Post written by Anne-Fré Swager from the Academic Medical Center, Amsterdam, the Netherlands The focus of our study was to understand what we truly see on VLE: What do the VLE structures represent on histology? The aims were therefore to identify VLE features of Barrett's neoplasia and to develop a VLE prediction score. We used …
Tag: GIE
Over-the-scope clip-assisted endoscopic full-thickness resection
Post written by Louis M. Wong Kee Song from the Mayo Clinic. The aim of the study was to evaluate the efficacy and safety of over-the-scope clip-assisted endoscopic full-thickness resection (EFTR) technique for removal of epithelial and subepithelial lesions in the GI tract. EFTR allows for definitive diagnosis and treatment of select subepithelial and epithelial …
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Overbooking and recruitment increases uptake of appointments among African American patients
Post written by Folasade P. May, MD, PhD, from the Greater Los Angeles Veterans Affairs Network and UCLA Vatche and Tamar Manoukian Division of Digestive Diseases. African Americans see several disparities in healthcare utilization and healthcare outcomes. These disparities also occur in utilization of common gastroenterological procedures. African Americans are less likely than white Americans …
Clinical impact of narrow-band imaging magnifying endoscopic classification of colorectal tumors
Post written by Shinji Tanaka, MD, PhD, from Endoscopy and Medicine, Graduate School of Biomedical & Health Sciences, Hiroshima University, Japan. By JNET classification using magnifying observation, it will be possible to characterize the lesions of NICE Type 2 more in detail. NICE Type 2 includes various lesion such as dysplasia, superficial submucosal carcinoma, and …
A prospective multicenter study of submucosal injection
Post written by Tae Hoon Lee, MD, PhD, and Jong Jin Hyun, MD, PhD, from the SoonChunHyang University School of Medicine and Korea University College of Medicine. In technical aspects of endoscopic papillectomy, whether submucosal injection papillectomy should be performed is still debatable. Injecting saline solution or a diluted epinephrine solution into the submucosal layer …
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Impact of endoscopic papillary large-balloon dilation
Post written by Young Koog Cheon, MD, PhD, from the Digestive Disease Center, Department of Internal Medicine, Konkuk University School of Medicine in South Korea. Endoscopic papillary balloon dilation (EPBD) using balloons with a diameter of less than 8mm is considered to preserve papillary function. However, it is still unknown whether papillary function is preserved …
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Adenoma recurrence after piecemeal colonic EMR is predictable
Post written by David J. Tate, MA (Cantab), MBBS, MRCP, from Westmead Hospital, Department of Gastroenterology and Hepatology, and Westmead Campus, University of Sydney Medical School, Sydney, Australia. Recurrence is the main limitation of wide-field endoscopic mucosal resection (EMR) for large laterally spreading colonic lesions (LSL). We aimed to derive a set of clinically useful …
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A standardized imaging protocol is accurate in detecting recurrence after EMR
Post written by Lobke Desomer, MD, from Westmead Hospital, Department of Gastroenterology and Hepatology, Sydney, NSW, Australia. Endoscopic mucosal resection (EMR) is an increasingly used, safe, and effective technique for the removal of large laterally spreading colorectal lesions ≥20 mm. At present, EMR is seen as a 2-stage procedure with the first surveillance colonoscopy at …
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Classification of nuclear morphology in endocytoscopy of colorectal neoplasms
Post written by Toyoki Kudo, MD, PhD, from the Digestive Disease Center, Showa University Northern Yokohama Hospital, Yokohama, Japan. Endoscopic diagnosis makes it possible to differentiate between colorectal carcinomas with slight submucosal invasion (SM-s), defined as carcinomas with a vertical invasion depth of less than 1000 µm in the submucosal layer, and massive submucosal invasion …
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Efficacy and safety outcomes of multimodal endoscopic eradication therapy
Post written by Madhav Desai, MD, MPH, and Prateek Sharma, MD, from the University of Kansas Medical Center. Barrett’s esophagus increases your risk for dysplastic changes that can turn into cancer. This subject has drawn our attention in last 2 decades with its rising prevalence, and now, we are in an era in which we …
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