Post written by Louis H.S. Lau, MBChB, and Francis K. L. Chan, MD, from the Department of Medicine and Therapeutics, Faculty of Medicine, and the Institute of Digestive Diseases, The Chinese University of Hong Kong, Hong Kong SAR. This study focused on examining the benefit of prophylactic clipping after colonoscopic polypectomy or endoscopic resection in high-risk …
Category: Investigations
Computer-assisted detection versus conventional colonoscopy for proximal colonic lesions: a multicenter, randomized, tandem-colonoscopy study
Post written by Wai K. Leung, MD, from the Department of Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong, China. A meta-analysis reported that up to 26% of colorectal adenomas could be missed during colonoscopy. Computer-assisted detection (CADe) has been shown to enhance colorectal adenoma and polyp detection. However, it remains uncertain whether CADe …
Outpatient flexible endoscopic diverticulotomy for the management of Zenker’s diverticulum: a retrospective analysis of a large single-center cohort
Post written by Christopher Teshima, MD, PhD, from the Center for Advanced Therapeutic Endoscopy and Endoscopic Oncology, Division of Gastroenterology and Hepatology, Department of Medicine, St Michael’s Hospital, University of Toronto, Toronto, Ontario, Canada. We evaluated the outcomes of 240 patients who underwent endoscopic therapy for Zenker’s diverticulum over a 6-year study period at our center. …
Expanding the role of pneumatic dilation for nonachalasia patients: a comparative study
Post written by Nikita Desai, MD, from the Department of Medicine, Emory University School of Medicine, Atlanta, Georgia, USA. The focus of our study was to evaluate the treatment efficacy of pneumatic dilation (PD) for the disorders of esophagogastric junction outflow obstruction (EGJOO) and postfundoplication esophagogastric junction obstruction (PF-EGJO) and to assess attitudes about training in …
Comparison of endoscopic sleeve gastroplasty versus surgical sleeve gastrectomy: a Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program database analysis
Post written by Anuragh R. Gudur, MD, from the Division of Gastroenterology, Department of Medicine, University of Virginia, Charlottesville, Virginia, USA. Our study used a large, multicentered, bariatric-specific data registry to analyze short-term outcomes after endoscopic sleeve gastroplasty (ESG) in comparison with surgical sleeve gastrectomy (SG). We also sought to examine which factors were associated with …
Timing of colonoscopy in acute lower GI bleeding: a multicenter retrospective cohort study
Post written by Yasutoshi Shiratori, MD, MPH, PhD, from the Department of Gastroenterology, St. Luke’s International University, and Naoki Ishii, MD, MPH, PhD, from the Department of Gastroenterology, Tokyo Shinagawa Hospital, Tokyo, Japan. Acute lower GI bleeding (ALGIB) is a primary cause of hospital admissions from the emergency department and is associated with a 3.4% mortality. …
Covered versus uncovered double bare self-expandable metal stent for palliation of unresectable extrahepatic malignant biliary obstruction: a randomized controlled multicenter trial
Post written by Jae Hee Cho, MD, PhD, and Seungmin Bang, MD, PhD, from the Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea. A double bare metal stent (DBS) is a newly developed metal stent that is woven into a cross and hook structure with braided nitinol, and it has a …
Implementation of optical diagnosis with a “resect and discard” strategy in clinical practice: DISCARD3 study
Post written by Ahmir Ahmad, MRCP, from the Wolfson Unit for Endoscopy, St Mark’s Hospital, Harrow, London, UK. Real-time optical diagnosis (OD) is now possible because of image-enhancing technologies offering the potential for huge cost and time savings associated with histopathology. Despite several GI societies endorsing a “resect and discard” strategy for low-risk diminutive polyps, there …
EUS-guided gastroenterostomy versus duodenal self-expandable metal stent for malignant gastric outlet obstruction: results from a nationwide multicenter retrospective study (with video)
Post written by Rubén Sánchez-Aldehuelo, MD, from the Unidad de Endoscopia, Servicio de Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal, Fundación para la Investigación Biomédica del Hospital Universitario Ramón y Cajal (IRYCIS), Universidad de Alcalá, and Enrique Vázquez-Sequeiros, MD, PhD, from the Unidad de Endoscopia, Servicio de Gastroenterología y Hepatología, Hospital Universitario Ramón y Cajal, …
Environmental and health outcomes of single-use versus reusable duodenoscopes
Post written by Lyndon V. Hernandez, MD, MPH, from GI Associates and the Division of Gastroenterology, Medical College of Wisconsin, Milwaukee, Wisconsin, USA. Concern about serious duodenoscope-related infection from multidrug-resistant organisms has facilitated single-use duodenoscopes (SDs) to permeate the market, promising a safer alternative to reusable duodenoscopes (RDs) by virtually eliminating this risk. Using mathematical modeling, …
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