Post written by Atsushi Inaba, MD, PhD, and Tomohiro Kadota, MD, PhD, from the Department of Gastroenterology and Endoscopy, National Cancer Center Hospital East, Kashiwa, Japan. This study focused on long-term clinical outcomes after endoscopic submucosal dissection (ESD) for entire circumferential cT1aN0M0 esophageal squamous cell carcinoma compared with those after esophagectomy and definitive chemoradiotherapy (dCRT). ESD is a minimally invasive …
Category: Investigations
Training future endoscopists: gastroenterology fellows’ perspectives and hands-on exposure to artificial intelligence for polyp detection in the United States
Post written by Tessa Herman, MD, from the Department of Gastroenterology, Hepatology, and Nutrition, Vanderbilt University Medical Center, Nashville, Tennessee, and Daniela Guerrero Vinsard, MD, from the Gastroenterology Section, Minneapolis Veteran Affairs Medical Center, and Department of Medicine, University of Minnesota, Minneapolis, Minnesota, USA. This nationwide survey study assessed gastroenterology (GE) fellows’ exposure to and experience with artificial intelligence (AI) …
Referral patterns and outcomes in patients with dysplastic Barrett’s esophagus at an expert endoscopic therapy center: impact of radiofrequency ablation before referral
Post written by Rohit Goyal, MBBS, and Prasad Iyer, MD, MS, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, Arizona, USA. Radiofrequency ablation (RFA) is the cornerstone of endoscopic eradication therapy for dysplastic Barrett’s esophagus. Evidence suggests that patients receiving endoscopic eradication therapy at high-volume centers have better outcomes in terms of rates of achieving complete remission …
Long-term outcome after endoscopic resection for esophageal squamous cell carcinoma invading muscularis mucosa without lymphovascular invasion: a multicenter retrospective study
Post written by Tomohiro Kadota, MD, PhD, and Tomonori Yano, MD, PhD, from the Department of Gastroenterology and Endoscopy, National Cancer Center Hospital East, Kashiwa, Japan. This multicenter study focused on the long-term clinical outcomes after endoscopic resection (ER) for superficial esophageal squamous cell carcinoma (ESCC) with pathological invasion of the muscularis mucosae without lymphovascular invasion (LVI). The metastatic …
Durable partial reversal of Roux-en-Y gastric bypass using the parallel lumen-apposing metal stent septotomy technique: a multicenter feasibility study (with video)
Post written by Kambiz Kadkhodayan, MD, and Muhammad Hasan, MD, FACG, from the Center for Interventional Endoscopy, AdventHealth Orlando, Orlando, Florida, and Shayan S. Irani, MD, from Virginia Mason Medical Center, Seattle, Washington, USA. This study introduces a novel technique to partially reverse Roux-en-Y gastric bypass, without the need for an indwelling lumen-apposing metal stent (LAMS). In selected malnourished patients who were …
Stenosis development after circumferential colorectal endoscopic submucosal dissection: a multicenter analysis of predictive factors and outcomes
Post written by Sandro Sferrazza, MD, and Giulio Calabrese, MD, from the Gastroenterology and Endoscopy Unit, ARNAS Civico-Di Cristina-Benfratelli, Palermo, Italy. Our study evaluated incidence, predictors, clinical consequences, and management of postresection stenosis after endoscopic submucosal dissection (ESD) for colorectal lesions involving ≥90% of the luminal circumference. We conducted an international multicenter analysis including 315 patients treated at 29 tertiary …
Long-term outcomes of endoscopic ultrasound–guided gastroenterostomy: a prospective cohort study tracking symptom recurrence, reintervention timelines, and stent modifications over time
Post written by Giuseppe Vanella, MD, PhD, from the Pancreatobiliary Endoscopy and Endosonography Division, IRCCS San Raffaele Scientific Institute, and Vita-Salute San Raffaele University, Milan, Italy. EUS-guided gastroenterostomy (EUS-GE) is to date a well-established option for malignant gastric outlet obstruction, and the short-term data are strongly supported by recent randomized evidence. What is usually missing is the long …
Efficacy of artificial intelligence–assisted upper gastrointestinal endoscopy for neoplasm detection: a systematic review and meta-analysis of randomized controlled trials
Post written by Edoardo Vincenzo Savarino, MD, PhD, from the Gastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova, Padova, Italy, Mohammad Al Hayek, MD, from the Faculty of Medicine, Damascus University, Damascus, Syrian Arab Republic, and Brigida Barberio, MD, PhD, from the Gastroenterology Unit, Department of Surgery, Oncology and Gastroenterology, University of Padova. Upper GI cancers remain a …
Clinical response to gastric peroral endoscopic myotomy and its association to changes in pyloric impedance planimetry measurements: a systematic review and meta-analysis
Post written by Harsimran Kalsi, MD, from the Department of Internal Medicine, University of Central Florida/HCA Florida North Florida Hospital, Gainesville, Florida, Saurabh Chandan, MD, from Advanced Endoscopy, Houston Methodist West Hospital, Houston, Texas, and Dennis Yang, MD, from the Division of Gastroenterology and Hepatology, Advent Health, Orlando, Florida, USA. The primary focus of our study was to evaluate whether pyloric impedance …
Superiority of excellent over good bowel preparation for proximal serrated polyp detection in a fecal immunochemical test–based screening cohort
Post written by Stefano Kayali, MD, from from the Department of Medicine and Surgery, University of Parma, and the Gastroenterology and Endoscopy Unit, University Hospital of Parma, and Stefano Fantasia, MD, from the Department of Medicine and Surgery, University of Parma, Parma, Italy. Our study investigates the impact of bowel preparation quality, specifically comparing excellent (Boston Bowel Preparation Scale …