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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Wide-field underwater EMR followed by line-assisted complete closure for a large duodenal adenoma

Post written by Hiroko Nakahira, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. Underwater endoscopic mucosal resection (EMR) was performed for a large duodenal adenoma in a patient with familial adenomatous polyposis, and the mucosal defect after underwater EMR was closed with line-assisted complete closure technique. Endoscopic mucosal resection for …

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The role of oral simethicone on the adenoma detection rate and other quality indicators of screening colonoscopy

Post written by Antonio Mendoza Ladd, MD, from the Division of Gastroenterology, Texas Tech University Health Sciences Center, El Paso, Texas, USA. The primary aim of this study was determining if adding simethicone (SIM) to 4 L polyethylenglycol (PEG) preparation improved our ADR. Secondary aims included its effect on procedure times, Bubble and Boston Bowel …

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Comparing adenoma and polyp miss rates for total underwater colonoscopy versus standard CO2

Post written by Joseph C. Anderson, MD, MHCDS, from the Department of Veterans Affairs Medical Center, White River Junction, Vermont, and the Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA. The purpose of this study was to compare water to standard CO2 as a medium to inspect the colonic mucosa for polyp detection. …

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Increasing adenoma detection rates in the right side of the colon

Post written by Madhav Desai, MD, MPH, from the Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas City, Kansas, USA. Colonoscopy prevents colon cancer and, therefore, has become a widely used screening modality. Right-sided lesions are often missed during standard colonoscopy and could account for interval colon cancer. As gastroenterologists and endoscopists, our keen …

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Adenoma recurrence after piecemeal colonic EMR is predictable

Post written by David J. Tate, MA (Cantab), MBBS, MRCP, from Westmead Hospital, Department of Gastroenterology and Hepatology, and Westmead Campus, University of Sydney Medical School, Sydney, Australia. Recurrence is the main limitation of wide-field endoscopic mucosal resection (EMR) for large laterally spreading colonic lesions (LSL). We aimed to derive a set of clinically useful …

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