Safety and efficacy of a novel powered endoscopic debridement tissue resection device for management of difficult colon and foregut lesions

Post written by Vivek Kaul, MD, FACG, FASGE, AGAF, from the Department of Medicine, Division of Gastroenterology and Hepatology, University of Rochester Medical Center, Rochester, New York, USA. Standard endoluminal resection using established EMR and ESD techniques can be difficult and risky when attempting to remove fibrotic or scarred lesions. For the first time, we …

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Application of optical character recognition with natural language processing for large-scale quality metric data extraction in colonoscopy reports

Post written by Sobia Nasir Laique, MD, and Umar Hayat, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Phoenix, Arizona, and Division of Gastroenterology, University of Minnesota, Minneapolis, Minnesota, USA. The focus of our study was to demonstrate the use of a new hybrid approach using natural language processing of charts that have …

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Evaluating learning curves and competence in colorectal EMR among advanced endoscopy fellows

Post written by Dennis Yang, MD, from the Division of Gastroenterology and Hepatology, University of Florida, Gainesville, Florida, USA. The aim of this multicenter prospective pilot study was to evaluate colorectal endoscopic mucosal resection (EMR) training among advanced endoscopy fellows using a novel assessment tool. Despite the broad application of colorectal EMR, markers of training …

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Novel rigidizing overtube for colonoscope stabilization and loop prevention

Post written by Mike Tzuhen Wei, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, Stanford University School of Medicine, Stanford, and Department of Gastroenterology and Hepatology, Veterans Affairs Palo Alto Health Care System, Palo Alto, California, USA. Loop formation can impede scope advancement, destabilize the tip, and cause pain. While there are …

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Diagnostic yield and therapeutic impact of novel motorized spiral enteroscopy in small-bowel disorders

Post written by Mohan Ramchandani, MD, DM, from the Department of Gastroenterology, Asian Institute of Gastroenterology Hospitals, Hyderabad, India. The small bowel is long mobile organ in the peritoneum, which makes it difficult to be evaluated by conventional endoscopy. Deep enteroscopy (DE) is a cumbersome procedure; there are many shortcomings of balloon-assisted enteroscopy (BAE), which …

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The National Polyp Study at 40: challenges then and now

Post written by Sidney J. Winawer, MD, and Ann G. Zauber, PhD, from the Gastroenterology, Hepatology and Nutrition Service, Department of Medicine, and the Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York, USA. Colonoscopy was introduced in the 1970s, making it possible for the first time to directly examine …

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Postpolypectomy bleeding of colorectal polyps in patients with continuous warfarin and short-term interruption of direct oral anticoagulants

Post written by Hideaki Harada, MD, from the Department of Gastroenterology, New Tokyo Hospital, Chiba, Japan. Our study aimed to clarify the risk of postpolypectomy bleeding (PPB) after endoscopic snare resection of colorectal polyps in patients receiving continuous warfarin and 1-day cessation of direct oral anticoagulants (O-DOACs) because the evidence for use of continuous anticoagulants …

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EUS-guided gallbladder drainage versus laparoscopic cholecystectomy for acute cholecystitis

Post written by Anthony Yuen Bun Teoh, FRCSEd (Gen), from the Department of Surgery, Prince of Wales Hospital, Chinese University of Hong Kong, Shatin, Hong Kong SAR. EUS-guided gallbladder drainage (EUS-GBD) is a safe alternative to percutaneous cholecystostomy (PT-GBD) for acute cholecystitis. How the procedure compares to laparoscopic cholecystectomy (LC) is uncertain. The aim of …

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Optical diagnosis of colorectal polyps: a randomized controlled trial comparing endoscopic image-enhancing modalities

Post written by Roupen Djinbachian, MD, from the Division of Internal Medicine, Montreal University Hospital Center (CHUM) and Montreal University Hospital Research Center (CRCHUM), Montreal, Quebec, Canada. The focus of this study was to compare a novel endoscopic image-enhancing modality (Optivista) to an existing precursor (iScan) for optical colorectal polyp diagnosis in a randomized controlled …

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Evaluation of colorectal endoscopic submucosal dissection using a multifunctional snare

Post written by Jun Arimoto, MD, PhD, from the Department of Gastroenterology, Omori Red Cross Hospital, Tokyo, Japan. In this study, we evaluate the safety and efficacy of colorectal ESD using the SOUTEN snare. Although the SOUTEN snare was introduced for hybrid ESD, hybrid ESD involves partial submucosal dissection. So, we thought that “SOUTEN-ESD,” mean …

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