Post written by Kento Shionoya, MD, PhD, Kenjiro Yamamoto, MD, PhD, and Takao Itoi, MD, PhD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. Selective biliary cannulation during ERCP can be particularly challenging when the major papilla is difficult to access because of deformity, tortuosity, or anatomical constraints in the upper GI tract. In such situations, reaching the papilla …
Category: Investigations
Safety and efficacy of same-day discharge after gastric peroral endoscopic myotomy for gastroparesis: a systematic review and meta-analysis
Post written by Aamir Saeed, MD, from the University of Tennessee Health Sciences Center, Memphis, Tennessee, Faisal Kamal, MD, from the Division of Gastroenterology, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, Mark Radlinski, MD, from the Division of Gastroenterology, Vanderbilt University Medical Center, Nashville, Tennessee, and Sultan Mahmood, MD, from the Division of Gastroenterology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. We aimed …
Best practices for endoscopic ultrasound–guided gastroenterostomy: technical recommendations from an international modified Delphi process
Post written by Giuseppe Vanella, MD, PhD, from IRCCS San Raffaele Scientific Institute and Vita-Salute San Raffaele University, Milan, Italy, Michiel Bronswijk, MD, from University Hospitals Gasthuisberg, University of Leuven, Leuven, and Imelda General Hospital, Bonheiden, Belgium, and Roy L.J. van Wanrooij, MD, PhD, from Amsterdam UMC, Vrije University, Amsterdam, The Netherlands. EUS-guided gastroenterostomy (EUS-GE) is one of the major breakthroughs in …
Adoption of unsedated transoral wireless pH capsule at a Veterans Affairs hospital: a feasibility study
Post written by Wasseem Skef, MD, from the Center for Interventional Gastroenterology, The University of Texas Health Science Center at Houston, Houston, Texas, USA. Prolonged wireless pH monitoring is a cornerstone in the modern diagnostic approach to gastroesophageal reflux disease, particularly in patients with unproven disease. Traditionally, wireless pH capsules are placed during sedated upper endoscopy, which …
Underwater versus traction-assisted endoscopic submucosal dissection for colorectal lesions: a network meta-analysis of randomized controlled trials
Post written by Roberto de Sire, MD, PhD, from the Endoscopy Unit, Gastroenterology Department, Humanitas Research Hospital IRCCS, Rozzano, and the IBD Unit, Department of Clinical Medicine and Surgery, University Federico II, Naples, Italy. Our study explored a timely and practical question in therapeutic endoscopy: among the newer endoscopic submucosal dissection (ESD) strategies developed for colorectal lesions, …
Optimal number of needle passes in endoscopic ultrasound–guided tissue sampling for genomic profiling: a randomized, noncomparative trial
Post written by Hirotoshi Ishiwatari, MD, PhD, from the Department of Pancreatobiliary Medicine, Shizuoka Cancer Center, Shizuoka, Japan. The study aimed to investigate the optimal techniques for EUS-guided tissue acquisition (EUS-TA) to achieve successful comprehensive genomic profiling (CGP) testing using commercially available assays. Matched therapy based on commercially available CGP tests plays a crucial role in improving …
Clinical characteristics analysis of anorectal function changes after endoscopic submucosal dissection for rectal lesions
Post written by Pin Wang, MM, from The First Affiliated Hospital of Nanjing Medical University and Nanjing Mei Shan Hospital and Bixing Ye, MD, Guoxin Zhang, MD, Lin Lin, MD, and Liuqin Jiang, MD, from The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. This study systematically evaluates anorectal function changes following endoscopic submucosal dissection (ESD) for rectal lesions. We assessed incidence, characteristics, and temporal patterns of postoperative …
Prophylactic clipping versus no clipping after endoscopic mucosal resection of large nonpedunculated colon polyps: a cost-effectiveness analysis
Post written by Sneh Sonaiya, MD, from the Department of Internal Medicine, University of Nevada Las Vegas, Las Vegas, Nevada, and Babu P. Mohan, MD, from the University of Central Florida School of Medicine and Orlando Gastroenterology PA, Orlando, Florida, USA. Although prophylactic clipping is commonly used after EMR of large colon polyps to reduce delayed postpolypectomy bleeding, its cost-effectiveness …
Clinical outcomes of endoscopic submucosal dissection for residual neoplasia after incomplete resection of large nonpedunculated colorectal polyps: a large multicenter propensity match study (with video)
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 …
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) …