Post written by Ryosuke Sato, MD, and Kazuyuki Matsumoto, MD, PhD, from the Department of Gastroenterology and Hepatology, Okayama University Hospital, Okayama, Japan. Our study focused on developing and evaluating a novel imaging technique that combines artificial intelligence with peroral cholangioscopy to improve visualization of biliary strictures. We used cycle-consistent adversarial network (CycleGAN) technology to convert standard …
Tag: Endoscopy
Prevalence and sex differences in endoscopy-related injuries: comprehensive systematic review and meta-analysis
Post written by Azizullah Beran, MD, from the Indiana University School of Medicine, Indianapolis, Indiana, USA. The aim of this systematic review and meta-analysis was to assess the prevalence, characteristics, and burden of endoscopy-related injury (ERI). GI endoscopy is a crucial part of a gastroenterologist’s daily practice. However, it is physically demanding and increases musculoskeletal injuries. As …
EUS-guided glue injection for managing torrential bleeding during gastric neuroendocrine tumor endoscopic submucosal dissection: sealing the storm
Post written by Radhika Chavan, MD, DNB, from the Ansh Clinic, Ahmedabad, Gujarat, India. A 24-year man diagnosed with a type II gastric neuroendocrine tumor (NET) (size <20 mm) underwent endoscopic submucosal dissection (ESD) after multidisciplinary discussion. During distal extension of the initial incision, bleeding started and abruptly became profuse. Initial attempts to control the bleeding using …
Effects of glucagon-like peptide-1 receptor agonists on gastric mucosal visibility and retained gastric contents during EGD
Post written by Ramzi Mulki, MD, from the University of Alabama at Birmingham, Birmingham, Alabama, USA. This study focused on evaluating the impact of glucagon-like peptide-1 receptor agonists (GLP-1RAs) on gastric mucosal visibility and retained contents during EGD. Specifically, it investigated whether GLP-1RAs use affects visibility scores (with validated scores) and retained contents, which could …
Comparison of EMR versus endoscopic submucosal dissection for Barrett’s neoplasia and esophageal adenocarcinoma: a systematic review and meta-analysis
Post written by Yusuke Fujiyoshi, MD, from the Department of Medicine, Division of Gastroenterology, University of Ottawa, Ottawa, Ontario, Canada. EMR and endoscopic submucosal dissection (ESD) are both accepted resection strategies for Barrett’s esophagus—related neoplasia and esophageal adenocarcinoma (EAC). This study aimed to systematically review and synthesize the evidence comparing EMR versus ESD in treating …
Introducing antireflux mucoplasty with valve: a novel endoscopic treatment for GERD
Post written by Kazuki Yamamoto, MD, PhD, from the Digestive Diseases Center, Showa University Koto Toyosu Hospital, Tokyo, Japan. This video case introduces the effectiveness of antireflux mucoplasty (ARM-P) with valve (ARM-P/V) for proton pump inhibitor—refractory GERD. Antireflux mucosectomy (ARMS) and antireflux mucosal ablation (ARMA) are effective treatments for proton pump inhibitor—refractory or dependent GERD, as supported …
Continue reading Introducing antireflux mucoplasty with valve: a novel endoscopic treatment for GERD
Trends in endoscopic training: the impact of subspecialization and productivity-based compensation on gastroenterology fellowships
Post written by David L. Diehl, MD, FASGE, AGAF, from the Department of Medicine and Pathology, Geisinger Commonwealth School of Medicine, Department of Gastroenterology, Geisinger Medical Center, Danville, Pennsylvania, USA. It’s time to rethink endoscopic training in gastroenterology. The practice of gastroenterology is changing because of increased subspecialization as well as current mechanisms of reimbursement. In the …
Virtual reality intervention to improve quality of care during colonoscopy: a hybrid type 1 randomized controlled trial
Post written by Mahdi Shamali, PhD, from Copenhagen University Hospital–Herlev and Gentofte, Copenhagen, Denmark. This study explored an innovative approach using virtual reality (VR) as a nonpharmacologic tool to manage pain, anxiety, and discomfort during colonoscopies. Colonoscopy procedures often induce stress and discomfort, affecting patient willingness to complete the procedure and comply with follow-ups. Our research tested …
Star-Loop: a novel, low-cost method of multipoint traction for colonic endoscopic submucosal dissection
Post written by Ciaran Judge, MD, MB, BCh, BAO, and Niroshan Muwanwella, MD, from the Royal Perth Hospital, Perth, Western Australia, Australia. Endoscopic submucosal dissection (ESD) is an important tool for resection of colorectal lesions with features suggestive of superficial submucosal invasion. However, resection of proximal lesions can be challenging for several reasons. We present the case of a 68-year-old man …
Endoscopic treatment of bile duct stones with benign choledochojejunal anastomotic stenosis
Post written by Akihiko Kida, MD, PhD, from the Department of Gastroenterology, Public Central Hospital of Matto Ishikawa, Hakusan, Japan, and the Department of Gastroenterology, Kanazawa University Hospital, Kanazawa, Japan. The number of patients with biliopancreatic malignancies with long-term survival after surgery has increased with advances in chemotherapy, and there have been many opportunities to treat benign …