Post written by Sergio Cadoni, MD, from the Digestive Endoscopy Unit, CTO Hospital, Iglesias, Italy. Water exchange colonoscopy (WE) has been consistently shown to be the least painful insertion technique, decreasing the need for sedation and significantly increasing colon cleanliness and lesion detection. However, the wide adoption of WE has been hindered by the misconception …
Continue reading Impact of water exchange colonoscopy on endoscopy room efficiency
Post written by Hiroyuki Aihara, MD, PhD, from the Developmental Endoscopy Lab, Harvard Medical School, and Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA. The lack of reliable countertraction in endoscopic submucosal dissection (ESD) contributes to its technical demand and increased procedure time. In our previous ex vivo study, we …
Post written by Gil Y. Melmed, MD, from the F Widjaja Inflammatory Bowel and Immunobiology Research Institute, Cedars Sinai Medical Center, Los Angeles, California, USA. We aimed to determine the utility of using video capsule endoscopy for serial evaluations of Crohn’s disease activity. While the literature has demonstrated good correlation between WCE and colonoscopy at …
GIE Editor-in-Chief, Dr. Michael Wallace, highlights this article from the December issue “The emerging role of histologic disease activity assessment in ulcerative colitis” by Rish K. Pai, MD, PhD, et al. The decision about when to start and stop therapy for ulcerative colitis is increasingly made based on colonoscopy and histological assessment of activity ("treat …
Post written by Andrea Tringali, MD, PhD, from the Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli - IRCCS, Catholic University, and CERTT, Centre for Endoscopic Research, Therapeutics and Training - Catholic University, Rome, Italy. Pancreatic duct drainage by ERCP and insertion of plastic stents is effective in the treatment of pain related to chronic …
Post written by Toyoki Kudo, MD, PhD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. Although colonoscopy is the gold standard for detection of colorectal adenomas, some adenomas are missed. Full-spectrum endoscopy (FUSE) allows for observation with a 330° angle of view, which is expected to decrease the miss rate. However, …
Continue reading New-generation full-spectrum endoscopy versus standard forward-viewing colonoscopy
Post written by Sanne N. van Munster, MD, from the Department of Gastroenterology and Hepatology, St Antonius Hospital, Nieuwegein, and the Department of Gastroenterology and Hepatology, Academic Medical Center, Amsterdam, the Netherlands. This study is a comparison of endoscopic cryoballoon ablation and radiofrequency ablation for eradication of Barrett’s-related neoplasia. Radiofrequency ablation (RFA) is the standard …
Continue reading Focal cryoballoon versus radiofrequency ablation of dysplastic Barrett’s esophagus
Post written by Vivek Kumbhari, MD, from the Department of Medicine and Division of Gastroenterology and Hepatology, The Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. The success of gene-targeted therapy depends on 2 fundamental steps; the first being the intracellular delivery and the second is the genetic modification of the target cells. The first step …
Continue reading Successful liver-directed gene delivery by ERCP-guided hydrodynamic injection
Post written by Keiichiro Nakajo, MD, from the Department of Gastroenterology and Endoscopy, National Cancer Center Hospital East, Kashiwa, Japan. In this retrospective, single-center study, enrolling almost 600 consecutive patients treated with endoscopic submucosal resection (ESD) for superficial esophageal squamous cell carcinoma, the patient cohort was stratified into 3 groups as follows: group A, salvage …
Post written by Salman Nusrat, MD, from the University of Oklahoma Health Sciences Center and the Veterans Affairs Medical Center, Oklahoma City, Oklahoma, USA. The primary aim of our study was to evaluate if the addition of diphenhydramine to routinely used sedatives will decrease the amount of fentanyl and midazolam used during colonoscopy in patients …
Continue reading Use of diphenhydramine as an adjunctive sedative for colonoscopy
endoscopedia.com 