iGIE最新文献

{"title":"Adoption of unsedated transoral wireless pH capsule at a Veterans Affairs hospital: a feasibility study","authors":"Bryan C. Luu MD ,&nbsp;Scott A. Larson MD, PhD ,&nbsp;Reena V. Chokshi MD ,&nbsp;Fares Ayoub MD ,&nbsp;Wasseem Skef MD","doi":"10.1016/j.igie.2025.08.011","DOIUrl":"10.1016/j.igie.2025.08.011","url":null,"abstract":"<div><h3>Background and Aims</h3><div>The Lyon Consensus 2.0 recommends prolonged wireless pH monitoring for unproven gastroesophageal reflux disease. Endoscopic placement may be limited by cost and resource availability, especially in publicly funded health systems. Transoral placement represents a valid alternative. This study aimed to assess the technical success, safety, and reliability of unsedated transoral wireless pH capsule wireless capsule placement in a Veterans Affairs hospital cohort.</div></div><div><h3>Methods</h3><div>We conducted a retrospective cohort study of patients aged ≥18 years who underwent ambulatory reflux testing from January 2023 to December 2024. Patients were divided into those receiving transoral wireless capsule (TO-WC) placement and those undergoing esophagogastroduodenoscopy (EGD) with wireless capsule (EGD-WC) placement. The primary outcome was technical success. Secondary outcomes included study failures, adverse events, pH study duration, and time-to-capsule placement.</div></div><div><h3>Results</h3><div>Of 120 patients, 41 underwent TO-WC placement and 79 EGD-WC placement. No differences were identified in baseline sociodemographic and clinical variables between both groups. There was a nonsignificant trend toward a lower technical success rate in the transoral group (35/41 [85.4%, TO-WC] vs 75/79 [94.9%, EGD-WC], <em>P</em> = .072). In addition, premature detachments (&lt;48 hours) were more common in the transoral placement group (12/41 [29.3%] vs 8/79[10.1%], <em>P</em> = .014). Two patients (4.8%) in the TO-WC group experienced odynophagia, which was managed conservatively.</div></div><div><h3>Conclusions</h3><div>Unsedated TO-WC placement may be a less successful method for ambulatory pH monitoring in a Veterans Affairs hospital population, especially for prolonged wireless pH testing.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 1","pages":"Pages 21-25"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570711","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":"Enhancing colonoscopy reporting quality: impact of structured templates and educational tutorials on automated adenoma detection rate reporting tool performance","authors":"Divya Rayapati MD ,&nbsp;Anmol Singh MBBS ,&nbsp;Navdeep Singh MD ,&nbsp;Sean Tackett MD, MPH ,&nbsp;Alec Faggen MD ,&nbsp;Venkata S. Akshintala MD, PhD","doi":"10.1016/j.igie.2025.11.003","DOIUrl":"10.1016/j.igie.2025.11.003","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Adenoma detection rate (ADR) is a key colonoscopy quality metric. We previously created an automated ADR reporting tool, but inconsistent documentation hinders its quality. This study aims to evaluate the impact of structured colonoscopy report templates and educational tutorials on ADR metrics recorded by the reporting tool.</div></div><div><h3>Methods</h3><div>We introduced structured colonoscopy report templates and an educational tutorial across 5 endoscopy centers. ADR-qualifying colonoscopies 120 days before and after intervention were analyzed. The Qlik analytics system–based automated ADR calculator (QlikTech Inc, King of Prussia, Pa, USA) was used to review screening colonoscopies and calculate ADR.</div></div><div><h3>Results</h3><div>A total of 5382 colonoscopies were performed during the study period. Among 1436 ADR-qualifying colonoscopies, the reporting of ADR increased from 28.8% to 34.6% (<em>P</em> = .019), and reporting of polyp detection rate improved from 67.8% to 71.7% (<em>P</em> = .031) using the automated ADR reporting tool. The tool was not significantly associated with increased reporting in multivariate analysis.</div></div><div><h3>Conclusions</h3><div>An increase in reporting of ADR was noted after the intervention period, with results durable up to 120 days after the intervention. However, multivariate analysis suggests the possibility of confounding factors beyond the intervention alone. Educational interventions on structured colonoscopy reporting improved quality metrics.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 1","pages":"Pages 33-36.e8"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570713","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":"One-step diagnosis and treatment of an atypical large granular cell tumor of the colon","authors":"Andrea Michielan MD ,&nbsp;Federico Iacopini MD ,&nbsp;Chiara Sartori MD ,&nbsp;Chiara Trentin MD ,&nbsp;Valeria Merz MD ,&nbsp;Laura Bernardoni MD ,&nbsp;Armando Gabbrielli MD","doi":"10.1016/j.igie.2025.06.003","DOIUrl":"10.1016/j.igie.2025.06.003","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 1","pages":"Pages 46-47"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570716","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":"Addressing barriers: randomized trial of effect of video education on colonoscopy preparation in Cantonese/Mandarin-speaking patients","authors":"Saleh Alghsoon MD ,&nbsp;Amanda Leung BS ,&nbsp;Bowei Deng MD ,&nbsp;Sonia Friedman MD ,&nbsp;Sushrut Jangi MD","doi":"10.1016/j.igie.2025.09.001","DOIUrl":"10.1016/j.igie.2025.09.001","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Asian Americans demonstrate lower colonoscopy screening rates than the general U.S. population, highlighting complex cultural and social barriers. We aim to compare the effect of a video-based instructional tool versus standard of care on bowel preparation quality and patient-related factors.</div></div><div><h3>Methods</h3><div>A randomized controlled trial enrolled Cantonese/Mandarin-speaking patients who underwent outpatient colonoscopies between July and November 2023. Participants (n = 132) were randomly assigned to 2 groups: 1 receiving standard preparation guidance and the other a link to a video educational tool. Primary outcome was Boston Bowel Preparation Scale (BBPS) with secondary outcomes including total procedure time, withdrawal time, patients' anxiety levels, and self-perception of preparation quality.</div></div><div><h3>Results</h3><div>Of 169 participants enrolled (81 video, 88 control), 31 were excluded because of cancellations, no-shows, or consent withdrawal, resulting in 66 per group. Eleven video group participants did not watch the video and were reassigned to the control group per protocol. Final analysis included 77 in the control group and 55 in the video group, with a 55.5% male composition, averaging 60 years. In the per-protocol analysis, the median BBPS was the same in both groups (<em>P</em> = .064). The mean (95% confidence interval) withdrawal times exhibited no significant difference (<em>P</em> = .74), with averages of 14.4 (12.2-16.7) and 14.8 (12.9-16.9) minutes for the control and video groups, respectively. However, there was a significant difference in patient perception of preparation quality (<em>P</em> = .05), with averages of 9 (8.1-9) and 9.5 (9.3-9.7) for the control and experimental groups, respectively.</div></div><div><h3>Conclusions</h3><div>Our study suggests that a video-based instructional tool improves Cantonese/Mandarin-speaking participants' perception of colonoscopy preparation quality. There was a trend toward improved BBPS in patients who watched the video, while total procedure and withdrawal times were comparable in both groups. Further research is needed to assess the impact of educational videos and other tools on bowel preparation in this patient population.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 1","pages":"Pages 26-32.e1"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570664","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 rare case of melanosis ilei of unclear etiology","authors":"Nikita Parkash MD ,&nbsp;Owen McKay MBBS ,&nbsp;Ian Simpson MBBS ,&nbsp;Simon Hew MBBS","doi":"10.1016/j.igie.2025.07.008","DOIUrl":"10.1016/j.igie.2025.07.008","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 1","pages":"Pages 50-51"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570710","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":"Privacy-preserving of endoscopy documentations with reasoning-aware focused large language models","authors":"Partha Pratim Ray MTech","doi":"10.1016/j.igie.2025.05.009","DOIUrl":"10.1016/j.igie.2025.05.009","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 1","pages":"Pages 96-97"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570719","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":"Handling an unusual adverse event: esophageal perforation after variceal banding","authors":"Laura Marta Vivian MD ,&nbsp;Alessandro Gubbiotti MD, PhD ,&nbsp;Giulio Barbiero MD, PhD ,&nbsp;Paolo Feltracco MD, PhD ,&nbsp;Alberto Zanetto MD, PhD ,&nbsp;Erik Rosa-Rizzotto MD, PhD ,&nbsp;Marco Senzolo MD, PhD","doi":"10.1016/j.igie.2025.05.008","DOIUrl":"10.1016/j.igie.2025.05.008","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 1","pages":"Pages 43-45"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570714","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":"The value of professional society involvement and its influence on a successful career in academic advanced endoscopy","authors":"Steven A. Edmundowicz MD, MASGE ,&nbsp;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}