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 …

Continue reading Computer-aided detection, mucosal exposure device, their combination, and standard colonoscopy for adenoma detection: a randomized controlled trial

Impact of withdrawal time on adenoma detection rate: results from a prospective multicenter trial

Post written by Madhav Desai, MD, MPH, from the Division of Gastroenterology, Hepatology, and Nutrition, University of Minnesota Medical Center, Minneapolis, Minnesota, USA. Achieving an optimal adenoma detection rate (ADR), a priority quality metric for screening colonoscopy, is necessary for a high-quality colonoscopy. Studies have shown that a higher ADR is linked to a lower risk …

Continue reading Impact of withdrawal time on adenoma detection rate: results from a prospective multicenter trial

Effectiveness of prophylactic clipping in preventing postpolypectomy bleeding in aspirin users: a propensity-score analysis

Post written by Louis H.S. Lau, MBChB, and Francis K. L. Chan, MD, from the Department of Medicine and Therapeutics, Faculty of Medicine, and the Institute of Digestive Diseases, The Chinese University of Hong Kong, Hong Kong SAR. This study focused on examining the benefit of prophylactic clipping after colonoscopic polypectomy or endoscopic resection in high-risk …

Continue reading Effectiveness of prophylactic clipping in preventing postpolypectomy bleeding in aspirin users: a propensity-score analysis

Computer-assisted detection versus conventional colonoscopy for proximal colonic lesions: a multicenter, randomized, tandem-colonoscopy study

Post written by Wai K. Leung, MD, from the Department of Medicine, Queen Mary Hospital, University of Hong Kong, Hong Kong, China. A meta-analysis reported that up to 26% of colorectal adenomas could be missed during colonoscopy. Computer-assisted detection (CADe) has been shown to enhance colorectal adenoma and polyp detection. However, it remains uncertain whether CADe …

Continue reading Computer-assisted detection versus conventional colonoscopy for proximal colonic lesions: a multicenter, randomized, tandem-colonoscopy study

Evaluation of safety, efficacy, and ease of use for screening and surveillance colonoscopy by using a single-use colonoscope with wide-angle field of view

Post written by Nathan Gluck, MD, PhD, from the Research Center for Digestive Diseases, Gastroenterology Department, Tel-Aviv Sourasky Medical Center, and Tel-Aviv University Sackler Faculty of Medicine, Tel-Aviv, Israel. We studied a novel single-use colonoscope with an extended 200º field of view, enabling view behind colonic folds and eliminating concerns related to reprocessing of devices. Lesions …

Continue reading Evaluation of safety, efficacy, and ease of use for screening and surveillance colonoscopy by using a single-use colonoscope with wide-angle field of view

Timing of colonoscopy in acute lower GI bleeding: a multicenter retrospective cohort study

Post written by Yasutoshi Shiratori, MD, MPH, PhD, from the Department of Gastroenterology, St. Luke’s International University, and Naoki Ishii, MD, MPH, PhD, from the Department of Gastroenterology, Tokyo Shinagawa Hospital, Tokyo, Japan. Acute lower GI bleeding (ALGIB) is a primary cause of hospital admissions from the emergency department and is associated with a 3.4% mortality. …

Continue reading Timing of colonoscopy in acute lower GI bleeding: a multicenter retrospective cohort study

Polyps seen but not removed during index colonoscopy: an underestimated inefficiency in endoscopy practice

Post written by Krish Ragunath, MD, from the NIHR Nottingham Biomedical Research Centre, Nottingham University Hospitals NHS Trust and the University of Nottingham, Nottingham, UK. The aim of this study was to evaluate the practice of nonremoval of polyps at index endoscopy and to try and elucidate the potential reasons for this practice. When small …

Continue reading Polyps seen but not removed during index colonoscopy: an underestimated inefficiency in endoscopy practice

New scoring system to distinguish deep invasive submucosal and muscularis propria colorectal cancer during colonoscopy: a development and global multicenter external validation study (e-T2 Score)

Post written by Yohei Koyama, MD, PhD, from the Endoscopy Division, National Cancer Center Hospital, and the Department of Gastroenterology and Hepatology, Tokyo Medical University Hospital, and Masayoshi Yamada, MD, PhD, from the Endoscopy Division and the Department of Genetic Medicine and Services, National Cancer Center Hospital, Tokyo, Japan. For this study, we aimed to …

Continue reading New scoring system to distinguish deep invasive submucosal and muscularis propria colorectal cancer during colonoscopy: a development and global multicenter external validation study (e-T2 Score)

Pooled rates of adenoma detection by colonoscopy in asymptomatic average-risk individuals with positive fecal immunochemical test: a systematic review and meta-analysis

Post written by Babu P. Mohan, MD, from the Department of Gastroenterology & Hepatology, Department of Medicine, University of Utah Health, Salt Lake City, Utah, USA. The focus of this study was to evaluate the pooled rates of adenoma detection in fecal immunochemical test (FIT)-positive colonoscopy. Current adenoma detection rate (ADR) thresholds in FIT-positive colonoscopy …

Continue reading Pooled rates of adenoma detection by colonoscopy in asymptomatic average-risk individuals with positive fecal immunochemical test: a systematic review and meta-analysis

Endoscopic fenestration for benign complete anastomotic obstruction following rectal surgery

Post written by Jun Takada, MD, PhD, from the Department of Gastroenterology, Gifu University Graduate School of Medicine, Gifu, Japan. This video case is about a 62-year-old man who developed an obstruction in the anastomotic region 6 months after Hartmann’s surgery for rectal cancer. Colonoscopies performed through the anal and ileal stoma showed complete anastomotic …

Continue reading Endoscopic fenestration for benign complete anastomotic obstruction following rectal surgery