Post written by Ernesto Robalino Gonzaga, MD, from Gastroenterology and Hepatology, AdventHealth Medical Group, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Our study evaluated the clinical outcomes of endoscopic submucosal dissection (ESD) for residual neoplasia after incomplete endoscopic resection of large nonpedunculated colorectal polyps. Specifically, we compared outcomes of ESD performed as salvage …
Category: Investigations
Clinical impact of routine esophagram after peroral endoscopic myotomy: a systematic review and meta-analysis
Post written by Ernesto Robalino Gonzaga, MD, from the University of Pennsylvania, Philadelphia, Pennsylvania, and Gastroenterology, AdventHealth Medical Group, Orlando, Florida, Saurabh Chandan, MD, from Houston Methodist West Hospital, Houston, Texas, USA, and the Center for Interventional Endoscopy, AdventHealth, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth. Our study evaluates whether a routine esophagram after peroral endoscopic myotomy (POEM) …
Clinical impact of combination of lesion-border findings and pit patterns for identifying invasive versus noninvasive neoplastic lesions in ulcerative colitis
Post written by Yurie Kawabata, MD, from Digestive Disease Center, Showa Medical University Northern Yokohama Hospital, Yokohama, Japan. Our study focuses on evaluating whether assessing lesion-border findings (“distinct” vs “indistinct” borders) using indigo carmine chromoendoscopy can help identify cases in which Kudo’s pit pattern analysis is truly reliable for predicting the invasion depth of lesions in patients …
Postprocedural cholecystitis following covered self-expandable metal stent placement in patients with distal malignant biliary obstruction: a systematic review and meta-analysis
Post written by Chawin Lopimpisuth, MD, from the Department of Medicine, University of Miami/Jackson Health System, Miami, Florida, and Sean Bhalla, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Campus, Denver, Colorado, USA. This study aimed to compare the safety of covered self-expandable metal stents (CSEMSs) versus uncovered self-expandable metal stents (USEMs) in the management …
Long-term (3-year) composite gastroesophageal reflux outcomes of peroral endoscopic myotomy with or without concomitant endoscopic fundoplication in matched cohorts of achalasia
Post written by Amol Bapaye, MD (MS), MSGEI, FISG, FASGE, FJGES, from Shivanand Desai Center for Digestive Disorders, Deenanath Mangeshkar Hospital and Research Center, Pune, India. The objective of this study was to perform a retrospective comparison of long-term (3-year) gastroesophageal reflux (GER) rates in a matched cohort of patients with achalasia cardia who underwent only peroral …
Short-term outcomes of endoscopic submucosal dissection for suspected T1 colorectal cancers: a European experience
Post written by Rixta A.H. van Eijck van Heslinga, MD, and Leon M.G. Moons, MD, PhD, from the Department of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht, The Netherlands. The management of colorectal polyps with suspected deep submucosal invasive carcinoma (d-SMIC) remains a subject of ongoing debate. Optical assessment often overestimates the risk of d-SMIC, resulting in unnecessary surgeries for …
Status of training in the use of lumen-apposing metal stents for therapeutic endoscopic ultrasound during advanced endoscopy fellowship: a survey questionnaire
Post written by Yasi Xiao, MD, from the Division of Gastroenterology and Hepatology, Thomas Jefferson University Hospitals, Philadelphia, Pennsylvania, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. The aim of this study was to evaluate the status of training with lumen-apposing metal stents (LAMSs) for therapeutic endoscopic ultrasound (EUS) during advanced endoscopy training. The …
A retrospective cohort study evaluating the impact of computer-aided detection on adenoma and polyp detection rates among nongastroenterologist endoscopists in a rural medical center
Post written by Pierce L. Claassen, MD, from Mayo Clinic, Internal Medicine, Scottsdale, Arizona, USA. The focus of our study was to evaluate the benefit of using computer-aided detection (CADe) in a rural medical center. It is known that CADe has the potential to increase adenoma detection rate (ADR), which is known to be associated with decreased …
Evaluating the outcomes and safety of underwater ampullectomy versus traditional (gas insufflation) ampullectomy (with video)
Post written by Anand Kumar, MD, MPH, from Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA. We compared outcomes such as rates of histologic negative margins, procedure times, and recurrence of underwater ampullectomy (UA) with traditional (gas insufflation) ampullectomy (TA) for polyps involving the ampulla. Underwater resection has proven advantages of higher en bloc resection, lower recurrence, and …
Clinical outcomes of endoscopic ultrasound–guided gallbladder drainage in patients with acute cholecystitis with ≥1 year of follow-up: a systematic review and meta-analysis
Post written by Andrew Canakis, DO, from the Division of Gastroenterology and Hepatology, TidalHealth Peninsula Regional Medical Center, Salisbury, Maryland, USA. The aim of this study was to investigate mid-term clinical outcomes after EUS-guided gallbladder drainage (EUS-GBD), with a focus on clinical success and the rate of recurrent cholecystitis. Although a multitude of studies have demonstrated the …
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