Mayur Brahmania, MD at St. Paul’s Hospital in Vancouver, British Columbia, Canada discusses his original article "2L vs. 4L PEG 3350 + electrolytes for outpatient colonic preparation: a randomized controlled trial" from the March issue. Low volume bowel preparations are ideal to ensure patient compliance, enabling high quality examinations. We examined the bowel-cleansing efficacy and …
Exclude at your peril, lest you regret for greater applicability
Written by Girish Mishra, MD, MS Associate Professor of Internal Medicine at Wake Forest University School of Medicine in Winston-Salem, North Carolina, USA. Background: When designing clinical trials, the inclusion and exclusion criteria that are set form the basis of the study population. Sampling and error form the crux of statistical principles. Defining both the …
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Computer-based teaching module for diminutive colon polyps
Amit Rastogi, MD Director of Endoscopy at the Kansas City VA Medical Center and Associate Professor at the University of Kansas, discusses his Original Article "Impact of a computer-based teaching module on characterization of diminutive colon polyps by using narrow-band imaging by non-experts in academic and community practice: a video-based study." The main focus of this …
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Endoscopic removal of obstructing sutures
Jennifer M. Kolb from the Icahn School of Medicine at Mount Sinai in New York shares this video case "Endoscopic removal of obstructing sutures using argon plasma coagulation" from the VideoGIE section. We present two unusual cases of persistent dysphagia, months after Ivor Lewis esophagectomy for esophageal adenocarcinoma, caused by retained sutures and staples blocking …
Endoluminal US for stool liquefaction
Lyndon V. Hernandez, MD, MPH from GI Associates in Milwaukee, Wisconsin and the Medical College of Wisconsin discusses his New Methods article "A pilot study of endoluminal US for stool liquefaction" from the March issue. The purpose of this study was to find out if ultrasound can efficiently liquefy stools. It is difficult to clear …
Cold snare polypectomy in anticoagulated patients
Akira Horiuchi, MD from Showa Inan General Hospital in Komagane, Japan writes about his Original Article "Removal of small colorectal polyps in anticoagulated patients: a prospective randomized comparison of cold snare and conventional polypectomy" from the March issue. No delayed bleeding occurred after cold snare polypectomy whereas endoscopic hemostasis for immediate and delayed bleeding was required …
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EUS-guided hepatogastrostomy
Vishal Ghevariya, MD from the Icahn School of Medicine at Mount Sinai in New York shares this video case titled "EUS-guided hepatogastrostomy with double stenting." Minimally invasive biliary drainage techniques have recently gained popularity among interventional endoscopy services. We present the technique of hepatogastrostomy creation for malignant biliary obstruction in a 54-year-old man with biliary stricture …
ADR and adenoma/colonoscopy quality metric
Charles J. Kahi, MD, MSCR from Indiana University School of Medicine in Indianapolis, Indiana reports on this Original Article "Improving measurement of the adenoma detection rate and adenoma per colonoscopy quality metric: the Indiana University experience." The adenoma detection rate (ADR) is a validated marker of colonoscopy quality. However, there are concerns about its potential …
Editor’s Choice- Safety in the GI endoscopy unit
Associate Editor Brian C. Jacobson, MD, MPH recommends this article from the ASGE Ensuring Safety in the Gastrointestinal Endoscopy Unit Task Force titled "Guidelines for safety in the gastrointestinal endoscopy unit" featured in the March issue. In recent years, regulatory agency surveyors have cited endoscopy units in the United States over long-accepted practices. Many of these issues …
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Video demonstration of rendezvous technique
Mavrogenis Georgios, MD, from the Department of Gastroenterology at the Grand Hôpital de Charleroi in Charleroi, Belgium presents this video demonstration of a rendezvous technique for the treatment of malignant esophagorespiratory fistula. This video case demonstrates the rendezvous technique in 2 difficult cases of complex esophageal stenosis with multiple fistulae. The rendezvous technique needs the …
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