagus increases your risk for dysplastic changes that can turn into cancer. This subject has drawn our attention in last 2 decades with its rising prevalence, and now, we are in an era in which we …

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Advanced endoscopy imaging in IBD

Post written by Markus F. Neurath, MD, from the Medical Clinic 1, Department of Medicine, University Hospital Erlangen, University of Erlangen-Nuremberg, Erlangen, Germany. The introduction of mucosal healing as a key therapeutic goal in IBD patients has highlighted the importance of endoscopy for therapeutic monitoring. Additionally, endoscopy plays a crucial role in cancer surveillance in …

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Use of circumferential radiofrequency ablation for early esophageal squamous neoplasias

Post written by Wen-Lun Wang, MD, PhD and Ching-Tai Lee, MD, from the Department of Internal Medicine, E-Da Hospital/I-Shou University, Kaohsiung, Taiwan. Our study focused on the efficacy and safety of radiofrequency ablation (RFA) for early esophageal squamous cell neoplasias (ESCNs) in patients with well-compensated cirrhosis accompanied by esophageal varices. Heavy alcohol consumption is a …

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Percutaneous transhepatic versus EUS-guided gallbladder drainage

Post written by Jaihwan Kim, MD, from the Seoul National University College of Medicine, Seoul National University Bundang Hospital. We want to introduce the feasibility, safety, long-term patency, and economic issue of EUS-GBD in patients with malignant cystic duct obstruction. In real practice, physicians meet some patients who need a long indwelling PTGBD which seriously …

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Editor’s Choice: Non-adherence to the rule of 3 does not increase the risk of adverse events in esophageal dilation

Associate Editor John R. Saltzman, MD, highlights this article from the February issue, “Non-adherence to the rule of 3 does not increase the risk of adverse events in esophageal dilation” by Karina V. Grooteman, Louis M. Wong Kee Song, Frank P. Vleggaar, Peter D. Siersema, and Todd H. Baron. This study challenges the prevailing wisdom …

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Patients undergoing covered and uncovered self-expandable metal stent placement

Post written by Yasuki Hori, MD, PhD, from the Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan. We focused on predictors for solid food intake after self-expandable metal stent (SEMS) placement for malignant gastric outlet obstruction, not only patient-related factors but also stent-related factors. We consider the identification …

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