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 …

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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 …

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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 …

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Contaminated duodenoscopes in ERCP: sensitivity of detection and risk of underdetection

Post written by Koen van der Ploeg, MD, MSc, from the Department of Gastroenterology and Hepatology and the Department of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center, Rotterdam, The Netherlands. Endoscopes are exposed to a high load of GI flora during endoscopic procedures. Consequently, an extensive reprocessing protocol, including high-level disinfection, is performed after each …

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Long-term outcomes of EUS-guided balloon-occluded gastrojejunostomy bypass for malignant gastric outlet obstruction (with video)

Post written by Takayoshi Tsuchiya, MD, PhD, FJGES, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. This study focuses on the long-term outcomes of the EUS-guided balloon-occluded gastrojejunostomy bypass (EPASS) technique for malignant gastric outlet obstruction (GOO). EPASS is a novel procedure developed by our team at Tokyo Medical University that combines a …

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Efficacy of cold piecemeal EMR of medium to large adenomas compared with sessile serrated lesions

Post written by Jeevithan Sabanathan, MBBS, from Griffith University, Brisbane, Queensland, Australia, and Logan Hospital, Brisbane, and Thomas J. Williams, MBBS, from the University of Queensland, Brisbane, and Logan Hospital. Cold piecemeal EMR (C-EMR) has continued to gain popularity because of its simplicity and exceptional safety profile. The near-zero risk of perforation and clinically significant postpolypectomy bleeding …

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The best of artificial intelligence in 2024

Post written by Michael B. Wallace, MD, MPH, GIE Editor Emeritus from the Department of Medicine, Mayo Clinic, Jacksonville, Florida, USA. This was an invited review article commissioned by the GIE Editorial Board to recap major advances in the field of artificial intelligence (AI) over the past year. AI is moving so rapidly in many fields, including …

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Risk of stricture after endoscopic submucosal dissection in the cervical esophagus and efficacy of local steroid injection for stricture prevention (with video)

Post written by Yoshiaki Ando, MD, Minoru Kato, MD, and Ryu Ishihara, MD, PhD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. Several studies have reported a high incidence of stricture after endoscopic submucosal dissection (ESD) in the cervical esophagus. However, the detailed clinical features have not been elucidated. We therefore analyzed 100 patients who underwent ESD for …

Continue reading Risk of stricture after endoscopic submucosal dissection in the cervical esophagus and efficacy of local steroid injection for stricture prevention (with video)

The best of colonoscopy in 2024

Post written by David L. Diehl, MD, FASGE, from the Departments of Medicine and Pathology, Geisinger Commonwealth School of Medicine, and the Department of Gastroenterology and Hepatology, Geisinger Medical Center, Danville, Pennsylvania, USA. It was a fun but challenging task to pick the top articles on colonoscopy published in 2024. The fun part was seeing how the very …

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