Safety and efficacy of underwater EMR for 10- to 20-mm colorectal serrated lesions (SEA CLEAR study)

Post written by Kenichiro Imai, MD, FJGES, from Division of Endoscopy, Shizuoka Cancer Center, Shizuoka, and Yohei Yabuuchi, MD, from the Department of Gastroenterology, Kobe City Medical Center General Hospital, Kobe, Japan. Given the limitations of conventional EMR and the high recurrence rate associated with incomplete resection, our study focused on the safety and efficacy of underwater EMR (UEMR). …

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Editor’s Choice: Impact of difficult biliary cannulation on post-ERCP pancreatitis: secondary analysis of the stent versus indomethacin trial dataset

GIE Associate Editor Shivangi T. Kothari, MD, FACG, FASGE, highlights this article from the March issue: “Impact of difficult biliary cannulation on post-ERCP pancreatitis: secondary analysis of the stent versus indomethacin trial dataset” by Samuel Han, MD, MS, et al. Post-ERCP pancreatitis (PEP) remains one of the most unpredictable, humbling, and challenging adverse events of ERCP. This study highlights …

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The submucosal pinch technique: a novel traction method for large colorectal endoscopic submucosal dissection

Post written by Tomoya Kimura, MD, from NTT Medical Center Tokyo, Tokyo, Japan. We introduce the pinch technique, a novel and effective traction method for endoscopic submucosal dissection in large colorectal lesions. This technique uses the “SureClip Traction Band” (Micro-Tech, Nanjing, China) to grasp lesion edges together, representing a completely new approach. It is particularly beneficial for …

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Impact of difficult biliary cannulation on post-ERCP pancreatitis: secondary analysis of the stent versus indomethacin trial dataset

Post written by Georgios Papachristou, MD, PhD, from the Division of Gastroenterology, Hepatology, and Nutrition, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA. This was a secondary data analysis of the stent versus indomethacin (SVI) trial, a recently completed, National Institutes of Health—funded, multicenter, randomized controlled trial including 20 centers in the United States …

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Top tips for diagnostic rectal EUS and assessment of rectal sphincters

Post written by Zubin Dev Sharma, MD, DNB, from Interventional Gastroenterology, Fortis Memorial Research Institute, Gurugram, India. This article provides best practice tips for using rectal EUS for diagnostic assessment in various conditions as well as assessment of anal sphincters. Rectal EUS, underutilized for assessment of rectal conditions, has emerged as a reliable tool. It can be …

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Hand-suturing–assisted traction technique and closure in colon endoscopic submucosal dissection

Post written by Fatih Aslan, MD, from the Department of Gastroenterology and Advanced Endoscopy, Koc University Hospital, Istanbul, Turkey. In this case, we describe a hand-suturing—assisted traction technique and closure applied during endoscopic submucosal dissection (ESD) for a 3-cm laterally spreading tumor in the cecum of a 47-year-old man. The technique used a barbed suture to facilitate …

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Optimal visual gaze pattern of endoscopists for improving adenoma detection during colonoscopy (with video)

Post written by Fumiaki Ishibashi, MD, PhD, from the International University of Health and Welfare Ichikawa Hospital, Chiba, Japan. Specific visual gaze pattern (VGP) during colonoscopy is assumed to be related to high colorectal adenoma detection. This randomized controlled trial (RCT) evaluated the optimal VGP that enabled the highest adenoma detection. We developed an eye-tracking and feedback …

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Knife-assisted full-thickness resection guided by pocket detection method for detection and complete excision of deeply invasive rectal cancer

Post written by Maria Eva Argenziano, MD, from the Clinic of Gastroenterology, Hepatology and Emergency Digestive Endoscopy, Università Politecnica delle Marche, Ancona, Italy, Department of Gastroenterology & Hepatology, University Hospital Ghent, and Faculty of Medicine and Health Sciences, University of Ghent, Ghent, Belgium, and David James Tate, MBBS, MA (Cantab), MRCP, PhD, from the Department of Gastroenterology & Hepatology, …

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Role of endoscopy in pregnancy: a review

Post written by Hadie Razjouyan, MD, MPH, and GIE Senior Associate Editor Jennifer L. Maranki, MD, MSc, FASGE, from the Division of Gastroenterology and Hepatology, Penn State Health, Hershey, Pennsylvania, USA. The focus of our study was the role, considerations, and safety of endoscopy in pregnant patients. Gastroenterologists are frequently consulted in the care of pregnant patients who present …

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Novel robotic gripper for traction and closure in colorectal endoscopic submucosal dissection

Post written by Sang Hyun Kim, MD, PhD, and Hyuk Soon Choi, MD, PhD, from the Division of Gastroenterology and Hepatology, Korea University College of Medicine, Seoul, South Korea. We describe application of a novel dual-function robotic gripper (ROBOPERA-TraCloser [Dual Gripper]; ENDOROBOTICS, Seoul, South Korea) in colorectal endoscopic submucosal dissection (ESD). This device integrates traction and closure functionalities, enhancing …

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