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 …
Category: Investigations
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 …
A single-center pilot study on the efficacy and safety of acetic acid–enhanced magnifying endoscopy with narrow-band imaging for diagnosis of colorectal epithelial neoplasms
Post written by Takeshi Shimizu, MD, from the Department of Gastroenterology, Sendai City Medical Center, Sendai, Japan. The focus of our study was to identify the ideal acetic acid (AA) concentration for AA-enhanced narrow-band imaging (NBI) magnifying endoscopy (ANBI-ME) in diagnosing colorectal epithelial neoplasms. We then compared its pit pattern diagnostic ability and diagnostic concordance with crystal …
Use of artificial intelligence improves colonoscopy performance in adenoma detection: a systematic review and meta-analysis
Post written by Jonathan Makar, BSc, from The University of Melbourne, Melbourne, Victoria, Australia. Our study focuses on the impact of computer-aided detection (CADe) systems and their role in improving adenoma detection during colonoscopy. These novel artificial intelligence (AI) systems aim to address endoscopist recognition failure and improve colonoscopy performance, as they are not subject to human …
Repeated endoscopic dilation and needle-knife stricturotomy for Crohn’s disease strictures
Post written by Julien D. Schulberg, MBBS, PhD, and Michael A. Kamm, MBBS, PhD, from the Department of Gastroenterology, St Vincent’s Hospital, and the Department of Medicine, University of Melbourne, Melbourne, Victoria, Australia. The focus of this study was to evaluate the safety, feasibility, and efficacy of intensive endoscopic therapy for treating symptomatic Crohn’s disease—related strictures. It compares standard …
Prospective, single-arm multicenter, international, observational postmarket study to assess the safety and efficacy of a triangulation platform for treating patients requiring endoscopic gastroplasty
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, international, observational postmarket registry aimed at assessing the safety and efficacy of the Endomina triangulation platform (Endo Tools Therapeutics, Gosselies, Belgium) for endoscopic gastroplasty in treating obesity. It specifically evaluates …
Contaminated duodenoscopes in ERCP: sensitivity of detection and risk of underdetection
Post written by Koen van der Ploeg, MD, MSc, from the Department of Gastroenterology and Hepatology and the Department of Medical Microbiology and Infectious Diseases, Erasmus University Medical Center, Rotterdam, The Netherlands. Endoscopes are exposed to a high load of GI flora during endoscopic procedures. Consequently, an extensive reprocessing protocol, including high-level disinfection, is performed after each …
Long-term outcomes of EUS-guided balloon-occluded gastrojejunostomy bypass for malignant gastric outlet obstruction (with video)
Post written by Takayoshi Tsuchiya, MD, PhD, FJGES, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan. This study focuses on the long-term outcomes of the EUS-guided balloon-occluded gastrojejunostomy bypass (EPASS) technique for malignant gastric outlet obstruction (GOO). EPASS is a novel procedure developed by our team at Tokyo Medical University that combines a …
Efficacy of cold piecemeal EMR of medium to large adenomas compared with sessile serrated lesions
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 …
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 …