Post written by Vinay Jahagirdar, MD, from the Department of Internal Medicine, University of Missouri Kansas City School of Medicine, Kansas City, Missouri, USA. The focus of our study was to assess the pooled diagnostic accuracy parameters of deep machine learning by means of convolutional neural network (CNN) algorithms in predicting the severity of ulcerative colitis …
Category: Investigations
Suprapapillary placement of plastic versus metal stents for malignant biliary hilar obstructions: a multicenter, randomized trial
Post written by Yoshihide Kanno, MD, from Sendai City Medical Center, Sendai, Japan. This study focused on the outcomes of the suprapapillary placement of plastic versus metal stents for unresectable malignant hilar obstructions. No randomized studies had evaluated the outcomes of suprapapillary plastic stents in comparison with metal stents. The removability of plastic stents is a …
Predictors of stricture after non-circumferential endoscopic submucosal dissection of the esophagus and single-dose triamcinolone injection immediately after the procedure
Post written by Muneaki Miyake, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. The focus of our study was to identify predictors of stricture after endoscopic submucosal dissection (ESD) of the esophagus with local triamcinolone (TA) injection. Local TA injection is widely used to prevent stricture formation after ESD of the …
Cold snare versus cold forceps polypectomy for endoscopic resection of diminutive polyps: meta-analysis of randomized controlled trials
Post written by Faisal Kamal, MD, from Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA. In this study, our focus was to compare cold snare polypectomy with cold forceps polypectomy for endoscopic resection of diminutive colorectal polyps by conducting a meta-analysis of randomized controlled trials. The practices for resection of diminutive colorectal polyps vary among endoscopists. The …
Comparing clinical success and procedural difficulty between treatment-naïve and treatment-refractory patients with esophageal motility disorders during peroral endoscopic myotomy
Post written by Raymond E. Kim, MD, from the University of Maryland School of Medicine, Baltimore, MD, USA. The primary focus of our study was to compare the difficulty and success rate of peroral endoscopic myotomy (POEM) in treatment-naïve cases versus treatment-refractory patients with esophageal motility disorders. There is a prevailing belief that treatment-refractory cases, which …
Prospective multicenter assessment of the impact of EUS-guided gastroenterostomy on patient quality of life in unresectable malignant gastric outlet obstruction
Post written by Manuel Pérez-Miranda, MD, PhD, from the Gastroenterology Department, Hospital Universitario Río Hortega, Valladolid, Spain. Our study focuses on the short-term impact of EUS-guided gastroenterostomy (EUS-GE) on quality of life (QoL) in patients with malignant gastric outlet obstruction (GOO). Available EUS-GE case series rely on the achievement of a full diet or reintervention rates …
Exposed versus nonexposed endoscopic full-thickness resection for duodenal subepithelial lesions: a tertiary care center experience (with videos)
Post written by Zaheer Nabi, MD, DNB, from the Asian Institute of Gastroenterology, Hyderabad, India. In this study, the feasibility and safety of exposed versus nonexposed endoscopic full-thickness resection (EFTR) in patients with large (≥10 mm) duodenal subepithelial lesions were evaluated. Exposed EFTR was performed using a conventional electrosurgical knife, and the ensuing full-thickness defect was …
Diagnostic yield of random colon biopsy sampling in patients with chronic diarrhea and normal colonoscopy: a systematic review and meta-analysis
Post written by Priyadarshini Loganathan, MD, from University Medical Associates, University of Texas Health Science Center, San Antonio, Texas, USA. The focus of our study was to identify the pooled diagnostic value of random colonic biopsy sampling in patients with chronic nonbloody diarrhea and a normal colonoscopy examination. There is a need to quantify the pooled …
Long-term outcomes of local resection versus surgical resection for high-risk T1 colorectal cancer: a systematic review and meta-analysis
Post written by Yuxiang Chen, MM, and Kai Deng, MD, from the Department of Gastroenterology and Hepatology, West China Hospital, Sichuan University, and Sichuan University–Oxford University Huaxi Gastrointestinal Cancer Centre, Department of Gastroenterology & Hepatology, West China Hospital, Sichuan University, Chengdu, China. Our study was performed as a systematic retrieval of data from existing studies and pooled …
Risk of post-sphincterotomy bleeding with antiplatelet and anticoagulant use: a propensity-matched analysis of the U.S. Collaborative Network
Post written by Saurabh Chandan, MD, from Creighton University School of Medicine, Omaha, Nebraska, USA. The main focus of our study was to assess the outcomes of ERCP with sphincterotomy among patients on anticoagulant (AC) and antiplatelet (APT) agents. We performed a retrospective analysis using the TriNetX database, which is a global, federated research network providing …