Post written by Bo Shen, MD, FASGE, from the Columbia University Irving Medical Center/NewYork-Presbyterian Hospital, New York, New York, USA. Endoscopy plays a key role in diagnosis, assessment of disease activity and treatment response, postoperative disease monitoring, dysplasia surveillance, and delivery of therapy. Ileocolonoscopy (occasionally with upper endoscopy or enteroscopy) establishes the diagnosis of Crohn’s disease (CD) …
Category: GIE
Application of endoscopic purse-string sutures in refractory nonvariceal GI bleeding: a multicenter study (with video)
Post written by Feifan Chen, MD, Yifan Jia, MD, and Xue Xiao, MD, PhD, from West China Hospital of Sichuan University, Chengdu, China. We retrospectively collected data from 3 hospitals from patients who underwent endoscopic hemostasis for nonvariceal GI bleeding (GIB). Overall, 36 refractory bleeding patients received endoscopic purse-string sutures (PSSs), and 83.3% of them achieved clinical success. In refractory upper …
EUS for the evaluation of esophageal injury after catheter ablation for atrial fibrillation
Post written by Andrew Storm, MD, from Mayo Clinic, Rochester, Minnesota, USA. Every procedural specialty in medicine has procedure-related issues that might “keep them up at night.” In therapeutic EUS, for example, the short time after a particularly challenging novel anastomosis creation procedure between the gallbladder and duodenum, liver and stomach, or intestine and stomach can …
EUS-guided coiling plus glue injection compared with endoscopic glue injection alone in endoscopic treatment for gastric varices: a systematic review and meta-analysis
Post written by Cynthia Florencio de Mesquita from Federal University of Pernambuco, Recife, Brazil, and Stefano Baraldo, MD, from the Institute for Teaching and Research, Barretos Cancer Hospital, Barretos, Brazil. We aimed to compare 2 techniques for managing gastric varices: EUS-guided coiling plus glue versus endoscopic glue injection (EGI) through a systematic review and meta-analysis. Although widely used, EGI …
Boosting efficiency in the endoscopy suite: integrating team workflows improves productivity and minimizes cost
Post written by Zoë Post, MD, MSc, and Neal A. Mehta, MD, from Rush University Medical Center, Chicago, Illinois, USA. The main purpose of our study was to improve turnover time in the endoscopy unit. We first defined the various components of the turnover process and identified the teams that are involved, such as anesthesiologists, nurses, technicians, and gastroenterologists. We then …
A single-center pilot study on the efficacy and safety of acetic acid–enhanced magnifying endoscopy with narrow-band imaging for diagnosis of colorectal epithelial neoplasms
Post written by Takeshi Shimizu, MD, from the Department of Gastroenterology, Sendai City Medical Center, Sendai, Japan. The focus of our study was to identify the ideal acetic acid (AA) concentration for AA-enhanced narrow-band imaging (NBI) magnifying endoscopy (ANBI-ME) in diagnosing colorectal epithelial neoplasms. We then compared its pit pattern diagnostic ability and diagnostic concordance with crystal …
Top tips for the management of iatrogenic colon perforations
Post written by Mark Benson, MD, from the University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, USA. Colonoscopy is one of the most common endoscopic procedures completed throughout the world. Although rare, procedure-related perforations are one of the most feared adverse events of colonoscopy because of the potential for unfavorable patient outcomes. The focus …
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Use of artificial intelligence improves colonoscopy performance in adenoma detection: a systematic review and meta-analysis
Post written by Jonathan Makar, BSc, from The University of Melbourne, Melbourne, Victoria, Australia. Our study focuses on the impact of computer-aided detection (CADe) systems and their role in improving adenoma detection during colonoscopy. These novel artificial intelligence (AI) systems aim to address endoscopist recognition failure and improve colonoscopy performance, as they are not subject to human …
Repeated endoscopic dilation and needle-knife stricturotomy for Crohn’s disease strictures
Post written by Julien D. Schulberg, MBBS, PhD, and Michael A. Kamm, MBBS, PhD, from the Department of Gastroenterology, St Vincent’s Hospital, and the Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia. The focus of this study was to evaluate the safety, feasibility, and efficacy of intensive endoscopic therapy for treating symptomatic Crohn’s disease—related strictures. It compares standard …
Prospective, single-arm multicenter, international, observational postmarket study to assess the safety and efficacy of a triangulation platform for treating patients requiring endoscopic gastroplasty
Post written by Maria Valeria Matteo, MD, from Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy. This study is a prospective, multicenter, international, observational postmarket registry aimed at assessing the safety and efficacy of the Endomina triangulation platform (Endo Tools Therapeutics, Gosselies, Belgium) for endoscopic gastroplasty in treating obesity. It specifically evaluates …