Post written by Yurie Kawabata, MD, from Digestive Disease Center, Showa Medical University Northern Yokohama Hospital, Yokohama, Japan. Our study focuses on evaluating whether assessing lesion-border findings (“distinct” vs “indistinct” borders) using indigo carmine chromoendoscopy can help identify cases in which Kudo’s pit pattern analysis is truly reliable for predicting the invasion depth of lesions in patients …
Category: Investigations
Postprocedural cholecystitis following covered self-expandable metal stent placement in patients with distal malignant biliary obstruction: a systematic review and meta-analysis
Post written by Chawin Lopimpisuth, MD, from the Department of Medicine, University of Miami/Jackson Health System, Miami, Florida, and Sean Bhalla, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Campus, Denver, Colorado, USA. This study aimed to compare the safety of covered self-expandable metal stents (CSEMSs) versus uncovered self-expandable metal stents (USEMs) in the management …
Long-term (3-year) composite gastroesophageal reflux outcomes of peroral endoscopic myotomy with or without concomitant endoscopic fundoplication in matched cohorts of achalasia
Post written by Amol Bapaye, MD (MS), MSGEI, FISG, FASGE, FJGES, from Shivanand Desai Center for Digestive Disorders, Deenanath Mangeshkar Hospital and Research Center, Pune, India. The objective of this study was to perform a retrospective comparison of long-term (3-year) gastroesophageal reflux (GER) rates in a matched cohort of patients with achalasia cardia who underwent only peroral …
Short-term outcomes of endoscopic submucosal dissection for suspected T1 colorectal cancers: a European experience
Post written by Rixta A.H. van Eijck van Heslinga, MD, and Leon M.G. Moons, MD, PhD, from the Department of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht, The Netherlands. The management of colorectal polyps with suspected deep submucosal invasive carcinoma (d-SMIC) remains a subject of ongoing debate. Optical assessment often overestimates the risk of d-SMIC, resulting in unnecessary surgeries for …
Status of training in the use of lumen-apposing metal stents for therapeutic endoscopic ultrasound during advanced endoscopy fellowship: a survey questionnaire
Post written by Yasi Xiao, MD, from the Division of Gastroenterology and Hepatology, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. The aim of this study was to evaluate the status of training with lumen-apposing metal stents (LAMSs) for therapeutic endoscopic ultrasound (EUS) during advanced endoscopy training. The …
A retrospective cohort study evaluating the impact of computer-aided detection on adenoma and polyp detection rates among nongastroenterologist endoscopists in a rural medical center
Post written by Pierce L. Claassen, MD, from Mayo Clinic, Internal Medicine, Scottsdale, Arizona, USA. The focus of our study was to evaluate the benefit of using computer-aided detection (CADe) in a rural medical center. It is known that CADe has the potential to increase adenoma detection rate (ADR), which is known to be associated with decreased …
Evaluating the outcomes and safety of underwater ampullectomy versus traditional (gas insufflation) ampullectomy (with video)
Post written by Anand Kumar, MD, MPH, from Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA. We compared outcomes such as rates of histologic negative margins, procedure times, and recurrence of underwater ampullectomy (UA) with traditional (gas insufflation) ampullectomy (TA) for polyps involving the ampulla. Underwater resection has proven advantages of higher en bloc resection, lower recurrence, and …
Clinical outcomes of endoscopic ultrasound–guided gallbladder drainage in patients with acute cholecystitis with ≥1 year of follow-up: a systematic review and meta-analysis
Post written by Andrew Canakis, DO, from the Division of Gastroenterology and Hepatology, TidalHealth Peninsula Regional Medical Center, Salisbury, Maryland, USA. The aim of this study was to investigate mid-term clinical outcomes after EUS-guided gallbladder drainage (EUS-GBD), with a focus on clinical success and the rate of recurrent cholecystitis. Although a multitude of studies have demonstrated the …
Safety and feasibility of intensive endoscopic interventions for delayed perforation after colorectal endoscopic submucosal dissection (with video)
Post written by Satoki Shichijo, MD, PhD, from Osaka International Cancer Institute, Osaka, Japan. Endoscopic submucosal dissection (ESD) was performed for 1763 patients with 1845 lesions (right-sided colon, 1018; left-sided colon, 827) between February 2011 and April 2023. Thirty-two delayed perforations (26 between 2011 and 2020; 6 between 2021 and 2023) occurred. Muscle injury occurred during ESD …
EMR versus surgery for colon adenomas and early-stage cancers: a comparative effectiveness study
Post written by Karl Kwok, MD, FASGE, and Andrew Giap, MD, FASGE, from the Southern California Permanente Medical Group, and Brian Lim, MD, FASGE, from United Medical Doctors, Irvine, and the University of California, Riverside, School of Medicine, Riverside, California, USA. Interventional endoscopists have known the advantages of EMR for many years. However, published EMR data in a large, community-based multispecialty …
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