Safety of cold snare resection techniques for removal of small colon polyps in patients taking clopidogrel and aspirin: a Korean Association for the Study of Intestinal Diseases prospective multicenter study

Post written by Tae-Geun Gweon, MD, from the Division of Gastroenterology, Department of Internal Medicine, The Catholic University of Korea, Seoul, South Korea. Polypectomy is a procedure associated with a high risk of bleeding. Guidelines recommend uninterrupted aspirin use during polypectomy, whereas cessation of clopidogrel 5 to 7 days before polypectomy is recommended.1 2 The cold snare …

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Quality measures in the delivery of equitable endoscopic care to traditionally underserved patients in the United States

Post written by Kathy N. Williams, MD, MS, from the Division of Gastroenterology, Cooper University Hospital, Camden, New Jersey, USA. Our society document provides quality measures to guide endoscopy teams in the equitable delivery of high-quality endoscopic care to their patients. We focus on the delivery of endoscopic care to patients who may be disadvantaged on the …

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Efficacy and safety of endoscopic hemostasis with a self-assembling peptide solution in patients with colonic diverticular bleeding: a multicenter pilot study (with video)

Post written by Daisuke Yamaguchi, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Faculty of Medicine, Saga University, Saga, and the Department of Gastroenterology, Ureshino Medical Center, Ureshino, Japan. This study evaluated the efficacy and safety of using a self-assembling peptide solution (PuraStat; 3-D Matrix, Tokyo, Japan) for endoscopic hemostasis in patients with colonic …

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Endoscopic submucosal tunneling techniques versus flexible endoscopic septotomy for Zenker’s diverticulum: a systematic review and meta-analysis

Post written by Lucas Monteiro Delgado from the Universidade Federal de Minas Gerais, Belo Horizonte, and Gilmara Coelho Meine, MD, MSc, from the Division of Gastroenterology, Department of Internal Medicine, Feevale University, Novo Hamburgo, Brazil. Zenker’s diverticulum is the most common type of esophageal diverticulum, predominantly affecting elderly men. Although its incidence is low, it is expected to rise …

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Top tips for finding and treating serrated colon lesions (with video)

Post written by Evelien Dekker, MD, PhD, from the Department of Gastroenterology and Hepatology, Amsterdam University Medical Center, University of Amsterdam, Cancer Center Amsterdam, Amsterdam Gastroenterology, Endocrinology & Metabolism, Amsterdam, The Netherlands. In this edition of Top Tips, this study highlights the clinical significance of serrated polyps, focusing on optimal recognition, removal, and appropriate follow-up strategies. In …

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Safety and efficacy of underwater EMR for 10- to 20-mm colorectal serrated lesions (SEA CLEAR study)

Post written by Kenichiro Imai, MD, FJGES, from Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, and Yohei Yabuuchi, MD, from the Department of Gastroenterology, Kobe City Medical Center General Hospital, Kobe, Japan. Given the limitations of conventional EMR and the high recurrence rate associated with incomplete resection, our study focused on the safety and efficacy of underwater EMR (UEMR). …

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Editor’s Choice: Impact of difficult biliary cannulation on post-ERCP pancreatitis: secondary analysis of the stent versus indomethacin trial dataset

GIE Associate Editor Shivangi T. Kothari, MD, FACG, FASGE, highlights this article from the March issue: “Impact of difficult biliary cannulation on post-ERCP pancreatitis: secondary analysis of the stent versus indomethacin trial dataset” by Samuel Han, MD, MS, et al. Post-ERCP pancreatitis (PEP) remains one of the most unpredictable, humbling, and challenging adverse events of ERCP. This study highlights …

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Impact of difficult biliary cannulation on post-ERCP pancreatitis: secondary analysis of the stent versus indomethacin trial dataset

Post written by Georgios Papachristou, MD, PhD, from the Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. This was a secondary data analysis of the stent versus indomethacin (SVI) trial, a recently completed, National Institutes of Health—funded, multicenter, randomized controlled trial including 20 centers in the United States …

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Top tips for diagnostic rectal EUS and assessment of rectal sphincters

Post written by Zubin Dev Sharma, MD, DNB, from Interventional Gastroenterology, Fortis Memorial Research Institute, Gurugram, India. This article provides best practice tips for using rectal EUS for diagnostic assessment in various conditions as well as assessment of anal sphincters. Rectal EUS, underutilized for assessment of rectal conditions, has emerged as a reliable tool. It can be …

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Optimal visual gaze pattern of endoscopists for improving adenoma detection during colonoscopy (with video)

Post written by Fumiaki Ishibashi, MD, PhD, from the International University of Health and Welfare Ichikawa Hospital, Chiba, Japan. Specific visual gaze pattern (VGP) during colonoscopy is assumed to be related to high colorectal adenoma detection. This randomized controlled trial (RCT) evaluated the optimal VGP that enabled the highest adenoma detection. We developed an eye-tracking and feedback …

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