Post written by Cyrus R. Piraka, MD, FASGE, from the Henry Ford Health System, Detroit, Michigan, USA. This study explores whether gastric peroral endoscopic myotomy (G-POEM) could serve as salvage therapy for refractory gastroparesis in patients who had a gastric neurostimulator (GNS) implanted. It was designed as a multicenter, retrospective, 1:2-matched case-control study comparing outcomes …
Tag: GIE
Editor’s Choice: EUS-guided gastroenterostomy for management of malignant gastric outlet obstruction: a prospective cohort study with matched comparison with enteral stenting
GIE Senior Associate Editor Jennifer Maranki, MD, MSc, FASGE, highlights this article from the September issue: “EUS-guided gastroenterostomy for management of malignant gastric outlet obstruction: a prospective cohort study with matched comparison with enteral stenting” by Giuseppe Vanella, MD, et al. This is a prospective registry study of patients undergoing EUS-guided gastroenterostomy (EUS-GE) for treatment of malignant …
Top tips for balloon enteroscopy
Post written by Hironori Yamamoto, MD, PhD, from the Department of Medicine, Division of Gastroenterology, Jichi Medical University, Tochigi, Japan. As a developer of double-balloon enteroscopy, I have provided several tips on how to maximize the use of balloon enteroscopy safely and efficiently. Diagnosis and treatment of small-intestinal disease are sometimes difficult, but with the use …
EUS-guided gastroenterostomy for management of malignant gastric outlet obstruction: a prospective cohort study with matched comparison with enteral stenting
Post written by Giuseppe Vanella, MD, from the Pancreatobiliary Endoscopy and Endosonography Division, IRCCS San Raffaele Scientific Institute, Milan, Italy. Our article presents a prospective, single-center experience with EUS-guided gastroenterostomy (EUS-GE) for malignant gastric outlet obstruction and a matched comparison with a contemporary prospective cohort treated by enteral stenting. At the study’s onset, prevailing evidence on …
Comparing per-pass performance of 2 types of needles for EUS-guided fine-needle biopsy sampling of pancreatobiliary masses in a randomized trial
Post written by Mehdi Mohamadnejad, MD, from the Liver and Pancreatobilliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran. This randomized trial compared per-pass performance of 2 types of fine-needle biopsy (FNB) needles for the detection of malignancy in solid pancreatobiliary mass lesions. In these lesions, the optimal number of …
Diagnostic accuracy of convolutional neural network–based machine learning algorithms in endoscopic severity prediction of ulcerative colitis: a systematic review and meta-analysis
Post written by Vinay Jahagirdar, MD, from the Department of Internal Medicine, University of Missouri Kansas City School of Medicine, Kansas City, Missouri, USA. The focus of our study was to assess the pooled diagnostic accuracy parameters of deep machine learning by means of convolutional neural network (CNN) algorithms in predicting the severity of ulcerative colitis …
Suprapapillary placement of plastic versus metal stents for malignant biliary hilar obstructions: a multicenter, randomized trial
Post written by Yoshihide Kanno, MD, from Sendai City Medical Center, Sendai, Japan. This study focused on the outcomes of the suprapapillary placement of plastic versus metal stents for unresectable malignant hilar obstructions. No randomized studies had evaluated the outcomes of suprapapillary plastic stents in comparison with metal stents. The removability of plastic stents is a …
Predictors of stricture after non-circumferential endoscopic submucosal dissection of the esophagus and single-dose triamcinolone injection immediately after the procedure
Post written by Muneaki Miyake, MD, from the Department of Gastrointestinal Oncology, Osaka International Cancer Institute, Osaka, Japan. The focus of our study was to identify predictors of stricture after endoscopic submucosal dissection (ESD) of the esophagus with local triamcinolone (TA) injection. Local TA injection is widely used to prevent stricture formation after ESD of the …
Cold snare versus cold forceps polypectomy for endoscopic resection of diminutive polyps: meta-analysis of randomized controlled trials
Post written by Faisal Kamal, MD, from Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA. In this study, our focus was to compare cold snare polypectomy with cold forceps polypectomy for endoscopic resection of diminutive colorectal polyps by conducting a meta-analysis of randomized controlled trials. The practices for resection of diminutive colorectal polyps vary among endoscopists. The …
Comparing clinical success and procedural difficulty between treatment-naïve and treatment-refractory patients with esophageal motility disorders during peroral endoscopic myotomy
Post written by Raymond E. Kim, MD, from the University of Maryland School of Medicine, Baltimore, MD, USA. The primary focus of our study was to compare the difficulty and success rate of peroral endoscopic myotomy (POEM) in treatment-naïve cases versus treatment-refractory patients with esophageal motility disorders. There is a prevailing belief that treatment-refractory cases, which …