Post written by Yan-Qing Li, MD, PhD, from the Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, China. We focused on investigating the real clinical impact of an automatic quality control system on colorectal polyp and adenoma detection. Quality control should be conducted for daily colonoscopy examinations routinely. Artificial intelligence showed the potential for …
Real-time automated diagnosis of precancerous lesions and early esophageal squamous cell carcinoma
Post written by Bing Hu, MD, from the Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu, China. The focus of this study is to develop and validate a real-time automated diagnosis of precancerous lesions and early esophageal squamous cell carcinoma using a deep learning model. Esophageal squamous cell carcinoma (ESCC) accounts for more than …
Endotherapy of postcholecystectomy biliary strictures with multiple plastic stents
Post written by Andrea Tringali, MD, PhD, from the Fondazione Policlinico Universitario A. Gemelli IRCCS, Roma, Italia, Digestive Endoscopy Unit, and the Università Cattolica del Sacro Cuore, Roma, Italia. Centre for Endoscopic Research Therapeutics and Training—CERTT. Our study is focused on a large series of patients treated by endoscopic insertion of multiple plastic stents (MPS) …
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Capsule endoscopy for investigating the digestion process
Post written by Shunji Fujimori, MD, PhD, AGAF, from the Department of Gastroenterology, Nippon Medical School, Graduate School of Medicine, Tokyo, Japan. I tried to capture the endoscopic view of digestion and absorption processes in the small intestine. You can take ordinary food even after total gastrectomy. Of course, you can't eat a lot because …
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Risk of progression in Barrett’s esophagus indefinite for dysplasia
Post written by Rajesh Krishnamoorthi, MD, from the Digestive Diseases Institute, Virginia Mason Medical Center, Seattle, Washington, USA. The current study is systematic review and meta-analysis to estimate the risk of progression to high-grade dysplasia and/or esophageal adenocarcinoma in patients with Barrett's esophagus indefinite for dysplasia. Barrett’s esophagus (BE) is a precursor lesion for esophageal …
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Transient hypotension during endoscopic resection of gangliocytic paraganglioma with ampullary involvement
Post written by Tadashi Katayama, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, Keio University School of Medicine, Tokyo, and the Department of Internal Medicine, Tokyo Dental College, Ichikawa General Hospital, Chiba, Japan. Gangliocytic paraganglioma with ampullary involvement was resected endoscopically with a 15-mm snare. During resection of the tumor, the …
Initial clinical experience of a steerable access device for EUS-guided biliary drainage
Post written by Vivek Kumbhari, MD, from the Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. EUS-guided biliary drainage (EUS-BD) is an accepted method to treat biliary pathology in those that have failed ERCP. A recent consensus statement recommended that of the 4 major EUS-BD techniques, EUS-guided rendezvous should be the …
Editor’s Choice: Trends in EMR for nonmalignant colorectal polyps in the United States
GIE Associate Editor, Dr. Lyndon Hernandez, MD, MPH, highlights this article from the January issue “Trends in EMR for nonmalignant colorectal polyps in the United States” by Jessica X. Yu, MD, MS, et al. Using a large health insurance claims database, the authors observed an increase in the performance of EMR for colorectal lesions. However, …
Biliary reintervention with inversion technique in the duodenum with short-type double-balloon endoscope
Post written by Naminatsu Takahara, MD, PhD, and Yousuke Nakai, MD, PhD, from the Department of Endoscopy and Endoscopic Surgery, The University of Tokyo, Tokyo, Japan. A 51-year-old man was referred for the management of malignant biliary obstruction (MBO) and gastric outlet obstruction (GOO) due to pancreatic head cancer. A biliary covered metallic stent and …
Failure of over-the-scope clip to control duodenal ulcer bleeding despite successful application
Post written by Calvin J. Koh, MBBS, from the Division of Gastroenterology and Hepatology, Medicine, National University Hospital, and Faculty of Medicine, National University of Singapore, Singapore. This case shows a patient with a large, oozing (Forrest 1b) duodenal ulcer for which an over-the-scope clip was deployed successfully to the ulcer base with the bleeding …