Category: Investigations

Potential indications for peranal endoscopic myectomy in lower rectal cancer

On By GIEjournalIn GIE, InvestigationsLeave a comment

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 …

Continue reading Potential indications for peranal endoscopic myectomy in lower rectal cancer

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

On By GIEjournalIn iGIE, InvestigationsLeave a comment

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

Digital single-operator cholangioscopy for difficult anastomotic biliary strictures in living donor liver transplant recipients after failure of standard ERCP: SPYPASS-2 study (with videos)

On By GIEjournalIn GIE, InvestigationsLeave a comment

Post written by In Rae Cho, MD, and Sang Hyub Lee, MD, PhD, from the Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, South Korea. Anastomotic biliary strictures (ABSs) are a major adverse event after living donor liver transplantation (LDLT) and often difficult to treat with standard ERCP alone. The SPYPASS-2 study evaluated …

Continue reading Digital single-operator cholangioscopy for difficult anastomotic biliary strictures in living donor liver transplant recipients after failure of standard ERCP: SPYPASS-2 study (with videos)

A convolutional neural network–based system for identifying neuroendocrine neoplasms and multiple types of lesions in the pancreas using EUS (with videos)

On By GIEjournalIn GIE, InvestigationsLeave a comment

Post written by Zhen Li, MD, from the Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, China. The focus of our study was to develop a convolutional neural network—based artificial intelligence (AI) system named iEUS to assist in diagnosing pancreatic neuroendocrine neoplasms (pNENs) and multiple types of pancreatic lesions (including pancreatic adenocarcinoma, autoimmune pancreatitis, and pancreatic …

Continue reading A convolutional neural network–based system for identifying neuroendocrine neoplasms and multiple types of lesions in the pancreas using EUS (with videos)

Optimizing EUS-guided choledochoduodenostomy with lumen-apposing metal stents for primary drainage of malignant distal biliary obstruction (SCORPION-IIp): a prospective pilot study

On By GIEjournalIn GIE, InvestigationsLeave a comment

Post written by Roy van Wanrooij, MD, PhD, from the Department of Gastroenterology and Hepatology, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands. EUS-guided choledochoduodenostomy (EUS-CDS) is increasingly used in management of malignant distal biliary obstruction, not only as a rescue strategy after failed ERCP, but also as the primary drainage strategy. Its growing adaptation is driven …

Continue reading Optimizing EUS-guided choledochoduodenostomy with lumen-apposing metal stents for primary drainage of malignant distal biliary obstruction (SCORPION-IIp): a prospective pilot study

Evaluating the efficacy of a novel hemostatic powder compared with traditional treatments in nonvariceal upper GI bleeding: a multicenter, randomized, noninferiority study

On By GIEjournalIn GIE, InvestigationsLeave a comment

Post written by Jun Chul Park, MD, PhD, from the Department of Internal Medicine, Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, South Korea. This multicenter, randomized, noninferiority trial evaluated the efficacy and safety of CEGP-003 (CGBio, Seongnam, South Korea)—a novel hemostatic powder composed of hydroxyethylcellulose and epidermal growth factor—compared with that of conventional endoscopic treatments …

Continue reading Evaluating the efficacy of a novel hemostatic powder compared with traditional treatments in nonvariceal upper GI bleeding: a multicenter, randomized, noninferiority study

EUS-directed transduodenal ERCP in concomitant gastric outlet and biliary obstruction

On By GIEjournalIn GIE, InvestigationsLeave a comment

Post written by William F. Abel, MD, from Carilion Clinic, Virginia Tech, Roanoke, Virginia, USA. Concomitant gastric outlet and biliary obstruction presents a unique challenge, as severe underlying illness often limits surgical treatment options. Our study details an observational experience to both relieve the gastric outlet obstruction and allow for biliary stenting as well as anticipated future …

Continue reading EUS-directed transduodenal ERCP in concomitant gastric outlet and biliary obstruction

Feasibility and safety of EUS-guided biliary drainage in inexperienced centers: a multicenter study in southwest Japan

On By GIEjournalIn GIE, InvestigationsLeave a comment

Post written by Yusuke Ishida, MD, PhD, and Takehiko Koga, MD, PhD, from the Department of Gastroenterology and Medicine, Fukuoka University Faculty of Medicine, Fukuoka, Japan. This study aimed to evaluate the feasibility and safety of EUS-guided biliary drainage (EUS-BD) in inexperienced centers. Although EUS-BD has shown high success rates in high-volume centers, its outcomes in newly adopting centers …

Continue reading Feasibility and safety of EUS-guided biliary drainage in inexperienced centers: a multicenter study in southwest Japan

Automatic endoscopic gastroplasty for the treatment of obesity: results from a prospective multicenter study (with video)

On By GIEjournalIn GIE, InvestigationsLeave a comment

Post written by Maria Valeria Matteo, MD, from Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy. This study is a prospective multicenter investigation aimed at assessing the safety, efficacy, and usability of the EndoZip suturing device (Nitinotes Ltd, Cesarea, Israel) for automatic endoscopic gastroplasty in the treatment of class 1 …

Continue reading Automatic endoscopic gastroplasty for the treatment of obesity: results from a prospective multicenter study (with video)

Safety of cold snare resection techniques for removal of small colon polyps in patients taking clopidogrel and aspirin: a Korean Association for the Study of Intestinal Diseases prospective multicenter study

On By GIEjournalIn GIE, InvestigationsLeave a comment

Post written by Tae-Geun Gweon, MD, from the Division of Gastroenterology, Department of Internal Medicine, The Catholic University of Korea, Seoul, South Korea. Polypectomy is a procedure associated with a high risk of bleeding. Guidelines recommend uninterrupted aspirin use during polypectomy, whereas cessation of clopidogrel 5 to 7 days before polypectomy is recommended.1 2 The cold snare …

Continue reading Safety of cold snare resection techniques for removal of small colon polyps in patients taking clopidogrel and aspirin: a Korean Association for the Study of Intestinal Diseases prospective multicenter study