Detection of elusive polyps using a large-scale artificial intelligence system

Post written by Dan M. Livovsky, MD, from the Faculty of Medicine, Hebrew University of Jerusalem, and the Digestive Diseases Institute, Shaare Zedek Medical Center, Jerusalem, Israel. Our study aimed to evaluate the performance of a newly developed AI-based system for polyp detection, DEEP2 (DEEP DEtection of Elusive Polyps) on the detection of elusive polyps, …

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The use of the cap and underwater technique as an aid in endoscopic diagnosis and treatment of upper gastrointestinal bleeding

Post written by Fernando Lander Mota, MD, from the Department of Digestive Endoscopy, Hospital Sírio-Libanês, São Paulo, Brazil. Here we describe 4 cases where the use of cap and underwater technique was decisive in the management of gastrointestinal bleeding of different etiologies. The attachment of a simple transparent plastic cap allowed us to push aside …

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Usefulness of a newly designed laser-cut metal stent with an anchoring hook and thin delivery system for EUS-guided hepaticogastrostomy in experimental settings

Post written by Masayuki Kitano, MD, PhD, from the Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan. We developed a partially covered self-expandable metal stent with a thin delivery system (7.2 Fr) that has 2 advantages for EUS-guided hepaticogastrostomy (EUS-HGS). First, using a thin delivery system with a tapered tip, the stent can …

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POEM: 10-year outcomes from a large, single-center U.S. series with high follow-up completion and comprehensive analysis of long-term efficacy, safety, objective GERD, and endoscopic functional luminal assessment

Post written by Stavros N. Stavropoulos, MD, from the Division of Gastroenterology, Hepatology & Nutrition, NYU-Winthrop Hospital, Mineola, New York, USA. Our study aimed to provide a comprehensive, in-depth analysis of long-term POEM outcomes from the largest prospective database of POEM procedures in the U.S. (currently at ~800 POEMs, with the longest and most complete …

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Linked color imaging, mucosal exposure device, their combination, and standard colonoscopy for adenoma detection

Post written by Satimai Aniwan, MD, from the Gastrointestinal Endoscopy Excellence Center, Division of Gastroenterology, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand.    Colonoscopy primarily aims to detect and remove colorectal adenomas, which is a precancerous lesion. Most postcolonoscopy colorectal cancer is attributed to the missed lesion at the previous …

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Use of peroral cholangioscopy to screen for neoplastic bile duct lesions in patients with bile duct stones

Post written by Il Sang Shin, MD Jong Ho Moon, MD, PhD Yun Nah Lee, MD, PhD, from the Digestive Disease Center and Research Institute, Departments of Internal Medicine, SoonChunHyang University School of Medicine, Bucheon, Korea.    Although cholangiocarcinoma (CCA) has very high mortality rates due to its late detection, satisfactory screening methods of CCA have …

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Hybrid endoscopic submucosal dissection with novel helix tacking system for defect closure

Post written by Hiroyuki Aihara, MD, PhD, FASGE, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts. This case video demonstrates a hybrid endoscopic submucosal dissection (ESD) with a novel ESD knife, followed by mucosal defect closure using an innovative endoscopic helix tacking system. A 60-year-old man …

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Expert consensus on endoscopic papillectomy using a Delphi process

Post written by Jeska A. Fritzsche, MD, from the Department of Gastroenterology and Hepatology, Amsterdam University Medical Center, Amsterdam Gastroenterology Endocrinology & Metabolism, Amsterdam, the Netherlands. The focus of our study was to assess the expected wide variety in daily practice of endoscopic papillectomy and to achieve further consensus among international experts by using a …

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EUS-guided ethanol ablation of metastatic functional insulinoma

Post written by Ahmed Altonbary, MD, FRCP, from the Department of Gastroenterology and Hepatology, Mansoura Specialized Medical Hospital, Mansoura University, Mansoura, Egypt. We describe a case of EUS-guided ethanol ablation (EA) of metastatic functional insulinoma in a young male with recurrent attacks of hypoglycemia requiring intravenous glucose infusion.    Management of functioning pancreatic NETs is challenging; …

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GIE Reviewer Tips

Carolina Ogawa Matsubayashi, MD, Graduate Student, Weill Cornell Medicine Endoscopy, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, offers advice to new reviewers after participating in GIE’s Reviewer Mentorship Program. What 3 steps do you take as soon as you get invited to review? The first thing I do is check …

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