Prevalence of Barrett’s esophagus and performance of societal screening guidelines in an unreferred primary care population of U.S. veterans

Post written by Theresa H. Nguyen, MD, from the Section of Gastroenterology and Hepatology, Department of Medicine, Baylor College of Medicine, and the Center for Innovations in Quality, Effectiveness and Safety (IQuESt), Michael E. DeBakey Veterans Affairs Medical Center, Houston, Texas, USA. The focus of our study was to examine the prevalence of Barrett’s esophagus …

Continue reading Prevalence of Barrett’s esophagus and performance of societal screening guidelines in an unreferred primary care population of U.S. veterans

Barrett’s esophagus after sleeve gastrectomy: a systematic review and meta-analysis

Post written by Bashar J. Qumseya, MD, MPH, from the Division of Gastroenterology, Hepatology and Nutrition, University of Florida, Gainesville, Florida, USA. The study focused on the rate of Barrett’s esophagus (BE) in patients who undergo endoscopic sleeve gastrectomy (SG) for weight loss. My dentist informed me that he was seeing cases of very severe GERD …

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Salvage circumferential ESD for refractory dysplastic Barrett’s esophagus

Post written by Robert Bechara, MD, from the Queens University, Kingston Health Sciences Center, Kingston, Ontario, Canada. A 64-year-old woman with a complex Barrett’s history was referred to our esophageal center. Her treatment history included endoscopic mucosal resection (EMR) with M3 intramucosal carcinoma and incomplete response to radiofrequency ablation (RFA) of the remaining Barrett’s, as …

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AI using convolutional neural networks for real-time detection of early esophageal neoplasia in Barrett’s esophagus

Post written by Jason B. Samarasena, MD, from the H. H. Chao Comprehensive Digestive Disease Center, Division of Gastroenterology & Hepatology, Department of Medicine, University of California, Irvine, Orange, California, USA. Esophageal adenocarcinoma is actually rising in this country and not going down! The visual detection of early esophageal neoplasia in BE with white-light and …

Continue reading AI using convolutional neural networks for real-time detection of early esophageal neoplasia in Barrett’s esophagus

Editor’s Choice: Deep learning algorithm detection of Barrett’s neoplasia with high accuracy during live endoscopic procedures

GIE Senior Associate Editor, Dr. Douglas G. Adler MD, FACG, AGAF, FASGE, highlights this article from the June issue “Deep learning algorithm detection of Barrett’s neoplasia with high accuracy during live endoscopic procedures” by Albert J. de Groof, MD, et al.  Computer aided detection (CAD) is undergoing rapid development. It seems likely that, in the …

Continue reading Editor’s Choice: Deep learning algorithm detection of Barrett’s neoplasia with high accuracy during live endoscopic procedures

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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Optimizing histopathologic evaluation of EMR specimens of Barrett’s esophagus–related neoplasia

Post written by Anouk Overwater, MD, from the Department of Gastroenterology and Hepatology, St Antonius Hospital, Nieuwegein, and the Department of Gastroenterology and Hepatology, University Medical Center Utrecht, Utrecht University, Utrecht, the Netherlands. The main question of this study is which specimen handling method results in an optimal histopathological evaluation of endoscopic resection specimens of …

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Narrow-band imaging, volumetric laser endomicroscopy, and pathologic findings in Barrett’s esophagus

Post written by Norio Fukami, MD, AGAF, FACG, FASGE, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, Arizona, USA. The case described in the video is a 36-year-old man with 10-year history of Barrett’s esophagus undergoing surveillance every 3 years who was referred for endoscopic resection on nodular dysplasia with cancer in the …

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Outcome of EMR in Barrett’s esophagus determined by systematic quantification of epithelial glands using VLE

Post written by Amrit K. Kamboj, MD, and Cadman L. Leggett, MD, from the Department of Internal Medicine and Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. Volumetric laser endomicroscopy (VLE) is an advanced imaging modality that uses optical coherence tomography to capture real-time, high-resolution, cross-sectional images of the esophagus. Epithelial glands are …

Continue reading Outcome of EMR in Barrett’s esophagus determined by systematic quantification of epithelial glands using VLE

Increasing prevalence of high-grade dysplasia and adenocarcinoma on index endoscopy in Barrett’s esophagus

Post written by Madhav Desai, MD, MPH, from the Gastroenterology and Hepatology, University of Kansas Medical Center, Kansas City, Kansas, USA. Barrett’s esophagus (BE) is a known precursor lesion for esophageal adenocarcinoma (EAC), and we know that incidence of the latter is rising in last 30 years thereby necessitating early detection and management of this …

Continue reading Increasing prevalence of high-grade dysplasia and adenocarcinoma on index endoscopy in Barrett’s esophagus