The SAFE-T assessment tool

Post written by Navin L. Kumar, MD and John R. Saltzman, MD, from Brigham and Women’s Hospital, Division of Gastroenterology, Hepatology and Endoscopy, and Harvard Medical School, Boston, Massachusetts, USA. The focus of our study was to develop and validate a concise assessment tool to evaluate real-time fellow performance in colonoscopy via a web-based application …

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The EPISOD study: long-term outcomes

Post written by Peter B. Cotton, MD, FRCS, FRCP, from the Medical University of South Carolina, Charleston, South Carolina, USA. The EPISOD study randomized 214 patients with post-cholecystectomy pain and little or no evidence of biliary obstruction (SOD type III) to sphincterotomy or sham intervention at ERCP. Intervention was judged successful at 1 year (by …

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The 5D framework: a clinical primer for fecal microbiota transplantation to treat Clostridium difficile infection

Post written by Jessica R. Allegretti, MD, MPH, from Brigham Women’s Hospital, Boston, Massachusetts, USA. Clostridium difficile infection (CDI) is the most common healthcare-associated infection in the United States. Recently, fecal microbiota transplantation (FMT) has emerged as an effective and safe therapy for recurrent CDI; however, there is no standardized clinical approach. Given the rapid …

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Prior gastroscopy and mortality in patients with gastric cancer

Post written by Wai K. Leung, MD, from the Department of Medicine, University of Hong Kong, Hong Kong, China. Gastric cancer is still the fifth most common cancer in the world with approximately one million new patients being diagnosed each year. Although upper endoscopy remains the gold standard for diagnosis of gastric cancer and pre-neoplastic …

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Acellular dermal matrix for esophageal stricture prevention after ESD in a porcine model

Post written by Siyu Sun MD, PhD, and Ye Han MD, PhD, from the Endoscopic Center, Shengjing Hospital of China Medical University, Shenyang, China. Esophageal stenosis is closely associated with quasi-circumferential endoscopic submucosal dissection (ESD). We examined whether post-ESD esophageal stricture can be prevented by grafting an acellular dermal matrix (ADM) membrane in a large …

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Endoscopic and molecular characterization of colorectal sessile serrated adenoma/polyps with cytologic dysplasia

Post written by Eiichiro Yamamoto, MD, PhD, Yoshihito Tanaka, MD, and Hiromu Suzuki, MD, PhD, from the Department of Molecular Biology, Sapporo Medical University School of Medicine, Sapporo, Japan, and the Department of Digestive Disease Center, Akita Red Cross Hospital, Akita, Japan. Sessile serrated adenoma/polyps (SSA/Ps), which are precursor lesions of colorectal cancer (CRC) with …

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Association between an increase in blood urea nitrogen at 24 hours and worse outcomes in acute nonvariceal upper GI bleeding

Post written by Navin L. Kumar, MD and John R. Saltzman, MD, from the Brigham and Women’s Hospital, Division of Gastroenterology, Hepatology and Endoscopy, and Harvard Medical School, Boston, Massachusetts. The focus of our study was to assess whether an increase in blood urea nitrogen (BUN) at 24 hours of presentation is predictive of worse …

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Editor’s Choice: Impact of mucosal inflammation on risk of colorectal neoplasia

GIE Editor-in-Chief, Dr. Michael Wallace, highlights this article from the December issue, “Impact of mucosal inflammation on risk of colorectal neoplasia in patients with ulcerative colitis: a systematic review and meta-analysis” by Brisas M. Flores, MD, et al. Endoscopy is playing an increasing role in the management of patients with IBD. The special December issue …

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Development and reliability of the new endoscopic virtual chromoendoscopy score

Post written by Marietta Iacucci, MD, PhD, from the NIHR Biomedical Research Centre, Institution of  Translational  Medicine, University of Birmingham, United Kingdom. Endoscopic scoring of mucosal inflammation and healing is widely used in clinical trials and increasingly in clinical practice. The current endoscopic scores are not precise in assessing minimal inflammatory changes or complete mucosal …

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Balloon enteroscopy vs spiral enteroscopy for small-bowel disorders

Post written by Ramkaji Baniya, MD, and Prabin Sharma, MD, from the Department of Internal Medicine, Hurley Medical Center, Michigan State University, Flint, Michigan, and the Department of Internal Medicine, Yale New Haven Health Bridgeport Hospital, Bridgeport, Connecticut. Our systematic review and meta-analysis aimed to compare the efficacy and safety of different deep enteroscopic procedures. …

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