iGIE最新文献

{"title":"Dueling capsules: novel devices for GI bleeding diagnostics","authors":"Shuji Mitsuhashi MBBS, Andrew C. Storm MD","doi":"10.1016/j.igie.2024.04.018","DOIUrl":"https://doi.org/10.1016/j.igie.2024.04.018","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 178-179"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000517/pdfft?md5=6265d4b7b2806db2f3ddc7de71017873&pid=1-s2.0-S2949708624000517-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141486416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"“Through-stent enterography”: first experience with a novel technique intended to improve safety in endosonography-guided gastroenterostomy","authors":"Markus Heilmaier MD ,&nbsp;Dominik Schulz MD ,&nbsp;Christoph Schlag MD ,&nbsp;Rami Abbassi MD ,&nbsp;Mayada Elnegouly MD ,&nbsp;Marc Ringelhan MD ,&nbsp;Tobias Lahmer MD ,&nbsp;Ulrich Mayr MD ,&nbsp;Roland M. Schmid MD ,&nbsp;Matthias Treiber MD ,&nbsp;Mohamed Abdelhafez MD","doi":"10.1016/j.igie.2024.04.006","DOIUrl":"10.1016/j.igie.2024.04.006","url":null,"abstract":"<div><h3>Background and Aims</h3><p>Endosonography-guided gastroenterostomy (EUS-GE) is a novel technique to manage symptoms of gastric outlet obstruction. Major challenges are the high mobility of intestinal loops and the transient loss of endosonographic visibility during the puncture. This can lead to stent misdeployment, which can be associated with potentially fatal adverse events. By injecting contrast medium through the guidewire channel of the lumen-apposing metal stent application system under fluoroscopic guidance, a positive enterogram can confirm the position of the stent inside the intestinal lumen before its deployment. The aim of this study was to describe this novel technique and to assess its feasibility.</p></div><div><h3>Methods</h3><p>The data of 39 consecutive patients undergoing EUS-GE with “through-stent-enterography” from July 2020 to March 2022 were retrospectively collected and analyzed. The primary end point was technical success. Secondary end points were adverse events, reinterventions, and clinical success.</p></div><div><h3>Results</h3><p>Technical success was achieved in all cases (n = 39). In 2 cases, a second puncture was required to place the stent successfully. In 1 case, misdeployment could be avoided after a negative enterogram. In the other case, misdeployment occurred despite a positive enterogram and reintervention was needed. Clinical success was achieved in 92.3% (n = 36). No major adverse events or mortalities were encountered.</p></div><div><h3>Conclusions</h3><p>“Through-stent enterography” after the puncture to confirm the correct position of the stent in the small bowel is a novel and simple technique that can potentially reduce the risk of misdeployment of the stent.</p></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 247-253"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000396/pdfft?md5=d874011692bc9fe29db652d513cc2728&pid=1-s2.0-S2949708624000396-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140792393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Unveiling the unsealed: modified Zenker’s peroral endoscopic myotomy with open incision","authors":"Farimah Fayyaz MD,&nbsp;Eric Swei MD,&nbsp;Mouen Khashab MD","doi":"10.1016/j.igie.2024.04.004","DOIUrl":"10.1016/j.igie.2024.04.004","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 188-190"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000372/pdfft?md5=96d5e5fe774fe6391e14b51f907f4417&pid=1-s2.0-S2949708624000372-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140761861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of spray coagulation in first-space endoscopy: a case series","authors":"Marco Alburquerque MD, MSc ,&nbsp;Alba Vargas MD ,&nbsp;Cesar Ledezma MD ,&nbsp;Antonella Smarrelli MD ,&nbsp;Eva Pijoan MD ,&nbsp;Montserrat Figa MD ,&nbsp;Ferrán González-Huix MD, PhD","doi":"10.1016/j.igie.2024.02.007","DOIUrl":"10.1016/j.igie.2024.02.007","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 182-185"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000190/pdfft?md5=c9000afeb6f2b0edf609bf96f290d8a8&pid=1-s2.0-S2949708624000190-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139821839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Learning curve of EUS-guided biliary duct drainage: systematic review and meta-analysis","authors":"Ishaan Vohra MD ,&nbsp;Harishankar Gopakumar MD ,&nbsp;Navjit Singh MD ,&nbsp;Neil Sharma MD ,&nbsp;Srinivas R. Puli MD","doi":"10.1016/j.igie.2024.02.009","DOIUrl":"10.1016/j.igie.2024.02.009","url":null,"abstract":"<div><h3>Background and Aims</h3><p>In recent years, EUS-guided biliary drainage (EUS-BD) has emerged as an alternative to ERCP. However, a recent meta-analysis of randomized controlled trials suggests comparable efficacy and safety between EUS and conventional ERCP for biliary drainage, highlighting the growing preference for EUS-BD. This study aims to contribute to this evolving landscape by investigating the technical and clinical success of EUS-BD and defining its learning curve.</p></div><div><h3>Methods</h3><p>A comprehensive search of electronic databases was conducted from January 2003 to November 2022 for publications evaluating the learning curve of EUS-BD. Pooled proportions were calculated using both fixed-effects and random-effects models, with a 95% confidence interval.</p></div><div><h3>Results</h3><p>The initial search yielded 380 studies, of which 88 relevant articles were reviewed. Data from 3 studies (261 patients) meeting inclusion criteria were analyzed. Proficiency in EUS-BD was achieved at 35.51 procedures. Pooled technical success was 92.45%, and clinical success was 84.84%. Adverse events occurred in 18.46% of cases, with specific rates for bleeding (4.31%), perforation (3.03%), sepsis (7.61%), procedure-related death (.31%), and all-cause mortality (2.29%). No bias was detected using the Egger bias indicator, which gave a value of –6.0 with a <em>P</em> = .17.</p></div><div><h3>Conclusions</h3><p>Our analysis revealed an EUS-BD proficiency at around 35 procedures, with a mean postproficiency procedure length of 68.07 minutes. Adverse events notably decrease after 66 procedures, informing a safety-driven recommendation: Endosonographers should complete a minimum of 60 supervised procedures before independent EUS-BD practice, enhancing procedural safety and proficiency.</p></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 202-209"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000219/pdfft?md5=e91cf7e5e7f7276e716b733718cd18b8&pid=1-s2.0-S2949708624000219-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140279984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Freezing our way to a cure?","authors":"Linda S. Lee MD ,&nbsp;Bill Busby JD ,&nbsp;Vivek Kaul MD","doi":"10.1016/j.igie.2024.04.013","DOIUrl":"https://doi.org/10.1016/j.igie.2024.04.013","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 307-312"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000463/pdfft?md5=4456e9159cab5e035795af9be06b6336&pid=1-s2.0-S2949708624000463-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141486426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A brave new world: building the endoscopic resection bridge between Japan and the United States","authors":"Hiroyuki Aihara MD, PhD, FASGE ,&nbsp;Phillip S. Ge MD","doi":"10.1016/j.igie.2024.04.012","DOIUrl":"https://doi.org/10.1016/j.igie.2024.04.012","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 313-328"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000451/pdfft?md5=78a156e4c6b1ebde417a076f221ee219&pid=1-s2.0-S2949708624000451-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141486514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How to incorporate endohepatology into your bariatric practice","authors":"Pichamol Jirapinyo MD, MPH","doi":"10.1016/j.igie.2024.04.011","DOIUrl":"10.1016/j.igie.2024.04.011","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 293-301"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S294970862400044X/pdfft?md5=4e223ee344f86a484ddf880bd24898c3&pid=1-s2.0-S294970862400044X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141037139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of prophylactic biliary stent in reducing recurrence of adverse events among patients awaiting cholecystectomy: an analysis of the Nationwide Readmissions Database","authors":"Saurabh Chandan MD ,&nbsp;Bhanu Pinnam MD ,&nbsp;Dushyant Singh Dahiya MD ,&nbsp;Babu P. Mohan MD ,&nbsp;Daryl Ramai MD ,&nbsp;Antonio Facciorusso MD, PhD ,&nbsp;Justin Paul Canakis DO ,&nbsp;Mohammad Bilal MD ,&nbsp;Harshal Mandavdhare MBBS, MD, DM ,&nbsp;Douglas G. Adler MD","doi":"10.1016/j.igie.2024.04.007","DOIUrl":"10.1016/j.igie.2024.04.007","url":null,"abstract":"<div><h3>Background and Aims</h3><p>In patients awaiting cholecystectomy, the role of endoscopic biliary sphincterotomy (EST) with biliary stenting is controversial. We aimed to assess the impact of biliary stenting in these patients.</p></div><div><h3>Methods</h3><p>The Nationwide Readmissions Database (2016-2020) was queried to identify adult hospitalizations with cholelithiasis and choledocholithiasis that underwent ERCP with EST without biliary stenting (group 1) and biliary stenting (group 2). Readmission characteristics, post-ERCP pancreatitis (PEP), mean length of hospital stay (LOS), and mean total hospitalization charge (THC) were analyzed.</p></div><div><h3>Results</h3><p>For all biliary events, the risks of 30-day (1.18% vs .67%; adjusted hazard ratio [aHR], 1.78, 95% confidence interval [CI], 1.55-2.04; <em>P</em> &lt; .001), 60-day (2.12% vs 1.04%; aHR, 2.0; 95% CI, 1.82-2.28; <em>P</em> &lt; .001), and 90-day (2.66% vs 1.27%; aHR, 2.07; 95% CI, 1.86-2.30; <em>P</em> &lt; .001) readmissions were higher in group 2 than in group 1. Similarly, the risks of 30-, 60-, and 90-day readmissions for choledocholithiasis, cholecystitis, cholangitis, and gallstone pancreatitis, and mean LOS and THC were higher in group 2 than in group 1. After adjusting for confounders, group 2 had higher rates of readmission for PEP within 48 hours after hospital discharge (.05% vs .03%; adjusted odds ratio, 1.93; 95% CI, 1.05-3.52; <em>P</em> = .032) compared with group 1, whereas there was no statistical difference in the rates of PEP from 48 hours to 7 days after hospital discharge between the groups.</p></div><div><h3>Conclusions</h3><p>For biliary events, patients with biliary stenting had higher readmission risk, LOS, THC, and PEP within 48 hours after discharge compared with nonstented patients.</p></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 254-260"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000402/pdfft?md5=add0d93bcb621d9644d6793c3fe1d256&pid=1-s2.0-S2949708624000402-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140758072","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simulation-based training of endoscopic hemostasis for Japanese pediatric endoscopy learners: a pilot program","authors":"Takeshi Kanno MD, PhD ,&nbsp;Itaru Iwama MD ,&nbsp;Yutaka Hatayama MD, PhD ,&nbsp;Suguo Suzuki MD ,&nbsp;Yutaro Arata MSc ,&nbsp;Tomoyuki Koike MD, PhD ,&nbsp;Atsushi Masamune MD, PhD","doi":"10.1016/j.igie.2024.04.003","DOIUrl":"10.1016/j.igie.2024.04.003","url":null,"abstract":"<div><h3>Background and Aims</h3><p>Endoscopic hemostasis training, often in emergencies, can be challenging for pediatric endoscopists. This study aimed to establish hands-on seminar sessions using the novel clip hemostasis simulator and to explore the underlying concerns about endoscopic hemostasis among pediatric endoscopists and the potential of simulator-based training (SBT).</p></div><div><h3>Methods</h3><p>An SBT course was incorporated into seminars by the Japanese Society for Pediatric Gastroenterology, Hepatology, and Nutrition. Surveys using the visual analog scale (VAS; 0-100) completed by consenting pediatricians during 4 seminars from October 2021 to March 2023 were compared with responses of adult GI residents and junior residents.</p></div><div><h3>Results</h3><p>Fifty-two pediatric endoscopists (median age, 31 year; postgraduate year 7) were enrolled. A median VAS score of 47 (interquartile range [IQR], 23.5-65) for understanding endoscopic hemostasis was significantly lower than that of adult GI residents (median, 76; IQR, 58-82; <em>P</em> &lt; .001) and comparable with junior residents (median, 54; IQR, 50-65). Pediatric endoscopists' confidence in independently performing hemostasis was low, with a median score of 0 (IQR, 0-16.5), which was below adult GI residents (median, 67; IQR, 49-77; <em>P</em> &lt; .001) and junior residents (median, 11.5; IQR, 10-39; <em>P</em> = .014). Regarding skill enhancement by SBT, a median score of 94.5 showed high and no significant difference from junior residents and adult GI residents, respectively. All pediatric endoscopists expressed an interest in repeated SBT sessions.</p></div><div><h3>Conclusions</h3><p>Pediatric endoscopists were concerned about their competence in endoscopic hemostasis. The simplified SBT programs with the simulator may potentially improve their skills and confidence. (Clinical trial registration number: UMIN000035735.)</p></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"3 2","pages":"Pages 230-236"},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2949708624000360/pdfft?md5=7f12be75834b01ec8d1501196e7361bb&pid=1-s2.0-S2949708624000360-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140760893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}