Clinical impact of narrow-band imaging magnifying endoscopic classification of colorectal tumors

Post written by Shinji Tanaka, MD, PhD, from Endoscopy and Medicine, Graduate School of Biomedical & Health Sciences, Hiroshima University, Japan. By JNET classification using magnifying observation, it will be possible to characterize the lesions of NICE Type 2 more in detail. NICE Type 2 includes various lesion such as dysplasia, superficial submucosal carcinoma, and …

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A prospective multicenter study of submucosal injection

Post written by Tae Hoon Lee, MD, PhD, and Jong Jin Hyun, MD, PhD, from the SoonChunHyang University School of Medicine and Korea University College of Medicine. In technical aspects of endoscopic papillectomy, whether submucosal injection papillectomy should be performed is still debatable. Injecting saline solution or a diluted epinephrine solution into the submucosal layer …

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Impact of endoscopic papillary large-balloon dilation

Post written by Young Koog Cheon, MD, PhD, from the Digestive Disease Center, Department of Internal Medicine, Konkuk University School of Medicine in South Korea. Endoscopic papillary balloon dilation (EPBD) using balloons with a diameter of less than 8mm is considered to preserve papillary function. However, it is still unknown whether papillary function is preserved …

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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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A standardized imaging protocol is accurate in detecting recurrence after EMR

Post written by Lobke Desomer, MD, from Westmead Hospital, Department of Gastroenterology and Hepatology, Sydney, NSW, Australia. Endoscopic mucosal resection (EMR) is an increasingly used, safe, and effective technique for the removal of large laterally spreading colorectal lesions ≥20 mm. At present, EMR is seen as a 2-stage procedure with the first surveillance colonoscopy at …

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Classification of nuclear morphology in endocytoscopy of colorectal neoplasms

Post written by Toyoki Kudo, MD, PhD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. Endoscopic diagnosis makes it possible to differentiate between colorectal carcinomas with slight submucosal invasion (SM-s), defined as carcinomas with a vertical invasion depth of less than 1000 µm in the submucosal layer, and massive submucosal invasion …

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Efficacy and safety outcomes of multimodal endoscopic eradication therapy

Post written by Madhav Desai, MD, MPH, and Prateek Sharma, MD, from the University of Kansas Medical Center. Barrett’s esophagus increases your risk for dysplastic changes that can turn into cancer. This subject has drawn our attention in last 2 decades with its rising prevalence, and now, we are in an era in which we …

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Advanced endoscopy imaging in IBD

Post written by Markus F. Neurath, MD, from the Medical Clinic 1, Department of Medicine, University Hospital Erlangen, University of Erlangen-Nuremberg, Erlangen, Germany. The introduction of mucosal healing as a key therapeutic goal in IBD patients has highlighted the importance of endoscopy for therapeutic monitoring. Additionally, endoscopy plays a crucial role in cancer surveillance in …

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Use of circumferential radiofrequency ablation for early esophageal squamous neoplasias

Post written by Wen-Lun Wang, MD, PhD and Ching-Tai Lee, MD, from the Department of Internal Medicine, E-Da Hospital/I-Shou University, Kaohsiung, Taiwan. Our study focused on the efficacy and safety of radiofrequency ablation (RFA) for early esophageal squamous cell neoplasias (ESCNs) in patients with well-compensated cirrhosis accompanied by esophageal varices. Heavy alcohol consumption is a …

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Maneuverability and safety of a magnetic-controlled capsule endoscopy system

Post written by Hongxiang Gu, MD, from the Department of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou, China. Colon capsule endoscopy has become an alternative method to evaluate the colonic mucosa without pain, sedation, and gas insufflation in recent years. The magnetic-controlled capsule endoscopy (MCCE) system is a capsule endoscopy robot system. We performed a …

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