journal
https://read.qxmd.com/read/38774861/white-light-computer-aided-optical-diagnosis-of-diminutive-colorectal-polyps-in-routine-clinical-practice
#1
JOURNAL ARTICLE
Emanuele Rondonotti, Irene Maria Bambina Bergna, Silvia Paggi, Arnaldo Amato, Alida Andrealli, Giulia Scardino, Giacomo Tamanini, Nicoletta Lenoci, Giovanna Mandelli, Natalia Terreni, SImone Rocchetto, Alessandra Piagnani, Dhanai Di Paolo, Niccolò Bina, Emanuela Filippi, Luciana Ambrosiani, Cesare Hassan, Loredana Correale, Franco Radaelli
Background and study aims Artificial Intelligence (AI) systems could make the optical diagnosis (OD) of diminutive colorectal polyps (DCPs) more reliable and objective. This study was aimed at prospectively evaluating feasibility and diagnostic performance of AI-standalone and AI-assisted OD of DCPs in a real-life setting by using a white light-based system (GI Genius, Medtronic Co, Minneapolis, Minnesota, United States). Patients and methods Consecutive colonoscopy outpatients with at least one DCP were evaluated by 11 endoscopists (5 experts and 6 non-experts in OD)...
May 2024: Endoscopy International Open
https://read.qxmd.com/read/38774860/hepaticogastrostomy-for-benign-indications-an-option-in-selected-cases
#2
EDITORIAL
Jacques Deviere
No abstract text is available yet for this article.
May 2024: Endoscopy International Open
https://read.qxmd.com/read/38707599/outcomes-following-duodenectomy-in-patients-with-familial-adenomatous-polyposis
#3
JOURNAL ARTICLE
Arthur S Aelvoet, Isabel Martin, James Cockburn, Cherryl Cabalit, Victoria Cuthill, Duncan Spalding, Olivier Busch, Barbara A J Bastiaansen, Susan K Clark, Evelien Dekker, Andrew Latchford
Background and study aims Some patients with familial adenomatous polyposis (FAP) and extensive duodenal polyposis or cancer require total duodenectomy. Regular postoperative endoscopic surveillance of the remaining jejunum and stomach is recommended, but little is known about the outcomes after this surgery. Patients and methods Patients with FAP who underwent either pancreatoduodenectomy (PD) or pancreas-preserving total duodenectomy (PPTD) were identified at two expert centers. Data about postoperative endoscopic surveillance outcomes were collected, as well as survival outcomes...
May 2024: Endoscopy International Open
https://read.qxmd.com/read/38707598/reply-to-chandrasekhara-and-aggarwal
#4
COMMENT
Matheus de Oliveira Veras, Diogo Turiani Hourneaux de Moura, Eduardo Guimarães Hourneaux de Moura
No abstract text is available yet for this article.
May 2024: Endoscopy International Open
https://read.qxmd.com/read/38707597/perspectives-on-biliary-radiofrequency-ablation-review-of-a-recent-meta-analysis
#5
JOURNAL ARTICLE
Manik Aggarwal, Vinay Chandrasekhara
No abstract text is available yet for this article.
May 2024: Endoscopy International Open
https://read.qxmd.com/read/38707596/plan-do-study-act-pdsa-interventions-to-improve-real-world-endoscopy-unit-productivity
#6
JOURNAL ARTICLE
Christopher Bradley, Matt Sumethasorn, Jin Sun Kim, Sarah Wang, Leslie Martinez, Megan Chang, Lillian Lemus, Behrod Katebian, Dara Bruce, Andy Lee, Rachel Baden, Hal Yee, James Buxbaum
Background and study aims The Plan-Do-Study Act (PDSA) ramp is a framework that uses initial small changes to build consensus and momentum for subsequent, iterative process improvement. Our aim was to study its impact on endoscopy unit efficiency and throughput. Methods Following a granular time-and-motion analysis to evaluate baseline performance (phase 1) we instituted successive interventions and measured their impact on core efficiency metrics including procedure volume and turnover time (phases 2-3). Results We identified that inefficiency in turnover of anesthesia-supported endoscopy was the most crucial issue...
May 2024: Endoscopy International Open
https://read.qxmd.com/read/38707595/adherence-to-follow-up-and-resource-use-after-abnormal-fit-screening-evaluation-of-the-danish-colorectal-cancer-screening-program
#7
JOURNAL ARTICLE
Susanne Fogh Jørgensen, Pernille Thordal Larsen, Rune Erichsen, Berit Andersen, Matejka Rebolj, Sisse Njor
Background and study aims The effectiveness of colorectal cancer screening programs depends on adherence to surveillance protocols for screening-positive individuals. We evaluated adherence in the Danish population-based screening program and estimated the volume of diagnostic resources required to achieve this adherence. Patients and methods In this register- and population-based study, we included individuals with a positive fecal immunochemical test (FIT) screening from 2014 to 2017 and followed them until mid-2022...
May 2024: Endoscopy International Open
https://read.qxmd.com/read/38707594/structural-factors-influencing-the-clinical-performance-of-0-025-inch-guidewires-for-pancreatobiliary-endoscopy-an-experimental-study
#8
JOURNAL ARTICLE
Takehiko Koga, Naoaki Tsuchiya, Yusuke Ishida, Takanori Kitaguchi, Keisuke Matsumoto, Makoto Fukuyama, Satoki Kojima, Norihiro Kojima, Fumihito Hirai
Background and study aims To develop a pancreatobiliary endoscopic guidewire with good clinical performance, an understanding of its structure is necessary. This study aimed to investigate the structural factors influencing the clinical performance of pancreatobiliary endoscopic guidewires. Methods Eight types of 0.025-inch guidewires were evaluated. The following structural properties were measured: tip length, tip deflection height, tip weight (TW), ratio of tip core weight to TW, shaft coating type (flat or uneven), outer diameter, and core wire diameter (CWD)...
May 2024: Endoscopy International Open
https://read.qxmd.com/read/38720905/impact-of-temperature-controlled-endobiliary-radiofrequency-ablation-for-inoperable-hilar-cholangiocarcinoma-a-propensity-score-matched-analysis
#9
JOURNAL ARTICLE
Il Sang Shin, Jong Ho Moon, Yun Nah Lee, Jun Ho Myeong, Tae Hoon Lee, Jae Kook Yang, Young Deok Cho, Sang-Heum Park
Background and study aims Endobiliary radiofrequency ablation (RFA) can be an effective palliative treatment, but few studies have evaluated its outcomes for malignant obstruction in the hilar bile duct, which has a thin wall and complex duct-vascular contacts. We evaluated the efficacy and safety of temperature-controlled endobiliary RFA, which can reduce the risk of unintentional thermal injury by maintaining the temperature of the ablation segment, in the treatment of inoperable hilar cholangiocarcinoma (CCA)...
April 2024: Endoscopy International Open
https://read.qxmd.com/read/38681148/efficacy-and-safety-of-the-water-pressure-method-for-endoscopic-submucosal-dissection-in-superficial-pharyngeal-cancer
#10
JOURNAL ARTICLE
Noriko Matsuura, Motohiko Kato, Kentaro Iwata, Kurato Miyazaki, Teppei Masunaga, Yoko Kubosawa, Mari Mizutani, Yukie Hayashi, Motoki Sasaki, Tomohisa Sujino, Kaoru Takabayashi, Teppei Akimoto, Yusaku Takatori, Atsushi Nakayama, Mariko Sekimizu, Hiroyuki Ozawa, Naohisa Yahagi
Background and study aims Superficial pharyngeal cancers can be cured with transoral surgery (TOS), which preserves organ function and quality of life. Pharyngeal endoscopic submucosal dissection (ESD) is challenging to perform because of limited maneuverability and complex anatomical features. The water pressure method (WPM) is useful for natural traction techniques during ESD and is potentially useful for pharyngeal ESD. This study aimed to investigate the short-term outcomes of WPM-ESD for pharyngeal lesions...
April 2024: Endoscopy International Open
https://read.qxmd.com/read/38681147/routine-esophagram-to-detect-early-esophageal-leakage-after-peroral-endoscopic-myotomy
#11
JOURNAL ARTICLE
Elise M Wessels, Sara Nullens, Barbara A J Bastiaansen, Paul Fockens, Gwen M C Masclee, Albert J Bredenoord
No abstract text is available yet for this article.
April 2024: Endoscopy International Open
https://read.qxmd.com/read/38681146/using-a-customized-gpt-to-provide-guideline-based-recommendations-for-management-of-pancreatic-cystic-lesions
#12
JOURNAL ARTICLE
Yuri Gorelik, Itai Ghersin, Tarek Arraf, Offir Ben-Ishay, Amir Klein, Iyad Khamaysi
Background and study aims Rising prevalence of pancreatic cysts and inconsistent management guidelines necessitate innovative approaches. New features of large language models (LLMs), namely custom GPT creation, provided by ChatGPT can be utilized to integrate multiple guidelines and settle inconsistencies. Methods A custom GPT was developed to provide guideline-based management advice for pancreatic cysts. Sixty clinical scenarios were evaluated by both the custom GPT and gastroenterology experts. A consensus was reached between experts and review of guidelines and the accuracy of recommendations provided by the custom GPT was evaluated and compared with experts...
April 2024: Endoscopy International Open
https://read.qxmd.com/read/38681145/vade-mecum-in-ercp-a-roadmap-to-success-tips-from-experts-for-excelling-in-ercp
#13
JOURNAL ARTICLE
Sara Teles de Campos, Marianna Arvanitaki, Ivo Boskoski, Jacques Deviere
Background and study aims Training in endoscopic retrograde cholangiopancreatography (ERCP) is operator-dependent and traditionally, the apprenticeship model, in which experts are considered to be role models, has been adopted for it. The aim of this study was to develop a practical guide compiling tips from experts to help guide trainees to succeed in ERCP. Methods A web-based survey was created to understand the professional development of ERCP experts, the investments they made, the obstacles they overcame, and the quotes that guided their professional life...
April 2024: Endoscopy International Open
https://read.qxmd.com/read/38681144/efficacy-and-safety-of-a-new-low-volume-peg-with-citrate-and-simethicone-bowel-preparation-for-pediatric-elective-colonoscopy-phase-3-rct
#14
JOURNAL ARTICLE
Giusy Russo, Patrizia Alvisi, Claudio Romano, Giulia Angelino, Julie Lemale, Alain Lachaux, Paolo Lionetti, Genevieve Veereman, Cosimo Ruggiero, Michela Padovani, Raffaella Tacchi, Fabio Cenci, Salvatore Cucchiara, Salvatore Oliva
Background and study aims Currently available polyethylene glycol (PEG)-based preparations continue to represent a challenge in children. The aim of this study was to compare the efficacy and safety of a new low-volume PEG preparation with a conventional PEG-electrolyte solution (PEG-ES) in children and adolescents. Patients and methods This was a multicenter, randomized, observer-blind, parallel-group, phase 3 clinical trial, where patients were randomized between PMF104 (Clensia) and a conventional PEG-ES (Klean-Prep), and stratified by age stratum (2 to <6; 6 to < 12;12 to <18 years)...
April 2024: Endoscopy International Open
https://read.qxmd.com/read/38654968/audit-of-hemostatic-clip-use-after-colorectal-polyp-resection-in-an-academic-endoscopy-unit
#15
JOURNAL ARTICLE
Easton M Stark, Rachel E Lahr, Jeremiah Shultz, Krishna C Vemulapalli, John J Guardiola, Douglas K Rex
Background and study aims Prophylactic closure of endoscopic resection defects reduces delayed hemorrhage after resection of non-pedunculated colorectal lesions ≥ 20 mm that are located proximal to the splenic flexure and removed by electrocautery. The risk of delayed hemorrhage after cold (without electrocautery) resection is much lower, and prophylactic clip closure after cold resection is generally unnecessary. The aim of this study was to audit clip use after colorectal polyp resection in routine outpatient colonoscopies at two outpatient centers within an academic medical center...
April 2024: Endoscopy International Open
https://read.qxmd.com/read/38654967/deep-learning-and-capsule-endoscopy-automatic-multi-brand-and-multi-device-panendoscopic-detection-of-vascular-lesions
#16
JOURNAL ARTICLE
Miguel Mascarenhas, Miguel Martins, João Afonso, Tiago Ribeiro, Pedro Cardoso, Franscisco Mendes, Patrícia Andrade, Helder Cardoso, Miguel Mascarenhas-Saraiva, João Ferreira, Guilherme Macedo
Background and study aims Capsule endoscopy (CE) is commonly used as the initial exam for suspected mid-gastrointestinal bleeding after normal upper and lower endoscopy. Although the assessment of the small bowel is the primary focus of CE, detecting upstream or downstream vascular lesions may also be clinically significant. This study aimed to develop and test a convolutional neural network (CNN)-based model for panendoscopic automatic detection of vascular lesions during CE. Patients and methods A multicentric AI model development study was based on 1022 CE exams...
April 2024: Endoscopy International Open
https://read.qxmd.com/read/38654966/computer-aided-detection-for-colorectal-neoplasia-in-randomized-and-non-randomized-studies
#17
JOURNAL ARTICLE
Yuichi Mori, Harsh K Patel, Alessandro Repici, Douglas K Rex, Prateek Sharma, Cesare Hassan
No abstract text is available yet for this article.
April 2024: Endoscopy International Open
https://read.qxmd.com/read/38654965/quantification-of-interstitial-cells-of-cajal-and-fibrosis-during-gastric-per-oral-endoscopic-myotomy-and-its-association-with-clinical-outcomes
#18
JOURNAL ARTICLE
Dennis Yang, Muhammad Khalid Hasan, BahaAldeen Bani Fawwaz, Aimen Farooq, Yiyang Zhang, Hafiz M Khan, Tony S Brar, Sanmeet Singh, Artur Viana, Gurdeep Singh, Kambiz Kadkhodayan, Mustafa A Arain, Natalie Cosgrove, Deepanshu Jain, Irteza Inayat, Charanjeet Singh
Background and study aims Alterations to interstitial cells of Cajal (ICC) and collagen fibrosis have been implicated in the pathogenesis of gastroparesis. We aimed to evaluate the feasibility and safety of pyloric muscle sampling during gastric peroral endoscopic myotomy (G-POEM) and the association between pyloric ICC density and degree of fibrosis with clinical outcomes. Patients and methods This was a single-center prospective study of gastroparetic patients who underwent G-POEM and intraprocedural pyloric muscle biopsies between January 2022 and April 2023...
April 2024: Endoscopy International Open
https://read.qxmd.com/read/38654964/novel-treatment-with-double-scope-technique-for-disconnected-pancreatic-duct-syndrome-with-external-pancreatic-fistula
#19
JOURNAL ARTICLE
Vikas Singla, Pankaj Kumar Gupta, Pankaj Singh, Sawan Bopanna, Muzaffer Rashid Shawl, Harish Soni, Akash Goel, Kaushal Madan, Pallavi Garg, Richa Bhargava
Background and study aims External pancreatic fistula in association with disconnected pancreatic duct syndrome is a common sequelae of the percutaneous step-up approach for infected pancreatic necrosis and is associated with significant morbidity. The present study aimed to report the initial outcome of a novel technique of two-scope guided tractogastrostomy for management of this condition. Patients and methods The present study was a retrospective analysis of data from patients with external pancreatic fistula and disconnected pancreatic duct syndrome, who underwent two-scope-guided tractogastrostomy...
April 2024: Endoscopy International Open
https://read.qxmd.com/read/38634013/correction-potential-for-expanded-application-of-endoscopic-hand-suturing-a-pilot-study-of-15-cases
#20
Kazutoshi Higuchi, Osamu Goto, Eriko Koizumi, Shun Nakagome, Tsugumi Habu, Yumiko Ishikawa, Kumiko Kirita, Hiroto Noda, Takeshi Onda, Jun Omori, Naohiko Akimoto, Katsuhiko Iwakiri
[This corrects the article DOI: 10.1055/a-2284-9492.].
April 2024: Endoscopy International Open
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