Outcomes of thermal ablation of the defect margin after duodenal endoscopic mucosal resection

Post written by Mayenaaz Sidhu, MBBS, from the Department of Gastroenterology and Hepatology, Westmead Hospital, and Westmead Clinical School, The University of Sydney, Sydney, Australia. Endoscopic mucosal resection (EMR) for large (>10-mm), sporadic, non-ampullary duodenal laterally spreading lesions (LSLs) is established as an effective treatment. However, one of the major limitations of EMR is the issue …

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Does provider gender matter in endoscopy? An international perspective

Post written by Pascale Anglade, MD, MBA, from the Digestive Disease Institute, Cleveland Clinic Abu Dhabi, Abu Dhabi, United Arab Emirates. Studies have shown that physician gender can be a factor in patient-related outcomes. The goal of our perspective article was to review the current understanding, both in the U.S. and internationally, of patient-provider gender …

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Comparing a conventional and a spring-and-loop with clip traction method of endoscopic submucosal dissection for superficial gastric neoplasms

Post written by Mitsuru Nagata, MD, from the Department of Endoscopy, Shonan Fujisawa Tokushukai Hospital, Fujisawa-shi, Kanagawa, Japan. A spring-and-loop with clip (SLC; S–O clip; Zeon Medical, Tokyo, Japan) has been developed as a traction device for endoscopic submucosal dissection (ESD). Its great advantage is that it can provide traction in any direction. We hypothesized …

Continue reading Comparing a conventional and a spring-and-loop with clip traction method of endoscopic submucosal dissection for superficial gastric neoplasms

Gender dynamics in education and practice of gastroenterology

Post written by Loren Galler Rabinowitz, MD, from the Icahn School of Medicine at Mount Sinai, New York, New York, USA. This study focuses on the impact of gender dynamics on teaching and learning endoscopic skills as well as on gastroenterologists’ experiences in the endoscopy suite.  As more women join the field of gastroenterology, the …

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Automated software-assisted diagnosis of esophageal squamous cell neoplasia using high-resolution microendoscopy

Post written by Mimi C. Tan, MD, MPH, from the Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine, Houston, Texas. High-resolution microendoscopy (HRME) is an ‘optical biopsy’ technology that provides sub-cellular imaging of esophageal mucosa at the time of endoscopy. The endoscopist is able to assess nuclear size, crowding, and pleomorphisms …

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Vascularity can distinguish neoplastic from non-neoplastic bile duct lesions during digital single-operator cholangioscopy

Post written by Carlos Robles-Medranda, MD, from the Gastroenterology and Endoscopy, Instituto Ecuatoriano de Enfermedades Digestivas, Guayaquil, Ecuador. Accurately diagnosing indeterminate biliary lesions on clinical practice is a challenging task. Endoscopists may use Digital single operator cholangioscopy (DSOC) to evaluate those lesions, acquire histologic specimens, and to guide clinical management. Various DSOC classification systems and …

Continue reading Vascularity can distinguish neoplastic from non-neoplastic bile duct lesions during digital single-operator cholangioscopy

Comparison of EUS-guided endoscopic transpapillary and percutaneous gallbladder drainage for acute cholecystitis

Post written by Anthony Yuen Bun Teoh, FRCSEd (Gen), from the Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR, China. The optimal method of gallbladder drainage for acute cholecystitis in nonsurgical candidates is uncertain. The aim of the current study was to conduct a network meta-analysis comparing …

Continue reading Comparison of EUS-guided endoscopic transpapillary and percutaneous gallbladder drainage for acute cholecystitis

Safety and effectiveness of peroral endoscopic myotomy in patients on antiplatelet or anticoagulant therapy

Post written by Enrique Rodríguez de Santiago, MD, MSc, from the Digestive Diseases Center, Showa University, Koto-Toyosu Hospital, Koto-Ku, Tokyo, Japan, and the Department of Gastroenterology and Hepatology, Hospital Universitario Ramón y Cajal, Universidad de Alcalá, IRYCIS, Madrid, Spain. In this study, we aimed to investigate the safety of peroral endoscopic myotomy (POEM) in patients …

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Double high-level disinfection versus liquid chemical sterilization for reprocessing of duodenoscopes used for ERCP

Post written by Mark A. Gromski, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Indiana University School of Medicine, Indianapolis, Indiana, USA. This study aimed to answer whether there were any differences in 2 different duodenoscope reprocessing methods that fulfilled supplemental measures to enhance reprocessing: double high-level disinfection and liquid chemical sterilization. …

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Second-generation distal attachment cuff improves adenoma detection rate

Post written by Harsh K. Patel, MBBS, and Viveksandeep Thoguluva Chandrasekar, MD, from the Department of Internal Medicine, Ochsner Clinic Foundation, New Orleans, Louisiana, and the Department of Gastroenterology, University of Kansas Hospital, Kansas City, Kansas, USA. The focus of our study was to compare the outcomes of standard high-definition white-light colonoscopy (SC) to second …

Continue reading Second-generation distal attachment cuff improves adenoma detection rate