Post written by James Love, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of Illinois at Chicago, Chicago, Illinois, USA. Our study focused on comparing quality performance metrics between screening and surveillance colonoscopies. Although screening colonoscopies have well-established benchmarks, particularly for adenoma detection rate (ADR), surveillance procedures lack such validated metrics. This …
Category: Investigations
Safety and efficacy of underwater EMR for 10- to 20-mm colorectal serrated lesions (SEA CLEAR study)
Post written by Kenichiro Imai, MD, FJGES, from Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, and Yohei Yabuuchi, MD, from the Department of Gastroenterology, Kobe City Medical Center General Hospital, Kobe, Japan. Given the limitations of conventional EMR and the high recurrence rate associated with incomplete resection, our study focused on the safety and efficacy of underwater EMR (UEMR). …
Impact of difficult biliary cannulation on post-ERCP pancreatitis: secondary analysis of the stent versus indomethacin trial dataset
Post written by Georgios Papachristou, MD, PhD, from the Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. This was a secondary data analysis of the stent versus indomethacin (SVI) trial, a recently completed, National Institutes of Health—funded, multicenter, randomized controlled trial including 20 centers in the United States …
Optimal visual gaze pattern of endoscopists for improving adenoma detection during colonoscopy (with video)
Post written by Fumiaki Ishibashi, MD, PhD, from the International University of Health and Welfare Ichikawa Hospital, Chiba, Japan. Specific visual gaze pattern (VGP) during colonoscopy is assumed to be related to high colorectal adenoma detection. This randomized controlled trial (RCT) evaluated the optimal VGP that enabled the highest adenoma detection. We developed an eye-tracking and feedback …
Comparative effectiveness of balloons, adjustable balloons, and endoscopic sleeve gastroplasty: a network meta-analysis of randomized trials
Post written by Vitor Brunaldi, MD, MSc, PhD, from Hospital de Amor, Barretos Cancer Center, Barretos, Ribeirao Preto Faculty of Medicine, University of São Paulo, São Paulo, Brazil, and the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. We aimed to generate head-to-head comparisons among different endoscopic bariatric therapies (EBTs) available in the United …
Application of endoscopic purse-string sutures in refractory nonvariceal GI bleeding: a multicenter study (with video)
Post written by Feifan Chen, MD, Yifan Jia, MD, and Xue Xiao, MD, PhD, from West China Hospital of Sichuan University, Chengdu, China. We retrospectively collected data from 3 hospitals from patients who underwent endoscopic hemostasis for nonvariceal GI bleeding (GIB). Overall, 36 refractory bleeding patients received endoscopic purse-string sutures (PSSs), and 83.3% of them achieved clinical success. In refractory upper …
EUS for the evaluation of esophageal injury after catheter ablation for atrial fibrillation
Post written by Andrew Storm, MD, from Mayo Clinic, Rochester, Minnesota, USA. Every procedural specialty in medicine has procedure-related issues that might “keep them up at night.” In therapeutic EUS, for example, the short time after a particularly challenging novel anastomosis creation procedure between the gallbladder and duodenum, liver and stomach, or intestine and stomach can …
EUS-guided coiling plus glue injection compared with endoscopic glue injection alone in endoscopic treatment for gastric varices: a systematic review and meta-analysis
Post written by Cynthia Florencio de Mesquita from Federal University of Pernambuco, Recife, Brazil, and Stefano Baraldo, MD, from the Institute for Teaching and Research, Barretos Cancer Hospital, Barretos, Brazil. We aimed to compare 2 techniques for managing gastric varices: EUS-guided coiling plus glue versus endoscopic glue injection (EGI) through a systematic review and meta-analysis. Although widely used, EGI …
Novel hemostatic adhesive powder to prevent delayed bleeding after endoscopic submucosal dissection in the GI tract: first U.S. multicenter experience
Post written by Maham Hayat, MD, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. This study aimed to evaluate the use of UI-EWD (Nexpowder; Medtronic, Minneapolis, Minn, USA), a novel hemostatic powder, for prophylaxis of delayed bleeding (DB) after endoscopic submucosal dissection (ESD) in the upper and lower GI tract. DB remains a …
Boosting efficiency in the endoscopy suite: integrating team workflows improves productivity and minimizes cost
Post written by Zoë Post, MD, MSc, and Neal A. Mehta, MD, from Rush University Medical Center, Chicago, Illinois, USA. The main purpose of our study was to improve turnover time in the endoscopy unit. We first defined the various components of the turnover process and identified the teams that are involved, such as anesthesiologists, nurses, technicians, and gastroenterologists. We then …
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