Editor-in-Chief, Dr. Michael Wallace, highlights this article from the July issue “Colorectal cancer screening: Recommendations for physicians and patients from the U.S. Multi-Society Task Force on Colorectal Cancer” by Douglas K. Rex, MD, et al. Colorectal cancer screening is likely the single most common activity performed by gastroenterologists in the United States. Every few years, …
Continue reading Editor’s Choice: Colorectal cancer screening
Post written by Yu Bai, MD, PhD, from the Department of Gastroenterology, Changhai Hospital, Second Military Medical University, Shanghai, China. Polyethylene glycol (PEG) is widely used for bowel preparation; however, it is reported that up to 20 to 25% of patients have inadequate bowel preparation, so the methods to improve the quality of bowel preparation …
Continue reading Impact of gum chewing on the quality of bowel preparation
Post written by Omar Mousa, MBBS, from the Department of Gastroenterology and Hepatology, Mayo Clinic Florida. A 34-year-old woman with invasive gastric adenocarcinoma underwent total gastrectomy with en bloc splenectomy, distal esophagectomy, subtotal pancreatectomy, and intraoperative percutaneous jejunal tube placement. An esophagojejunostomy anastomosis (EJA) dehiscence was suspected 7 days after the initial procedure when the …
Continue reading Endoscopic salvage of a large EJA dehiscence
Post written by Yuga Komaki and Atsushi Sakuraba from the Section of Gastroenterology, Hepatology, and Nutrition at The University of Chicago Medicine. We performed a systematic review and meta-analysis to assess the risk of colorectal cancer in various chronic liver diseases compared to the general population. We also assessed whether the risk would change with …
Continue reading Risk of colorectal cancer in chronic liver diseases
Post written by Árpád V. Patai, MD, from Semmelweis University, 2nd Department of Medicine, Budapest, Hungary. Although post-ERCP pancreatitis (PEP) is the most frequent complication of ERCP and mortality of severe PEP is high, ERCP is still inevitable in our therapeutic armamentarium, so it is fundamental to assess the efficacy of all potential preventive measures, …
Continue reading Indomethacin and diclofenac in the prevention of post-ERCP pancreatitis
Post written by David Albers, MD, from the Department of Gastroenterology, Elisabeth-Krankenhaus Essen, academic teaching hospital of the University of Duisburg-Essen. Main-duct-IPMN and mixed-type-IPMN are frequently associated with malignancy and usually leaded to surgery; however, branch-duct-IPMNs biologically behave more indolent. Prediction of malignancy is a crucial point to distinguish between surgical therapy and conservative management …
Continue reading Digital single-operator pancreatoscopy for evaluation of IPMN
Post written by Adriana Vaz Safatle-Ribeiro from the Cancer Institute, Department of Gastroenterology, University of São Paulo, Brazil. The focus was to evaluate the accuracy of probe-based confocal laser endomicroscopy (pCLE) for the diagnostic differentiation of non-neoplastic and neoplastic Lugol-unstained esophageal lesions in patients with head and neck cancer (HNC) under surveillance for a second …
Continue reading Diagnostic accuracy of probe-based confocal laser endomicroscopy
Post written by Jasper L.A. Vleugels from the Academic Medical Center, University of Amsterdam, Amsterdam, the Netherlands. This study explored the natural history of diminutive polyps that were left without resection and were followed up. At a certain point, I was in the endoscopy room, and the patient undergoing colonoscopy asked why these diminutive polyps …
Continue reading History of Diminutive and Small Colorectal Polyps
Post written by Georgios Mavrogenis, MD, from the Endoscopy Department, Mediterraneo Hospital, Athens, Greece. This case illustrates the endoscopic management of a 7-cm-long obstruction of the distal colon that was not amenable to stenting, dilation, or surgery. The patient suffered from pseudo-diarrhea and gas retention. His abdomen was very distended and painful. CT scan and …
Continue reading Salvage therapy for colonic mechanical obstruction
Post written by Jun-Won Chung from the Divison of Gastroenterology, Department of Internal Medicine, Gachon University, Gil Medical Center, Incheon, South Korea. Endoscopy is performed with air insufflation and is usually associated with abdominal pain. It is well recognized that carbon dioxide (CO2) is absorbed more quickly into the body than air; however, to date, …
Continue reading CO2 and air insufflation during consecutive EGD and colonoscopy
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