Successful hemostasis of active lower GI bleeding using a hemostatic powder as mono-, combination, or rescue therapy

Post written by Lawrence Hookey, MD, from the Hotel Dieu Hospital, Kingston, Ontario, Canada. This study is the largest to prospectively evaluate the hemostatic powder TC-325 in lower GI bleeding. We included 50 patients with bleeding from different sources, and performed extensive efficacy and safety follow-up. TC-325 is a newer product (having just received regulatory …

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Editor’s Choice: GEA vs MAC in high-risk patients undergoing ERCP

GIE Associate Editor, Dr. Sharmila Anandasabapath, highlights this article from the April issue “A randomized controlled trial evaluating general endotracheal anesthesia versus monitored anesthesia care and the incidence of sedation-related adverse events during ERCP in high-risk patients” by Zachary L. Smith, DO, et al.  This is one of the few studies which compare, via a randomized …

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Clinical and endoscopic predictors for intraprocedural mucosal injury during per-oral endoscopic myotomy

Post written by Ping-Hong Zhou, MD, PhD, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China. We aimed to explore the characteristics, predictors, and management approaches of intraprocedural mucosal injury. As the mucosal flap is the only barrier between the mediastinum and esophageal lumen during per-oral endoscopic myotomy (POEM), mucosal …

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Endoscopic sleeve gastroplasty versus laparoscopic sleeve gastrectomy

Post written by Vivek Kumbhari, MD, and Lea Fayad, MD, from the Division of Gastroenterology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. Our study compared 2 weight-loss procedures, the commonly performed laparoscopic sleeve gastrectomy (LSG) and the newly introduced, minimally invasive endoscopic sleeve gastroplasty (ESG). The LSG has excellent weight-loss outcomes but, as an elective …

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Efficacy of 3 fine-needle biopsy techniques for suspected pancreatic malignancies

Post written by Tae Hoon Lee, MD, PhD, from the Department of Internal Medicine, SoonChunHyang University School of Medicine, Cheonan, Korea. EUS-guided fine-needle aspiration/biopsy (EUS-FNA/B) has a high diagnostic accuracy for pancreatic tumors. However, the ability of various FNA/B techniques to obtain an adequate mass of cells or tissue has rarely been investigated, especially in …

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Comparing adenoma and polyp miss rates for total underwater colonoscopy versus standard CO2

Post written by Joseph C. Anderson, MD, MHCDS, from the Department of Veterans Affairs Medical Center, White River Junction, Vermont, and the Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA. The purpose of this study was to compare water to standard CO2 as a medium to inspect the colonic mucosa for polyp detection. …

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Performance indicators in colonoscopy after certification for independent practice

Post written by Keith Siau, MBChB, MRCP, and Paul Dunckley, MBChB, FRCP, DPhil, from the Joint Advisory Group, Royal College of Physicians, London, the Department of Gastroenterology, Dudley Group Hospitals NHSFT, Dudley, and the Department of Gastroenterology, Gloucestershire Royal Hospital, Gloucester, United Kingdom. This prospective UK-wide observational study focused on the following: Quality of colonoscopy …

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