Marijuana and endoscopy: the effects of marijuana on sedation

Post written by Christopher Adam Bouvette, MD, and Mohammad Madhoun, MD, MS, FACP, from the University of Oklahoma College of Medicine and the Oklahoma City Veterans Health Administration Medical Center, Oklahoma City, Oklahoma, USA. Our patients are more frequently using marijuana amid varying degrees of legality and medical indication. We set out to describe any potential …

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Impact of study design on adenoma detection in the evaluation of artificial intelligence–aided colonoscopy: a systematic review and meta-analysis

Post written by Chae Min Michelle Lee, MD, MEng, from the Division of Gastroenterology and Hepatology, Department of Medicine, University Health Network, and Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada. Numerous trials have been conducted to examine the role of artificial intelligence (AI) assistance in polyp detection during colonoscopy. Available AI detection tools rely …

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Artificial intelligence–assisted real-time monitoring of effective withdrawal time during colonoscopy: a novel quality marker of colonoscopy

Post written by Wai K. Leung, MD, from the University of Hong Kong, Hong Kong, China. In this study, we developed a novel artificial intelligence (AI)-based quantitative measurement for effective withdrawal time (EWT) during colonoscopy. This measurement also takes into consideration the quality of the images obtained during colonoscope withdrawal. Standard withdrawal time, a simple measurement …

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Comparison of the efficacy and safety of an oral sulfate solution and 3-L polyethylene glycol on bowel preparation before colonoscopy: a phase III multicenter randomized controlled trial

Post written by Peng Pan, MD, from the Department of Gastroenterology, Changhai Hospital, Naval Military Medical University, Shanghai, China. The oral sulfate solution (OSS) split-dose regimen has been evaluated in several trials by comparing 2-L polyethylene glycol (PEG) plus ascorbic acid or 4-L PEG using the split-dose or same-day method. These studies showed that OSS was …

Continue reading Comparison of the efficacy and safety of an oral sulfate solution and 3-L polyethylene glycol on bowel preparation before colonoscopy: a phase III multicenter randomized controlled trial

Randomized controlled trial of procedural sequence for same-day bidirectional endoscopy under monitored anesthesia care (RECoVER Trial)

Post written by Ali El Mokahal, MD, from the American University of Beirut, Beirut, Lebanon. In this study, we investigated the impact of procedural sequence during same-day bidirectional endoscopy conducted with the patient under monitored anesthesia care. Our primary outcome was the time to recovery from sedation. We also evaluated the amount of sedation administered, time …

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Artificial intelligence–assisted colonoscopy for adenoma and polyp detection: an updated systematic review and meta-analysis

Post written by Mohamed Shiha, MRCP, from the Academic Unit of Gastroenterology, Sheffield Teaching Hospitals, Sheffield, UK. Adenoma detection rate (ADR) is the main quality indicator for the effectiveness of colonoscopy in preventing colorectal cancer. However, it is estimated that 1 in 4 adenomas are missed during colonoscopy. Recently, advances in artificial intelligence (AI) have enabled …

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The usefulness of a newly invented transparent silicon attachment: static electricity fastening tape hood

Post written by Shunya Takayanagi, MD, from NTT Medical Center Tokyo, Tokyo, Japan. Distal attachments placed on the endoscope tip are useful for cecal intubation of the colonoscope, detecting polyps by depressing the fold. Various diameter endoscopes need multiple types of attachment, which can be costly. Therefore, we developed a silicon attachment that adheres to the …

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Diagnostic yield of random colon biopsy sampling in patients with chronic diarrhea and normal colonoscopy: a systematic review and meta-analysis

Post written by Priyadarshini Loganathan, MD, from University Medical Associates, University of Texas Health Science Center, San Antonio, Texas, USA. The focus of our study was to identify the pooled diagnostic value of random colonic biopsy sampling in patients with chronic nonbloody diarrhea and a normal colonoscopy examination. There is a need to quantify the pooled …

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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 …

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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