Triaging advanced GI endoscopy procedures during the COVID-19 pandemic

Post written by Mohammad Bilal, MD, and Mandeep S. Sawhney, MD, MS, from the Division of Gastroenterology & Hepatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts. In anticipation of the surge of COVID-19 cases in the United States, the Surgeon General of the United States advised hospitals to cancel all elective procedures. …

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COVID-19 pandemic and personal protective equipment shortage: protective efficacy comparing masks and scientific methods for respirator reuse

Post written by Camilla Gallo, MD, from the Center for Endoscopi Research Therapeutics and Training, Università Cattolica del Sacro Cuore di Roma, Rome, Italy. The abrupt outbreak of COVID-19 led many healthcare systems almost to the collapse and to the shortage of personal protective equipment (PPE). Rational use and successful reuse of respirators can help …

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The safety and efficacy of 2% vitamin C solution spray for relief of mucosal irritation caused by Lugol chromoendoscopy

Post written by Duochen Jin, PhD, Jun Wang, MB, Qiang Zhan, MD, PhD, Keting Huang, MM, Hui Wang, MD, Guoqiang Zhang, MD, Yinghong Xu, MB, Jian Yao, MB, Rong Sun, MB, Qin Huang, MD, PhD, Feng Ye, PhD, and Guoxin Zhang, PhD, from the Department of Gastroenterology, First Affiliated Hospital of Nanjing Medical University, First …

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Horibe GI bleeding prediction score: a simple score for triage decision-making in patients with suspected upper GI bleeding

Post written by Masayasu Horibe, MD, PhD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, Japan, and the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Our study validates a recently developed simple scoring system in patients with suspected upper GI bleeding, called the …

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Single-operator peroral cholangioscopy cystic duct cannulation for transpapillary gallbladder stent placement

Post written by Wiriyaporn Ridtitid, MD, Panida Piyachaturawat, MD, and Rungsun Rerknimitr, MD, from the Division of Gastroenterology, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross, Bangkok, Thailand. The focus of our study was to determine the efficacy and safety of single-operator peroral cholangioscopy (SOC) for helping …

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Effect of referral pattern and histopathology grade on surgery for nonmalignant colorectal polyps

Post written by Dennis Yang, MD, from the Division of Gastroenterology and Hepatology, University of Florida, Gainesville, Florida, USA. The incidence of surgery for nonmalignant colorectal polyps has continued to rise. We aimed to evaluate referral patterns and factors associated with surgery for nonmalignant colorectal polyps at a large tertiary care center. Endoscopic resection should …

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Impact of submucosal saline solution injection for cold snare polypectomy of small colorectal polyps

Post written by Yuichi Shimodate, MD, from the Department of Gastroenterology and Hepatology, Kurashiki Central Hospital, Okayama, Japan. We compared the complete resection, which was defined if muscularis mucosa in the resected specimen was present under the tumor along more than 80% of the tumor’s horizontal dimension, rates of cold snare polypectomy with submucosal saline …

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Randomized trial comparing fork-tip and side-fenestrated needles for EUS-guided fine-needle biopsy of solid pancreatic lesions

Post written by Stefano Francesco Crinò, MD, from the Gastroenterology and Digestive Endoscopy Unit, The Pancreas Institute, Department of Medicine, G.B. Rossi University Hospital, Verona, Italy. Different needles for EUS-guided fine-needle biopsy (EUS-FNB) are currently available. Side-fenestrated and end-cutting types are both widespread and available in different calibers. This is the first randomized study directly …

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COVID-19 polymerase chain reaction testing before endoscopy

Post written by Juan E. Corral, MD, and Michael B. Wallace, MD, MPH, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida, USA. In the first months of the 2019 novel coronavirus (COVID-19) pandemic, hospitals and endoscopy centers across the world had to stop performing endoscopies leading to significant health and economic losses. …

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Outcomes in lower GI bleeding comparing weekend with weekday admission

Post written by Daniel J. Stein, MD, MPH, from the Division of Gastroenterology, Hepatology, and Nutrition, Department of Internal Medicine, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, Massachusetts, USA. We know that acute lower gastrointestinal bleeding is common in the inpatient setting and can require urgent intervention. Our focus was to determine …

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