The American Society for Gastrointestinal Endoscopy has released an updated guideline on screening and surveillance of Barrett's esophagus, aiming to improve patient outcomes. The guideline addresses various endoscopic procedures and technologies used in screening and surveillance, including advanced imaging and sampling modalities.
The report highlights the expanding role of interventional inflammatory bowel disease (IBD) endoscopy in managing complex conditions, such as strictures, fistulas, and colitis-associated neoplasia. This approach can help reduce or postpone surgical resection and treat postoperative adverse events.
A study found a significant increase in high-grade dysplasia and esophageal adenocarcinoma among patients with Barrett's esophagus over the past 25 years. The prevalence of these conditions increased despite a decrease in BE length, highlighting the importance of careful examination during index endoscopy.
The American Society for Gastrointestinal Endoscopy has released new guidelines for the use of endoscopic eradication therapy in patients with Barrett's esophagus, a precursor to esophageal adenocarcinoma. The guidelines support evidence-based recommendations and clinical guidelines addressing key issues related to Endoscopic Eradicati...
The summit brought together experts to define endoscopic therapies in obesity management and reframe the debate around obesity as a chronic disease. Key findings include the need for public health measures, reduced stigma, and increased collaboration among medical specialties.
Two new studies evaluate the safety and effectiveness of endoscopic submucosal dissection (ESD) and liquid nitrogen spray cryotherapy (LNSCT) in treating Barrett's esophagus. ESD was found to have high en-bloc and curative resection rates, while LNSCT showed long-term efficacy in eliminating dysplasia and intestinal metaplasia.
A simpler biopsy procedure has been developed to reduce stress and improve patient care during gastrointestinal endoscopy. The new method, called endoscopic multiple biopsy (MB), allows for faster diagnosis with equal quality results.
The task force ranked tests into three tiers according to the strength of the recommendation for average-risk people. Colonoscopy is highly sensitive for cancer and precancerous lesions, while fecal immunochemical testing (FIT) is non-invasive and lower-cost but must be repeated annually. The new guidelines also recommend starting scre...
A new study published in Gastrointestinal Endoscopy found that capsule endoscopy can effectively rule out active upper GI bleeding or high-risk lesions in patients presenting with symptoms of possible UGIB. This reduces unnecessary hospital admissions and improves patient outcomes.
A new study found that plastic stents provide similar outcomes to metal stents in patients with resectable malignant biliary obstruction. The study suggests that plastic stents may be a more cost-effective option, making them a preferable choice for patients with this condition.
A new procedure using a 22-gauge needle improves the diagnosis of autoimmune pancreatitis (AIP) through microscopic examination of tissue samples. Researchers successfully diagnosed AIP in 58% of patients using this method, offering a solution for distinguishing AIP from pancreatic cancer.
A large single-center study found that EUS-FNA is beneficial for diagnosing malignant BD-IPMNs, particularly those with suspicious features missed by CT/MRI. The procedure also improved long-term outcomes for patients with malignant lesions, reducing recurrence risk.
A study published in GIE: Gastrointestinal Endoscopy found that patients with pancreatic cysts are at a significantly increased risk of developing pancreatic cancer, with an estimated 19.64 times higher risk compared to those without cysts.
A study found patients with flat adenomas are more likely to have large and advanced adenomas as well as multiple adenomas. This may require more frequent screenings for these patients. Colonoscopy is an effective screening test for colon cancer, allowing doctors to remove precancerous polyps.
A study published in Gastrointestinal Endoscopy found ESD to be a safe and effective treatment for superficial pharyngeal cancer, achieving an en bloc resection rate of 100% and complete resection rate of 79.5%. The procedure showed minimal side effects, with a three-year overall survival rate of 97.7%.
A study found that examining the right side of the colon while patients lie on their left side increases polyp and adenoma detection. This position change also improved distension of the colon, allowing for better visualization. The results suggest a more effective tool for ongoing surveillance and prevention.
The FDA has approved two new endoscopic bariatric therapies for treating obesity, providing patients with a minimally invasive alternative to surgery. Endoscopic bariatric therapies offer a viable option for patients who have been unsuccessful at weight loss with diet and exercise.
Patients whose colorectal cancer is detected during a screening colonoscopy tend to live longer than those who wait until symptoms appear. The study found that these patients had cancer at an earlier stage and were more likely to survive beyond the study period, with about 55% surviving beyond the time of diagnosis.
Research on gender in GI publishing landscape reveals growing proportion of female first authors, but senior authors still lag behind. The study found a significant association between the gender of the lead and senior author.
The ASGE Foundation presented various awards to recognize outstanding contributions to the field of gastroenterology and endoscopy. The awards included Rudolf V. Schindler Award, Distinguished Service Awards, and Master Endoscopist Award among others.
A meta-analysis found intragastric injection of botulinum toxin A effective for treating obesity, with significant weight loss in treated patients compared to placebo. Additionally, a study concluded that flexible endoscopes can be stored for up to 21 days after reprocessing without microbial colonization
The study found that over-the-scope clip (OTSC) placement is a safe and effective therapy for closing gastrointestinal (GI) defects. Clinical success rates ranged from 90% for perforations to 73% for leaks, with successful closure of fistulae being less than half the patients.
African Americans in a VA health-care network have low participation in colorectal cancer screening, despite similar access to care. The study found that individuals with established primary care were nearly four times more likely to have had at least one CRC screening test.
Researchers found that patients with Barrett's esophagus and low-grade dysplasia have a high incidence rate of esophageal adenocarcinoma, while metabolic syndrome and smoking heighten concerns regarding colorectal cancer screening in men. A new guideline for endoscopy in patients with lower gastrointestinal bleeding is also introduced.
A systematic review compared the efficacy and safety of radiofrequency ablation (RFA) and complete endoscopic resection (EMR) for dysplastic Barrett's esophagus. Both treatments were found to be effective in short-term treatment, but RFA had lower short-term adverse event rates. Long-term esophageal strictures were more common with EMR.
The ASGE held its tenth annual Crystal Awards to recognize contributors to the field of endoscopy. Award winners include Jerome H. Siegel for his accomplishments in research, teaching, and service, as well as Ikuo Hirano for basic and clinical endoscopic technology research.
According to a new study, endoscopists' recommendations for surveillance colonoscopy timing are consistent with guidelines in approximately 90% of cases. Quality of bowel preparation was strongly associated with adherence to guideline recommendations.
A study published in GIE: Gastrointestinal Endoscopy found that cold snare polypectomy significantly reduces the risk of delayed bleeding in patients taking anticoagulants. The procedure outperformed conventional polypectomy in removing small colorectal polyps without causing significant harm to submucosal vessels.
A new study shows that in vivo endomicroscopy improves the detection of Barrett's esophagus-related neoplasia when used with high-definition white-light endoscopy, reducing unnecessary mucosal biopsies and potentially changing patient care. The approach involves real-time endoscopic diagnosis and imaging-guided therapy.
The American Society for Gastrointestinal Endoscopy (ASGE) has issued guidelines for safety in the gastrointestinal endoscopy unit, focusing on infection control and procedure protocols. The guidelines aim to standardize safety efforts within GI endoscopy units, following changes in Ambulatory Surgical Center Conditions for Coverage.
A new study reports that most colon polyps referred for surgery can be successfully resected endoscopically. The procedure had low adverse event rates and high recurrence rates, but recurrences were treatable. The findings suggest a shift towards outpatient repeat colonoscopy in patients with polyps without cancer.
The study found that endoscopic ultrasound-guided drainage with a combination of a nasocystic drain and transmural stents is more effective than drainage with stents alone in patients with pancreatic pseudocysts containing viscous solid debris. The procedure resulted in lower stent occlusion rates and better clinical outcomes compared ...
Fecal microbiota transplantation (FMT) has shown remarkable cure rates for recurrent C. difficile infection, with up to 92% of patients cured and an astounding 98% secondary cure rate. FMT also treats various GI disorders, including inflammatory bowel disease and irritable bowel syndrome.
A new study shows that using a quarterly report card improves colonoscopy quality indicators. Colonoscopy procedures have higher adenoma detection rates (53.9%) and cecal intubation rates (98.1%) after implementing the program, with increased detection of proximal adenomas.
The American Society for Gastrointestinal Endoscopy (ASGE) will honor important contributions to the field of endoscopy during the ninth annual ASGE Crystal Awards on May 19, 2013. The event recognizes leaders, researchers, and educators who have strengthened the specialty and the Society.
A study reports that flexible endoscopic treatment of Zenker's diverticulum using a soft diverticuloscope achieves clinical remission in the majority of cases. The technique demonstrates long-term efficacy and has a lower risk of adverse events compared to open surgery or other endoscopic stapling techniques.
A new study found that average-risk screening adenoma detection rates are significantly higher than current guidelines suggest, with women having a 25.4% risk and men having a 41.2% risk. Overall advanced-pathology adenoma detection was also higher in men, highlighting the need for vigilance in identifying patients with adenomas to pre...
The GIE special issue discusses the management of serrated colon polyps, including risk factors and management recommendations. Prophylactic clip closure is shown to reduce delayed postpolypectomy hemorrhage in large sessile or flat lesions.
A study from researchers at the Hospital of the University of Pennsylvania reports that endoluminal therapies combining resection and ablation techniques have a high success rate in eradicating Barrett's esophagus, with durable results. Persistent vigilant surveillance is required due to recurrence risks.
A new study found that EMR before RFA is a safe and effective treatment option for patients with nodular Barrett's esophagus and advanced neoplasia. The performance of EMR before RFA was not associated with a diminished likelihood of success or increased stricture rate compared to RFA alone.
The American Society for Gastrointestinal Endoscopy (ASGE) has initiated an effort to address the use of endoscopy simulators for training and skills assessment. The PIVI committee reviewed current literature on simulator use in endoscopy and assessed data requirements for wider adoption.
A new study found that split-dose preparation significantly improved polyp detection rates and adenoma detection rates, as well as the quality of bowel prep and colonoscopy completion rates. This approach involves dividing the preparation into two doses, taken before and after the procedure, to improve patient compliance and efficacy.
A study using narrow band imaging found high accuracy for predicting polyp type and suggests leaving distal colon hyperplastic polyps in place with acceptable accuracy. The technology improved visualization of mucosal characteristics, enabling real-time assessment of polyp type.
The ASGE initiative focuses on developing guidelines for real-time imaging of Barrett's esophagus, addressing the need for more accurate surveillance protocols. High-risk individuals require regular endoscopy screenings, but current methods have shortcomings due to dysplasia and cancer sampling errors.
A Swiss study found that colonoscopy with polypectomy significantly reduces colorectal cancer incidence and mortality. The screened group had 12 cases, while the non-screened group had 213 cases, resulting in lower cancer-related death rates.
A new study demonstrates the potential of natural language processing (NLP) to measure performance on colonoscopy quality measures. The NLP-based computer software application efficiently analyzed a large sample of colonoscopy reports, revealing clear variation in performance even within a highly regarded academic health care system.
The Multisociety Sedation Curriculum for Gastrointestinal Endoscopy provides a comprehensive framework for training gastroenterologists in procedure sedation. The curriculum emphasizes the importance of practice and research based on ethical principles, aiming to balance patient comfort with safety.
The ASGE Crystal Awards recognize notable achievements in endoscopic research, teaching, and service. This year's honorees include Dennis M. Jensen, MD, for the Rudolf V. Schindler Award, and Ibrahim Mostafa, MD, for the International Service Award.
Researchers found unsedated transnasal endoscopy to be a safe and well-tolerated method for screening esophageal disease in a primary care population. The study showed high diagnostic yields, low procedure times, and minimal anxiety, making it an attractive alternative to standard upper endoscopy.
A study found the diagnostic yield of colonoscopy for melena after a nondiagnostic upper endoscopy to be 4.8 percent, significantly lower than previously reported. The rate of therapeutic intervention was also very low at 1.7 percent, suggesting that most procedures are diagnostic-only and can be performed on an elective basis.