Post written by Shyam Thakkar, MD, from the Division of Gastroenterology, Allegheny Health Network, Pittsburgh, Pennsylvania, USA. An 86-year-old woman was referred for ascending cholangitis, resulting in obstructive jaundice and sepsis. Her initial MR cholangiopancreatography revealed dilated bile ducts without any mass or stone in the ductal system. Endoscopic retrograde cholangiopancreatography revealed soft filling defects …
Impact of fellowship training level on colonoscopy quality and efficiency metrics
Post written by Hussein Bitar, MD, from the Section of Digestive Diseases and Nutrition, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma, USA. Our study highlighted newly defined colonoscopy performance measures–the adenoma and polyp management efficiency indices. We retrospectively evaluated the performance of these indices at each level of training in assessing colonoscopy skill …
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Incidence of advanced neoplasia after CRC resection
Post written by Yohei Yabuuchi, MD, and Kenichiro Imai, MD, from the Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, Japan. We focused on the incidence of metachronous advanced neoplasia (AN) after completion of both the preoperative and first postoperative colonoscopy according to resection type and the presence or absence of synchronous AN. The recommendations of …
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Confocal laser endomicroscopic finding of lymphoma of the duodenal papilla
Post written by Yuki Tanisaka, MD, PhD, from the Department of Gastroenterology, Saitama Medical University International Medical Center, Saitama, Japan. We report our experience with confocal laser endomicroscopy (CLE) imaging of lymphoma of the duodenal papilla with the corresponding histopathologic images. Our patient was an 83-year-old man with an endoscopic finding of a depressed lesion …
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Manuscript peer review – How I do it
Seiichiro Abe, MD Endoscopy Division National Cancer Center Hospital Some clinicians say that peer review is a thankless and time-consuming task. That’s partly true; however, I feel good and motivated when accepting invitations for peer review in my working life. I would like to share my reasons for accepting an invitation for peer …
Use of flashing light to warn against radiation exposure
Post written by Bing Hu, MD, from the Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, Sichuan, China. Our study focuses on whether a flashing warning light adopted as a behavioral intervention for performers reduces fluoroscopy time (FT) and radiation exposure during ERCP. ERCP is widely used in the diagnosis and treatment of biliary …
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Fifty years of ERCP: a personal review
Content contributed by Peter B. Cotton, MD, FRCS, FRCP, from the Digestive Disease Center, Medical University of South Carolina, Charleston, South Carolina, USA. The focus of this article is on how endoscopic retrograde cholangiopancreatography (ERCP) started, how it has evolved over a 50-year period, and the current challenges related to it. Writing this article …
Endoscopic fistulotomy in inflammatory bowel disease
Post written by Gursimran Kochhar, MD, from the Mayo Clinic, Jacksonville, Florida. Fistulas indicate one advanced disease phenotype in patients with IBD. Currently, there is no definitive therapy for management of fistulas. Medical therapy is not adequate, and surgical therapy forms the cornerstone of management of fistulas in patients with IBD. Although surgical therapy is …
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How to be an excellent VideoGIE reviewer
Bo Sun, MD Associate Professor of Internal Medicine Shanghai Eastern Hepatobiliary Hospital Peer review can be thankless work because critical evaluation is required for a high-quality submission. On the bright side, being a video case reviewer comes with several benefits, including a sense of accomplishment by assisting the authors to improve the quality of …
Outcomes of endoscopic intervention for overt GI bleeding in severe thrombocytopenia
Post written by Guilherme Piovezani Ramos, MD, from the Department of Internal Medicine, Mayo Clinic, Rochester, Minnesota, USA. We aimed to assess safety and effectiveness of endoscopic intervention for management of gastrointestinal bleeding in the setting of thrombocytopenia. Thrombocytopenia is frequently seen in populations at higher risk of gastrointestinal bleeding, such as patients with liver …
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