Post written by Sandra Baile-Maxía, MD, PhD, and Rodrigo Jover, MD, PhD, from Servicio de Medicina Digestiva, Hospital General Universitario Dr Balmis, Instituto de Investigación Biomédica Instituto de Investigación Sanitaria y Biomédica de Alicante, Universidad Miguel Hernández, Alicante, Spain. We performed a systematic review and meta-analysis with the aim of comparing metachronous colorectal cancer and advanced polyp …
Category: Investigations
Incomplete mucosal layer excision during EMR: a potential source of recurrent adenoma (with video)
Post written by David J. Tate, MBBS, MRCP, PhD, from the Department of Gastroenterology and Hepatology, University Hospital of Ghent, Ghent, Belgium, and the Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia. This study primarily focuses on identifying incomplete mucosal layer excision during EMR and understanding its role as a potential risk factor for recurrence of adenoma. …
Detection of residual stones by peroral direct cholangioscopy in patients with intrahepatic stones after hepaticojejunostomy: a prospective study (with video)
Post written by Kazuyuki Matsumoto, MD, PhD, from Okayama University Hospital, Okayama, Japan. Radiographic confirmation of the presence of stones remains a challenge in the treatment of intrahepatic bile duct stones in patients after hepaticojejunostomy (HJ). Peroral direct cholangioscopy (PDCS) enables direct observation of the bile duct and is useful for detecting and removing residual stones. However, its …
Establishment of standards for the referral of large nonpedunculated colorectal polyps: an international expert consensus using a modified Delphi process
Post written by Samir C. Grover, MD, MEd, FRCPC, FASGE, from Scarborough Health Network and the University of Toronto, Toronto, Ontario, Canada. This study aimed to establish consensus-based standards for the referral of large nonpedunculated colorectal polyps (LNPCPs) for endoscopic resection. Given the complexity and risks associated with resecting LNPCPs, especially those exceeding 20 mm, comprehensive and …
General anesthesia and/or deep hypnotic state in propofol-based conscious sedation for endoscopy
Post written by Ala Sharara, MD, AGAF, FACG, FRCP, from the Division of Gastroenterology and Hepatology, American University of Beirut Medical Center, Beirut, Lebanon. The target sedation level for endoscopic procedures is conscious sedation. However, patients might progress to deeper levels of sedation, such as deep sedation and general anesthesia. To our knowledge, no study …
EUS- versus ERCP-guided biliary drainage for malignant biliary obstruction: a systematic review and meta-analysis of randomized controlled trials
Post written by Eduardo Cerchi Barbosa from the Department of Medicine, Evangelical University of Goiás, Anápolis, Brazil, and Gilmara Coelho Meine, MD, MSc, from the Division of Gastroenterology, Department of Internal Medicine, Feevale University, Novo Hamburgo, Brazil. Periampullary cancers carry a poor prognosis and often result in malignant biliary obstruction (MBO). Despite technological advances, few cases are resectable at the …
Simulation-based training of endoscopic hemostasis for Japanese pediatric endoscopy learners: a pilot program
Post written by Takeshi Kanno, MD, PhD, from the Division of Gastroenterology, Tohoku University Graduate School of Medicine, Sendai, and the R & D Division of Career Education for Medical Professionals, Medical Education Center, Jichi Medical University, Shimotsuke, Japan. The focus of our study was to determine the potential benefits of simulator-based training (SBT) in improving …
EUS-guided FNA and biopsy for cytohistologic diagnosis of gallbladder cancer: a multicenter retrospective study
Post written by Jae Hee Cho, MD, PhD, and Seungmin Bang, MD, PhD, from the Department of Internal Medicine, Yonsei University College of Medicine, Seoul, South Korea. Gallbladder (GB) cancer (GBC) is a rare but highly aggressive malignancy, often diagnosed at an advanced stage. Because most patients have unresectable diseases, accurate nonsurgical diagnosis is crucial for …
Retrograde balloon pull-through technique for benign esophageal strictures: a single-center pilot experience
Post written by Shae Patel, DO, from Loma Linda University, Loma Linda, California, USA, and Wasseem Skef, MD, from the Michael E. DeBakey Veterans Affairs Medical Center, Baylor College of Medicine, Houston, Texas, USA. The focus of this study was to evaluate the efficacy and safety of retrograde balloon dilation compared with traditional antegrade savary dilation …
Novel endoscopic scoring system for immune mediated colitis: a multicenter retrospective study of 674 patients
Post written by Yinghong Wang, MD, PhD, from the Department of Gastroenterology, Hepatology and Nutrition, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA. To our knowledge, this is the largest multicenter study to develop an endoscopic scoring system for guiding management of immune-mediated colitis (IMC) in cancer care. This scoring system has demonstrated …