Quadrant, necrosis, and infection criteria for the risk stratification of walled-off necrosis: external validation using multi-institutional data

Post written by Hideyuki Shiomi, MD, PhD, from the Division of Hepatobiliary and Pancreatic Diseases, Department of Gastroenterology, Hyogo Medical University, Hyogo, and Tomotaka Saito, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, University of Tokyo, Tokyo, Japan, for the WONDERFUL study group. Our study externally validated the quadrant (an abdominal quadrant distribution), necrosis, and infection (QNI) …

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Improvement in obesity-related comorbidities 5 years after endoscopic sleeve gastroplasty: a prospective cohort study

Post written by Ali Lahooti, MD, and Reem Z. Sharaiha, MD, MSc, from the Division of Gastroenterology and Hepatology, Department of Medicine, Weill Cornell Medicine, New York, New York, USA. Our study aimed to prospectively evaluate the long-term effectiveness of endoscopic sleeve gastroplasty (ESG) as a standalone therapy for treating obesity and its related comorbidities over a period of …

Continue reading Improvement in obesity-related comorbidities 5 years after endoscopic sleeve gastroplasty: a prospective cohort study

Management of ERCP-related perforation: a large multicenter study

Post written by Tomoya Emori, MD, PhD, from Wakayama Rosai Hospital, Wakayama, Japan. This study retrospectively evaluated the characteristics and clinical outcomes of patients with ERCP-related duodenal perforations according to the mechanism of injury. Perforation is a rare but serious adverse event associated with ERCP. There is no consensus to guide clinicians in the management of ERCP-related …

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Cold- versus hot-snare endoscopic mucosal resection of colorectal polyps: meta-analysis of randomized controlled trials

Post written by Aamir Saeed, MD, from Vanderbilt University Medical Center, Nashville, Tennessee, USA. We aimed to conduct a meta-analysis of randomized controlled trials (RCTs) to compare cold EMR versus hot EMR for colorectal polyps. Interest in cold EMR for colorectal polyps has been growing, and cold EMR has gained popularity owing to its lower risk of …

Continue reading Cold- versus hot-snare endoscopic mucosal resection of colorectal polyps: meta-analysis of randomized controlled trials

Endoscopic background mucosal resurfacing to prevent metachronous recurrence of superficial esophageal squamous cell cancer after curative endoscopic submucosal dissection: randomized pilot study with 5-year follow-up (with video)

Post written by Wen-Lun Wang, MD, PhD, and Ching-Tai Lee, MD, from the Department of Gastroenterology and Hepatology, E-Da Hospital, Kaohsiung, Taiwan. Metachronous recurrence frequently develops in patients with superficial esophageal squamous cell carcinomas (ESCCs) after curative endoscopic submucosal dissection (ESD), especially in those with multiple (>10) small Lugol-voiding lesions (LVLs) over the esophageal background mucosa (ie, speckled pattern). …

Continue reading Endoscopic background mucosal resurfacing to prevent metachronous recurrence of superficial esophageal squamous cell cancer after curative endoscopic submucosal dissection: randomized pilot study with 5-year follow-up (with video)

Repeat peroral endoscopic myotomy: technical difficulty and risk factors

Post written by Li-Yun Ma, MD, from the Endoscopy Center and Endoscopy Research Institute, Shanghai Collaborative Innovation Center of Endoscopy, Zhongshan Hospital, Fudan University, Shanghai, China. Repeat peroral endoscopic myotomy (Re-POEM) has appeared to be a promising salvage option for patients with persistent/recurrent symptoms after initial peroral endoscopic myotomy (POEM), but it may be more technical challenging. …

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Necrosectomy and its timing in relation to clinical outcomes of EUS-guided treatment of walled-off pancreatic necrosis: a multicenter study

Post written Masahiro Tsujimae, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Kobe University Graduate School of Medicine, Hyogo, and Yousuke Nakai, MD, PhD, from the Department of Internal Medicine, Institute of Gastroenterology, Tokyo Women's Medical University, Tokyo, Japan. The aim of our study was to investigate associations of the use of endoscopic necrosectomy (EN) and …

Continue reading Necrosectomy and its timing in relation to clinical outcomes of EUS-guided treatment of walled-off pancreatic necrosis: a multicenter study

Efficacy and safety of fully covered self-expandable metal stents in the management of postsphincterotomy bleeding: systematic review and meta-analysis

Post written by Aamir Saeed, MD, from the Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee, USA. In this meta-analysis, we aimed to assess the efficacy and safety of fully covered self-expandable metal stents (FCSEMSs) in the management of postsphincterotomy bleeding. Endoscopic sphincterotomy is commonly performed during ERCP to assist in various therapeutic interventions such as …

Continue reading Efficacy and safety of fully covered self-expandable metal stents in the management of postsphincterotomy bleeding: systematic review and meta-analysis

Potential indications for peranal endoscopic myectomy in lower rectal cancer

Post written by Katsuro Ichimasa, MD, PhD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. We present a groundbreaking advancement in the management of early lower rectal cancer through peranal endoscopic myectomy (PAEM), also known as endoscopic intermuscular dissection, in our recent publication in GIE. Traditional endoscopic methods such as endoscopic submucosal dissection …

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Pilot randomized trial of efficacy and safety of yogic technique versus polyethylene glycol solution for bowel preparation in colonoscopy

Post written by Manas Kumar Panigrahi, MD, DM, FRCP (Edin), from the Department of Gastroenterology, All India Institute of Medical Sciences, Bhubaneswar, India. The focus of our study was to improve on existing methods of bowel preparation in colonoscopy. Bowel preparation is the most important determinant of a proper colonoscopy. Inadequate bowel preparation often leads to missed …

Continue reading Pilot randomized trial of efficacy and safety of yogic technique versus polyethylene glycol solution for bowel preparation in colonoscopy