Post written by Jeevithan Sabanathan, MBBS, from Griffith University, Brisbane, Queensland, Australia, and Logan Hospital, Brisbane, and Thomas J. Williams, MBBS, from the University of Queensland, Brisbane, and Logan Hospital. Cold piecemeal EMR (C-EMR) has continued to gain popularity because of its simplicity and exceptional safety profile. The near-zero risk of perforation and clinically significant postpolypectomy bleeding …
Category: Investigations
Risk of stricture after endoscopic submucosal dissection in the cervical esophagus and efficacy of local steroid injection for stricture prevention (with video)
Post written by Yoshiaki Ando, MD, Minoru Kato, MD, and Ryu Ishihara, MD, PhD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. Several studies have reported a high incidence of stricture after endoscopic submucosal dissection (ESD) in the cervical esophagus. However, the detailed clinical features have not been elucidated. We therefore analyzed 100 patients who underwent ESD for …
A new artificial intelligence system for both stomach and small-bowel capsule endoscopy
Post written by Xia Xie, MD, PhD, and Shi-Ming Yang, MD, PhD, from the Department of Gastroenterology, The Second Affiliated Hospital, The Third Military Medical University, Chongqing, China. This research primarily focuses on analysis of artificial intelligence (AI)’s capacity for recognizing lesions in the stomach and small intestine as well as its potential to augment the diagnostic …
Recellularization via electroporation therapy of the duodenum combined with glucagon-like peptide-1 receptor agonist to replace insulin therapy in patients with type 2 diabetes: 12-month results of a first-in-human study
Post written by Celine Busch, MD, and Annieke van Baar, MD, PhD, from Gastroenterology and Hepatology, Amsterdam University Medical Centers, Amsterdam, The Netherlands. The duodenum has proven to play a crucial role in glucose homeostasis. It is thought that obesogenic diets cause certain alterations in the duodenal mucosa, eventually leading to metabolic syndrome and type 2 diabetes …
Virtual indigo carmine chromoendoscopy images: a novel modality for peroral cholangioscopy using artificial intelligence technology (with video)
Post written by Ryosuke Sato, MD, and Kazuyuki Matsumoto, MD, PhD, from the Department of Gastroenterology and Hepatology, Okayama University Hospital, Okayama, Japan. Our study focused on developing and evaluating a novel imaging technique that combines artificial intelligence with peroral cholangioscopy to improve visualization of biliary strictures. We used cycle-consistent adversarial network (CycleGAN) technology to convert standard …
Prevalence and sex differences in endoscopy-related injuries: comprehensive systematic review and meta-analysis
Post written by Azizullah Beran, MD, from the Indiana University School of Medicine, Indianapolis, Indiana, USA. The aim of this systematic review and meta-analysis was to assess the prevalence, characteristics, and burden of endoscopy-related injury (ERI). GI endoscopy is a crucial part of a gastroenterologist’s daily practice. However, it is physically demanding and increases musculoskeletal injuries. As …
Effects of glucagon-like peptide-1 receptor agonists on gastric mucosal visibility and retained gastric contents during EGD
Post written by Ramzi Mulki, MD, from the University of Alabama at Birmingham, Birmingham, Alabama, USA. This study focused on evaluating the impact of glucagon-like peptide-1 receptor agonists (GLP-1RAs) on gastric mucosal visibility and retained contents during EGD. Specifically, it investigated whether GLP-1RAs use affects visibility scores (with validated scores) and retained contents, which could …
Comparison of EMR versus endoscopic submucosal dissection for Barrett’s neoplasia and esophageal adenocarcinoma: a systematic review and meta-analysis
Post written by Yusuke Fujiyoshi, MD, from the Department of Medicine, Division of Gastroenterology, University of Ottawa, Ottawa, Ontario, Canada. EMR and endoscopic submucosal dissection (ESD) are both accepted resection strategies for Barrett’s esophagus—related neoplasia and esophageal adenocarcinoma (EAC). This study aimed to systematically review and synthesize the evidence comparing EMR versus ESD in treating …
Virtual reality intervention to improve quality of care during colonoscopy: a hybrid type 1 randomized controlled trial
Post written by Mahdi Shamali, PhD, from Copenhagen University Hospital–Herlev and Gentofte, Copenhagen, Denmark. This study explored an innovative approach using virtual reality (VR) as a nonpharmacologic tool to manage pain, anxiety, and discomfort during colonoscopies. Colonoscopy procedures often induce stress and discomfort, affecting patient willingness to complete the procedure and comply with follow-ups. Our research tested …
Endoscopic treatment of bile duct stones with benign choledochojejunal anastomotic stenosis
Post written by Akihiko Kida, MD, PhD, from the Department of Gastroenterology, Public Central Hospital of Matto Ishikawa, Hakusan, Japan, and the Department of Gastroenterology, Kanazawa University Hospital, Kanazawa, Japan. The number of patients with biliopancreatic malignancies with long-term survival after surgery has increased with advances in chemotherapy, and there have been many opportunities to treat benign …
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