Post written by Satoki Shichijo, MD, PhD, from Osaka International Cancer Institute, Osaka, Japan. Endoscopic submucosal dissection (ESD) was performed for 1763 patients with 1845 lesions (right-sided colon, 1018; left-sided colon, 827) between February 2011 and April 2023. Thirty-two delayed perforations (26 between 2011 and 2020; 6 between 2021 and 2023) occurred. Muscle injury occurred during ESD …
Tag: GIE
EMR versus surgery for colon adenomas and early-stage cancers: a comparative effectiveness study
Post written by Karl Kwok, MD, FASGE, and Andrew Giap, MD, FASGE, from the Southern California Permanente Medical Group, and Brian Lim, MD, FASGE, from United Medical Doctors, Irvine, and the University of California, Riverside, School of Medicine, Riverside, California, USA. Interventional endoscopists have known the advantages of EMR for many years. However, published EMR data in a large, community-based multispecialty …
The best of EUS in 2025
Post written by GIE Senior Associate Editor David L. Diehl, MD, MASGE, AGAF, from the Department of Gastroenterology and Hepatology, Geisinger Medical Center, Danville, Pennsylvania, USA. I sat down to write an Endoscopedia post on my recently published article, “The best of EUS in 2025.” I got about 500 words in, then decided to scrap that approach. …
Local recurrence rates of horizontal margin-positive en bloc endoscopic submucosal dissection of colorectal neoplasia: a meta-analysis
Post written by Daan A. Verhoeven, BSc, and Hao Dang, MD, PhD, from Leiden University Medical Center, Leiden, The Netherlands. In this meta‑analysis, we set out to evaluate how often local recurrence occurs following en bloc endoscopic submucosal dissection (ESD) of colorectal neoplasia when the horizontal margin is positive or indeterminate. We compared that risk to cases with a negative horizontal margin …
Burden and cost of post–endoscopic retrograde cholangiopancreatography pancreatitis among commercially insured people undergoing endoscopic retrograde cholangiopancreatography
Post written by Anna Tavakkoli, MD, from the University of Texas Southwestern, Dallas, Texas, USA. Endoscopic retrograde cholangiopancreatography (ERCP) is the primary therapeutic procedure for a number of pancreaticobiliary diseases. The most common adverse event associated with ERCP is post-ERCP pancreatitis (PEP). Studies estimate that PEP can occur in 10% to 15% of patients, and …
Top tips for endoscopic-guided nasojejunal tube placement (with video)
Post written by Nonthalee Pausawasdi, MD, from the Division of Gastroenterology, Department of Medicine, Faculty of Medicine Siriraj Hospital, Bangkok, Thailand. This article focuses on practical tips for successful endoscopic-guided nasojejunal tube placement, a valuable technique for patients requiring postpyloric enteral nutrition. Although a common clinical procedure, nasojejunal tube placement can be technically challenging, particularly in patients …
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Best of colonoscopy in 2025
Post written by Melissa Martinez, MD, MBA, FASGE, from Carle Foundation Hospital, Urbana, Illinois, USA. This Best of Series article focuses on the most impactful publication topics regarding colonoscopy, periprocedural management, and resection of colonic neoplasia. This year, many great publications continue to contribute to the wealth of knowledge and evolvement of colonoscopy. Some of these were …
Revisiting the starting age of colorectal cancer screening for the average-risk Asian population: a cost-effectiveness analysis
Post written by Martin C.S. Wong, MD, and Junjie Huang, PhD, from The Jockey Club School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong. The incidence and mortality of early-onset colorectal cancer (CRC) have been increasing in many parts of the world. The American Cancer Society and the U.S. …
Predicting the need for step-up after EUS-guided drainage of peripancreatic fluid collections, including Quadrant-Necrosis-Infection score validation: a prospective cohort study
Post written by Giuseppe Vanella, MD, PhD, from San Raffaele Hospital, Vita-Salute San Raffaele University, Milan, Italy. When dealing with symptomatic or infected peripancreatic fluid collections (PFCs), EUS-guided drainage has become the standard of care. In about one-half of cases, drainage alone will be enough to solve the issue. Yet, a fraction of patients will require further …
Risk of post–endoscopic retrograde cholangiopancreatography pancreatitis due to placement of biliary self-expandable metal stents: a single-center retrospective study
Post written by Bashar Qumseya, MD, MPH, FASGE, from the University of Florida, Gainesville, Florida, USA. This study focuses on the risk of post-ERCP pancreatitis (PEP) in patients who receive self-expandable metal stents (SEMSs) compared with plastic biliary stents at the time of ERCP. We observed several patients who underwent PEP with seemingly no other …
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