iGIE最新文献

{"title":"The value of professional society involvement and its influence on a successful career in academic advanced endoscopy","authors":"Steven A. Edmundowicz MD, MASGE , Phillip S. Ge MD","doi":"10.1016/j.igie.2026.01.012","DOIUrl":"10.1016/j.igie.2026.01.012","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 1","pages":"Pages 75-95"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovative use of a long transparent cap for closure of large duodenal defects post endoscopic full-thickness resection: a case report","authors":"Nan Dai MD,&nbsp;Chang-Qing Guo MD, PhD,&nbsp;Shan-Shan Zhu MD,&nbsp;Saif Ullah PhD,&nbsp;Xin-Guang Cao MD, PhD","doi":"10.1016/j.igie.2025.07.007","DOIUrl":"10.1016/j.igie.2025.07.007","url":null,"abstract":"<div><div>Securing large duodenal defects after endoscopic full-thickness resection (EFTR) is challenging because of anatomic constraints. This case report describes an innovative closure technique using a modified long transparent cap in a 48-year-old man who underwent EFTR for a 2.0 × 2.5-cm duodenal bulb gastrointestinal stromal tumor, resulting in a 1.5 × 2.5-cm full-thickness defect. Titanium clips closure failed. A long ligation device cap (inner diameter 0.9 cm, outer diameter 1.1 cm) was used to suction opposing mucosal edges, enabling precise titanium clip placement under endoscopic guidance. The cap-assisted technique achieved secure defect closure. Margin-negative resection was confirmed, and the patient recovered without adverse events. To our knowledge, we report the first use of a long transparent cap that helped successfully close a large duodenal defect following EFTR, offering a practical alternative in anatomically challenging locations or resource-limited settings.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 1","pages":"Pages 59-62"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570708","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic ultrasound–guided pancreaticogastrostomy to facilitate retrieval of a proximally migrated pancreatic duct stent in a post-Whipple patient: a case report","authors":"Romina Roshanshad MD ,&nbsp;Harjot K. Bedi MD ,&nbsp;Farimah Fayyaz MD ,&nbsp;Mouen Khashab MD","doi":"10.1016/j.igie.2025.07.010","DOIUrl":"10.1016/j.igie.2025.07.010","url":null,"abstract":"<div><div>Proximal migration of a pancreatic duct (PD) stent is a rare but challenging adverse event. This case describes an effective approach for retrieving a migrated PD stent. A 70-year-old man after Whipple surgery presented with recurrent pancreatitis. Computed tomography revealed a dilated PD, a pancreaticojejunal anastomotic stricture, and an internally migrated PD stent. A staged approach was initiated with endoscopic ultrasound–guided pancreaticogastrostomy and placement of a plastic pancreatic stent, which was then upsized to a fully covered self-expandable metal stent. Pancreatoscopy was used to visualize and retrieve the migrated stent. Balloon dilation of the pancreaticojejunal stricture was performed, followed by placement of a plastic pancreatic stent. The migrated stent was successfully retrieved, and the patient remained asymptomatic without recurrent pancreatitis. This case demonstrated that endoscopic ultrasound–guided pancreaticogastrostomy and stepwise dilation are an effective approach for pancreatoscopy and retrieval of a migrated PD stent in patients with altered anatomy.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 1","pages":"Pages 63-69"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Self-performed transnasal esophagogastroduodenoscopy in the standing position","authors":"Shigenori Masaki MD ,&nbsp;Chizuko Yamada RN","doi":"10.1016/j.igie.2025.04.004","DOIUrl":"10.1016/j.igie.2025.04.004","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 1","pages":"Pages 41-42"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of a novel therapeutic endoscope with expanded retroflexion angles for endoscopic submucosal dissection","authors":"George M. Wahba MD,&nbsp;Gene K. Liaw PA-C,&nbsp;Emmanuel Coronel MD,&nbsp;Jeffrey H. Lee MD,&nbsp;Phillip S. Ge MD","doi":"10.1016/j.igie.2025.07.004","DOIUrl":"10.1016/j.igie.2025.07.004","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"4 4","pages":"Pages 351-352"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145772027","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Resolution of severe ulcerative colitis–associated benign stricture with combined vedolizumab and endoscopic stricturotomy: a case report","authors":"Shanshan Wang MD,&nbsp;Bo Shen MD","doi":"10.1016/j.igie.2025.07.005","DOIUrl":"10.1016/j.igie.2025.07.005","url":null,"abstract":"<div><div>Ulcerative colitis (UC)-associated strictures, although infrequent, are complex to treat and often prompt surgical resection as a result of concerns about underlying malignancy. However, benign strictures resulting from the inflammation-induced fibrosis represent an important and underaddressed clinical scenario. Although endoscopic stricture therapy is well-established in Crohn’s disease–associated strictures, its use in UC has not been described in the literature, to our knowledge. We report a case of a benign colonic stricture in a UC patient after a severe flare who achieved clinical remission with vedolizumab. Endoscopic stricturotomy was performed, resulting in sustained luminal patency over a 2-year follow-up period. Serial biopsies showed no dysplasia. The patient remained in clinical and endoscopic remission. This case suggests that combined medical and endoscopic therapy may promote the resolution of UC-associated benign strictures.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"4 4","pages":"Pages 355-358"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145772029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An affixed, ingestible blood-sensing monitor for continuous monitoring after high-risk endoscopic procedures: a case series","authors":"Kimberly F. Schuster MD, MBA ,&nbsp;Alexandra Goad BM ,&nbsp;Steven N. Steinway MD, PhD","doi":"10.1016/j.igie.2025.09.008","DOIUrl":"10.1016/j.igie.2025.09.008","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Detecting postprocedural bleeding (PPB) after high-risk endoscopic interventions remains challenging. A fixed intraluminal bleeding sensor could improve PPB detection.</div></div><div><h3>Methods</h3><div>This case series included patients undergoing endoscopic retrograde cholangiopancreatography (ERCP) who were monitored for 24 to 48 hours by affixing a capsule-based bleeding sensor to the duodenal wall.</div></div><div><h3>Results</h3><div>Five patients underwent ERCP with sphincterotomy (n = 3) or ampullectomy (n = 2). The sensor was positive in 3 and negative in 2. Repeat endoscopy confirmed bleeding in 2 sensor-positive cases and 1 sensor-negative case, and hemostasis was successfully achieved. Sensor migration occurred in 3 cases. One patient with persistently negative readings was safely discharged. No adverse events occurred over 3 to 6 months of follow-up.</div></div><div><h3>Conclusions</h3><div>This pilot series supports the feasibility of a fixed capsule–based sensor for real-time PPB detection as an adjunct to standard monitoring. Larger studies are needed to validate effectiveness and optimize deployment.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"4 4","pages":"Pages 365-368"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145772032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A moonshot for diabetes and obesity","authors":"Linda S. Lee MD ,&nbsp;Jay Caplan BS, MBA ,&nbsp;Harith Rajagopalan MD, PhD","doi":"10.1016/j.igie.2025.09.013","DOIUrl":"10.1016/j.igie.2025.09.013","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"4 4","pages":"Pages 384-389"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145772034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A retrospective cohort study evaluating the impact of computer-aided detection on adenoma and polyp detection rates among nongastroenterologist endoscopists in a rural medical center","authors":"Pierce L. Claassen MD ,&nbsp;Dustene L. Johnston MSN, RN ,&nbsp;Benjamin J. Adkins MD ,&nbsp;Nancy B. Panko MD ,&nbsp;John S. Visger MD","doi":"10.1016/j.igie.2025.08.005","DOIUrl":"10.1016/j.igie.2025.08.005","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Disproportionate increases in colorectal cancer (CRC) morbidity and mortality have been documented in rural communities, even when adjusted for race, ethnicity, and socioeconomic status. The American Society for Gastrointestinal Endoscopy recently updated colonoscopy standards by increasing adenoma detection rate (ADR) and withdrawal time (WT) recommendations. Computer-aided detection (CADe) is believed to increase ADR by a magnitude of 14.4%. Studies examining how CADe affects ADR, polyp detection rate (PDR), and WT among nongastroenterology fellowship–trained endoscopists in rural areas are absent. Our study aims to assess changes in ADR of 2 general surgeons (GSs) and 1 family medicine (FM) physician with the use of CADe in a remote Critical Access Hospital (Pullman Regional Hospital in Pullman, Wash, USA).</div></div><div><h3>Methods</h3><div>Adults undergoing colonoscopy for the indication of CRC screening or surveillance were eligible. Patients with inadequate bowel preparation or those where the procedure was not completed were excluded from analysis. CADe was used strictly during colonoscope withdrawal. Only histologically validated adenomas were included in ADR calculations.</div></div><div><h3>Results</h3><div>In total, 1128 colonoscopies occurred prior and 1644 after implementing CADe. The mean age was 56.66 years; 51.96% were female. With CADe, average group WT was greater than 10 minutes, and ADR increased from 30.13% to 35.77% (<em>P</em> = .0245) and PDR from 45.11% to 50.00% (<em>P</em> = .0703). Groupwide ADR and PDR percentages increased by a relative magnitude of 18.71% and 10.83% above baseline, respectively.</div></div><div><h3>Conclusions</h3><div>CADe resulted in improved ADR, greater than historically published. Former studies were primarily done at large centers with fellows or board-certified gastroenterologists. Disparities in CRC screening may be addressed in rural regions by using CADe technology.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"4 4","pages":"Pages 318-321"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145772040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Assessment of the learning curve for peroral endoscopic myotomy with fundoplication for a single operator","authors":"Michael Bejjani MD ,&nbsp;Farimah Fayyaz MD ,&nbsp;Divya Rayapati MD ,&nbsp;Michel Almardini MD ,&nbsp;Romina Roshanshad MD ,&nbsp;Manol Jovani MD, MPH ,&nbsp;Mouen A. Khashab MD","doi":"10.1016/j.igie.2025.08.006","DOIUrl":"10.1016/j.igie.2025.08.006","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Peroral endoscopic myotomy with fundoplication (POEM-F) is a novel procedure that provides a preventative interventional option to reduce rates of post-POEM gastroesophageal reflux disease (GERD) via anterior myotomy followed by a partial anterior wrap. Defining the learning curve (LC) is necessary to create adequate subspecialty training programs and quality assurance.</div></div><div><h3>Methods</h3><div>This study is a retrospective analysis of a prospectively maintained data set of patients who underwent POEM-F at a single tertiary referral center. The primary outcome was the LC for POEM-F, defined by the number of cases needed to achieve proficiency and mastery, assessed using cumulative sum analysis. Sequential time-block analysis also was performed.</div></div><div><h3>Results</h3><div>Thirty-one consecutive patients underwent POEM-F. The same endoscopist performed all procedures using the same technique. Technical success was achieved in 96.8% and clinical success (Eckardt score &lt;3) in 100% of patients. The mean (standard deviation) total procedural and fundoplication alone times were 93.8 (19.6) minutes and 55.5 (18.2) minutes, respectively. Over a median follow-up of 14 weeks, the mean Eckardt score decreased from 7.3 to 0.3. At follow-up, Los Angeles reflux esophagitis of grades B, C, and D was observed in 2 patients (10.5%), 1 (5.3%), and none, respectively. There was only 1 postprocedural adverse event, graded as mild and successfully treated conservatively. Evaluation of the cumulative sum curve using the fundoplication time revealed that 17 cases were needed to achieve proficiency and 19 cases to achieve mastery. These results were confirmed with sequential time-block analysis.</div></div><div><h3>Conclusions</h3><div>We report data on the LC for POEM-F. Approximately 17 procedures may be the threshold to achieve proficiency, and approximately 19 cases to master the technique, although larger studies with more endoscopists, both experts and novices, are required.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"4 4","pages":"Pages 332-337"},"PeriodicalIF":0.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145772013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}