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 …
Category: Investigations
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 …
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 …
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. …
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 …
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Safety and efficacy of a novel powered endoscopic debridement tissue resection device for management of difficult colon and foregut lesions
Post written by Vivek Kaul, MD, FACG, FASGE, AGAF, from the Department of Medicine, Division of Gastroenterology and Hepatology, University of Rochester Medical Center, Rochester, New York, USA. Standard endoluminal resection using established EMR and ESD techniques can be difficult and risky when attempting to remove fibrotic or scarred lesions. For the first time, we …
Application of optical character recognition with natural language processing for large-scale quality metric data extraction in colonoscopy reports
Post written by Sobia Nasir Laique, MD, and Umar Hayat, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, Arizona, and Division of Gastroenterology, University of Minnesota, Minneapolis, Minnesota, USA. The focus of our study was to demonstrate the use of a new hybrid approach using natural language processing of charts that have …
Evaluating learning curves and competence in colorectal EMR among advanced endoscopy fellows
Post written by Dennis Yang, MD, from the Division of Gastroenterology and Hepatology, University of Florida, Gainesville, Florida, USA. The aim of this multicenter prospective pilot study was to evaluate colorectal endoscopic mucosal resection (EMR) training among advanced endoscopy fellows using a novel assessment tool. Despite the broad application of colorectal EMR, markers of training …
Novel rigidizing overtube for colonoscope stabilization and loop prevention
Post written by Mike Tzuhen Wei, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Stanford University School of Medicine, Stanford, and Department of Gastroenterology and Hepatology, Veterans Affairs Palo Alto Health Care System, Palo Alto, California, USA. Loop formation can impede scope advancement, destabilize the tip, and cause pain. While there are …
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Diagnostic yield and therapeutic impact of novel motorized spiral enteroscopy in small-bowel disorders
Post written by Mohan Ramchandani, MD, DM, from the Department of Gastroenterology, Asian Institute of Gastroenterology Hospitals, Hyderabad, India. The small bowel is long mobile organ in the peritoneum, which makes it difficult to be evaluated by conventional endoscopy. Deep enteroscopy (DE) is a cumbersome procedure; there are many shortcomings of balloon-assisted enteroscopy (BAE), which …