Post written by Saurabh Chandan, MD, from Houston Methodist West Hospital, Houston, Texas, and Douglas G. Adler, MD, FACG, AGAF, FASGE, from the Center for Advanced Therapeutic Endoscopy, Porter Adventist Hospital, Denver, Colorado, USA. Interventional radiology techniques or EUS-guided biliary drainage are considered alternative therapeutic options for patients with malignant distal biliary obstruction (MDBO) who …
Category: Investigations
Risk factors for bleeding after endoscopic retrograde cholangiopancreatography: a systematic review and meta-analysis
Post written by Aamir Saeed, MD, from the University of Tennessee Health Sciences Center, Memphis, Tennessee, and Faisal Kamal, MD, from the Division of Gastroenterology and Hepatology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA. We conducted a systematic review and meta-analysis to evaluate the predictors of post-ERCP bleeding. We also performed subgroup analyses to identify …
Real-world outcomes of duodenal endoscopic submucosal dissection and endoscopic full-thickness resection: predictors of adverse events and the role of a structured closure approach (with video)
Post written by Mohan Kumar Ramchandani, MD, DM, Priscilla Vanesa Lopez, MD, MS, and Pradev Inavolu, MD, DM, from the Asian Institute of Gastroenterology Hospitals, Hyderabad, India. Endoscopic resection of duodenal lesions remains technically demanding because of the thin duodenal wall, narrow lumen, complex anatomy, and exposure to bile and pancreatic secretions. We evaluated the …
Diagnostic value of magnifying endoscopy for colorectal laterally spreading tumor nongranular type
Post written by Yuki Amioka, MD, and Hidenori Tanaka, MD, PhD, from the Department of Gastroenterology, Hiroshima University Hospital, Hiroshima, Japan. Laterally spreading tumors (LSTs) of the nongranular type are classified into flat-elevated (FE) and pseudodepressed (PD) subtypes, which have different malignant potential. Although magnifying endoscopy is widely used to predict histology and invasion depth …
Long-term outcome after endoscopic submucosal dissection for entire circumferential cT1aN0M0 esophageal squamous cell carcinoma
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 …
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 …
