Post written by Andrew Canakis, DO, from the Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, Maryland, USA. Refractory gastroparesis is a chronic debilitating condition that results in decreased quality of life, weight loss/malnutrition, and increased healthcare costs. Medical options with prokinetic agents are often limited, and intrapyloric botulinum toxin injection has …
Category: Investigations
Comparison of the efficacy and safety of an oral sulfate solution and 3-L polyethylene glycol on bowel preparation before colonoscopy: a phase III multicenter randomized controlled trial
Post written by Peng Pan, MD, from the Department of Gastroenterology, Changhai Hospital, Naval Military Medical University, Shanghai, China. The oral sulfate solution (OSS) split-dose regimen has been evaluated in several trials by comparing 2-L polyethylene glycol (PEG) plus ascorbic acid or 4-L PEG using the split-dose or same-day method. These studies showed that OSS was …
Location and appearance of dysplastic Barrett’s esophagus recurrence after endoscopic eradication therapy: no additional yield from random biopsy sampling neosquamous mucosa
Post written by Tony He, MBBS, FRACP, and Andrew C.F. Taylor, MD, FRACP, from the Department of Gastroenterology, St Vincent’s Hospital, and the University of Melbourne, Melbourne, Victoria, Australia. We aimed to help inform surveillance guidelines in patients who had successful complete eradication of dysplastic Barrett’s esophagus (BE) by identifying the anatomic location, appearance, and histology …
Randomized controlled trial of procedural sequence for same-day bidirectional endoscopy under monitored anesthesia care (RECoVER Trial)
Post written by Ali El Mokahal, MD, from the American University of Beirut, Beirut, Lebanon. In this study, we investigated the impact of procedural sequence during same-day bidirectional endoscopy conducted with the patient under monitored anesthesia care. Our primary outcome was the time to recovery from sedation. We also evaluated the amount of sedation administered, time …
Endoscopic sleeve gastroplasty reintervention score using supervised machine learning
Post written by Hassam Ali, MD, from the Department of Gastroenterology, Brody School of Medicine, East Carolina University, Greenville, North Carolina, USA. This study aimed to develop a predictive model for 30-day reintervention rates following endoscopic sleeve gastroplasty (ESG) procedures. Using supervised machine learning techniques, the model incorporates factors such as patient demographics, clinical variables, and …
EUS-guided gallbladder drainage using a lumen-apposing metal stent as rescue treatment for malignant distal biliary obstruction: a large multicenter experience
Post written by Cecilia Binda, MD, from the Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena Hospitals, AUSL Romagna, Forlì-Cesena, Italy. Our study focused on EUS-guided gallbladder drainage (EUS-GBD) as an option for jaundice treatment that may be reserved for patients affected by distal malignant biliary obstruction (DMBO) after ERCP failure and EUS-guided biliary drainage (hepaticogastrostomy or choledochoduodenostomy) …
Artificial intelligence–assisted colonoscopy for adenoma and polyp detection: an updated systematic review and meta-analysis
Post written by Mohamed Shiha, MRCP, from the Academic Unit of Gastroenterology, Sheffield Teaching Hospitals, Sheffield, UK. Adenoma detection rate (ADR) is the main quality indicator for the effectiveness of colonoscopy in preventing colorectal cancer. However, it is estimated that 1 in 4 adenomas are missed during colonoscopy. Recently, advances in artificial intelligence (AI) have enabled …
Utility of bilateral intraductal plastic stent for malignant hilar biliary obstruction compared with bilateral self-expandable metal stent: a propensity score–matched cohort analysis
Post written by Mitsuru Okuno, MD, PhD, from the Department of Gastroenterology, Gifu University Municipal Hospital, Gifu, Japan. Intraductal plastic stent (IS) placement has been known to have long stent patency. However, the effectiveness of bilateral IS placement compared with bilateral self-expandable metal stent (SEMS) placement—including stent patency, adverse events, and endoscopic reintervention—in patients with unresectable …
Comparison of outcomes of EUS-guided ablation and surveillance only for pancreatic cystic lesions: a propensity score–matching study (with videos)
Post written by Yun Je Song, MD, Gunn Huh, MD, and Do Hyun Park, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. The focus of our study was to compare the efficacy, safety, and oncologic outcomes of EUS-guided rapid ethanol lavage …
Clinical outcomes and learning curve for ERCP during advanced endoscopy training: a comparison of supine versus prone positioning
Post written by Danny Issa, MD, from UCLA, Los Angeles, California, USA. This study explores the clinical outcomes of ERCP in the supine versus prone patient position when performed by a trainee. Studies have reported variable outcomes of ERCP in each position. In the United States, the majority of ERCPs are performed in prone positions. Nevertheless, …
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