Post written by Tomoaki Tashima, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. The indications for endoscopic submucosal dissection (ESD) in superficial nonampullary duodenal epithelial tumors (SNADETs) remain controversial because the procedure is technically challenging. The aim of this study was to compare the effectiveness of duodenal traction-assisted …
Category: Investigations
Optimal mode and power output of electrosurgical units for endoscopic papillectomy based on animal experiments and a preliminary clinical study (with videos)
Post written by Kenjiro Yamamoto, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. In this study, we conducted animal experiments to evaluate incision force and coagulation effect in various settings of the endoCUT mode with the VIO (Erbe, Tübingen, Germany) series. We determined the optimal electrosurgical unit (ESU) settings for …
Long-term clinical outcome after endoscopic resection of esophageal squamous cell carcinoma invading the muscularis mucosae without lymphovascular invasion
Post written by Daiki Sato, MD, from the Department of Gastroenterology and Endoscopy, National Cancer Center Hospital East, Kashiwa, and the Department of Gastroenterology, Saitama Cancer Center, Saitama, Japan, and Tomohiro Kadota, MD, PhD, from the Department of Gastroenterology and Endoscopy, National Cancer Center Hospital East, Kashiwa, Japan. This study focused on the long-term clinical …
New concept for colonoscopy including side optics and artificial intelligence
Post written by Joel Troya, MSc, from Interventional and Experimental Endoscopy (InExEn), Internal Medicine II, University Hospital Würzburg, Würzburg, Germany. The combination of artificial intelligence (AI) and side optics might help detect adenomas that otherwise could be missed. Several studies have demonstrated that the adenoma detection rate is the critical parameter for reducing the incidence …
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Real-time use of artificial intelligence for diagnosing early gastric cancer by magnifying image-enhanced endoscopy: a multicenter diagnostic study (with videos)
Post written by Honggang Yu, MD, from the Department of Gastroenterology, Key Laboratory of Hubei Province for Digestive System Disease, and Hubei Provincial Clinical Research Center for Digestive Disease Minimally Invasive Incision, Renmin Hospital of Wuhan University, Wuhan, China. In this study, we used deep learning models to develop an artificial intelligence system called ENDOANGEL-ME …
Incremental benefit of dye-based chromoendoscopy to predict the risk of submucosal invasive cancer in large nonpedunculated colorectal polyps
Post written by Mayenaaz Sidhu, MBBS, from the Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia. This study was conducted to evaluate the incremental benefit of dye-based chromoendoscopy (DBC) to predict the risk of submucosal invasive cancer (SMIC) for large nonpedunculated colorectal polyps (LNPCPs) among independent observers. Real-time optical evaluation of the lesion’s surface …
Artificial intelligence for the assessment of bowel preparation
Post written by Ji Young Lee, MD, PhD, from the Health Screening and Promotion Center, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, South Korea. This study demonstrated objective assessment of bowel preparation adequacy using an artificial intelligence (AI)/convolutional neural network algorithm developed from colonoscopy videos. An adequate bowel preparation impacts quality indicators …
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EUS-guided transhepatic biliary drainage: a large single-center U.S. experience
Post written by Todd H. Baron, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA. This study focused on transhepatic biliary drainage using endoscopic ultrasound for management of benign and malignant biliary obstruction. Although EUS-guided hepaticogastrostomy was first described nearly 20 years ago, almost …
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Colorectal cancer patients advocating screening to their siblings: a randomized behavioral intervention
Post written by Ker-Kan Tan, PhD, from the Division of Colorectal Surgery, University Surgical Cluster, National University Health System, Singapore. The aim of this study was twofold. First, we sought to understand if colorectal cancer (CRC) patients would be willing to advocate cancer screening to their siblings (who would be considered higher-risk, first-degree relatives [FDRs]). …
Prediction and management of bleeding during endoscopic necrosectomy for pancreatic walled-off necrosis: results of a large retrospective cohort at a tertiary referral center
Post written by Ian Holmes, MD, from Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA. Over the last 10 years, the management of pancreatic walled-off necrosis (WON) has evolved with the development of minimally invasive endoscopic approaches to cystgastrostomy and necrosectomy. Endoscopic necrosectomy (EN) has become a widely favored strategy because of the low rates of …
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