Post written by Karl Kwok, MD, FASGE, and Andrew Giap, MD, FASGE, from the Southern California Permanente Medical Group, and Brian Lim, MD, FASGE, from United Medical Doctors, Irvine, and the University of California, Riverside, School of Medicine, Riverside, California, USA. Interventional endoscopists have known the advantages of EMR for many years. However, published EMR data in a large, community-based multispecialty …
Tag: adenoma
Optimal visual gaze pattern of endoscopists for improving adenoma detection during colonoscopy (with video)
Post written by Fumiaki Ishibashi, MD, PhD, from the International University of Health and Welfare Ichikawa Hospital, Chiba, Japan. Specific visual gaze pattern (VGP) during colonoscopy is assumed to be related to high colorectal adenoma detection. This randomized controlled trial (RCT) evaluated the optimal VGP that enabled the highest adenoma detection. We developed an eye-tracking and feedback …
Incomplete mucosal layer excision during EMR: a potential source of recurrent adenoma (with video)
Post written by David J. Tate, MBBS, MRCP, PhD, from the Department of Gastroenterology and Hepatology, University Hospital of Ghent, Ghent, Belgium, and the Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia. This study primarily focuses on identifying incomplete mucosal layer excision during EMR and understanding its role as a potential risk factor for recurrence of adenoma. …
Endoscopic resection techniques for duodenal and ampullary adenomas
Post written by Grace E. Kim, MD, from the Section of Gastroenterology, Hepatology, and Nutrition, and Uzma D. Siddiqui, MD, from the Center for Endoscopic Research and Therapeutics, University of Chicago, Chicago, Illinois, USA. This instructional video reviews the management of duodenal polyps, including sporadic duodenal and ampullary adenomas. Although these are typically benign lesions, they …
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Computer-aided detection, mucosal exposure device, their combination, and standard colonoscopy for adenoma detection: a randomized controlled trial
Post written by Satimai Aniwan, MD, from the Division of Gastroenterology, Faculty of Medicine, Chulalongkorn University, and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand. This study aimed to compare adenoma detection rate (ADR) differences among computer-aided detection (CADe), endocuff-assisted colonoscopy (EAC; Endocuff Vision ARV 110; Olympus Corporation, Tokyo, Japan), and the combination of CADe …
Linked color imaging, mucosal exposure device, their combination, and standard colonoscopy for adenoma detection
Post written by Satimai Aniwan, MD, from the Gastrointestinal Endoscopy Excellence Center, Division of Gastroenterology, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand. Colonoscopy primarily aims to detect and remove colorectal adenomas, which is a precancerous lesion. Most postcolonoscopy colorectal cancer is attributed to the missed lesion at the previous …
Second-generation distal attachment cuff improves adenoma detection rate
Post written by Harsh K. Patel, MBBS, and Viveksandeep Thoguluva Chandrasekar, MD, from the Department of Internal Medicine, Ochsner Clinic Foundation, New Orleans, Louisiana, and the Department of Gastroenterology, University of Kansas Hospital, Kansas City, Kansas, USA. The focus of our study was to compare the outcomes of standard high-definition white-light colonoscopy (SC) to second …
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Editor’s Choice: Second-generation distal attachment cuff improves adenoma detection rate
GIE Associate Editor, Dr. Seth Gross, highlights this article from the March issue “Second-generation distal attachment cuff improves adenoma detection rate: meta-analysis of randomized controlled trials” by Harsh K. Patel, MBBS, et al. This study shows the benefits of mechanical enhancement during colonoscopy, which can improve a key quality metric, adenoma detection rate. Colonoscopy is a …
Endocytoscopy for the differential diagnosis of colorectal low-grade adenoma
Post written by Toyoki Kudo, MD, PhD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. We aimed to reveal which endocytoscopic findings may be used as indicators of low-grade adenoma and to assess whether a “resect and discard” strategy using endocytoscopy is feasible. A normal pit-like structure in endocytoscopic images was …
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Impact of a real-time automatic quality control system on colorectal polyp and adenoma detection
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 …
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