iGIE最新文献

{"title":"Beyond the scope: endoscopic ultrasound—assisted appendicoscopy by use of a single-use cholangioscope for endoscopic appendicitis therapy: a case report","authors":"Yu-Cong Chen MD ,&nbsp;Yu-Chieh Weng MD ,&nbsp;Yang-Bor Lu MD","doi":"10.1016/j.igie.2025.03.010","DOIUrl":"10.1016/j.igie.2025.03.010","url":null,"abstract":"<div><div>Endoscopic appendicitis therapy (EAT) is an emerging minimally invasive alternative to surgery. This case highlights using endoscopic ultrasound (EUS) to facilitate cholangioscope-guided appendicoscopy. A 41-year-old woman presented with acute right lower quadrant pain and leukocytosis. Computed tomography confirmed acute appendicitis. The patient opted for EAT. EUS identified appendiceal orientation, enabling smooth cholangioscope intubation via colonoscope. Irrigation cleared purulent discharge. Following rapid recovery, the patient remained asymptomatic at 3-month follow-up. EUS-assisted EAT improves access, precision, and efficiency in endoscopic management of appendicitis. This technique may broaden the role of minimally invasive, organ-preserving approaches as an alternative to surgery in selected patients.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"4 2","pages":"Pages 157-161"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144322111","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":"Errata for the previously published papers","authors":"","doi":"10.1016/j.igie.2025.01.001","DOIUrl":"10.1016/j.igie.2025.01.001","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"4 2","pages":"Page 210"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144322136","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":"Errata for the previously published papers","authors":"","doi":"10.1016/j.igie.2025.01.002","DOIUrl":"10.1016/j.igie.2025.01.002","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"4 2","pages":"Page 211"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144322137","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":"Sex disparities in diagnostic workup of benign pancreaticobiliary disease before endoscopic retrograde cholangiopancreatography","authors":"Sarah Dwyer Holland MD, MS ,&nbsp;Garrett Weskamp MD ,&nbsp;Gabriel Brutico MD, MBS ,&nbsp;Ford Holland MS ,&nbsp;David L. Diehl MD ,&nbsp;Anjuli Luthra MD ,&nbsp;Shaffer Mok MD, MBS","doi":"10.1016/j.igie.2025.03.007","DOIUrl":"10.1016/j.igie.2025.03.007","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Women face diagnostic delays in the workup of many diseases. We investigated whether there are sex-based disparities in the diagnostic workup of patients with benign pancreaticobiliary pathologies requiring endoscopic retrograde cholangiopancreatography (ERCP).</div></div><div><h3>Methods</h3><div>We conducted a multicenter retrospective cohort study including patients undergoing ERCP from December 2017 to 2021 for benign pancreaticobiliary pathologies. We assessed differences between males and females in days from presentation to ERCP, number of healthcare visits before ERCP, symptoms, and diagnostic workup at first visit.</div></div><div><h3>Results</h3><div>One hundred twenty-eight patients (68 female patients) were identified. Eighteen percent of male patients initially presented with fever or chills versus 6% of female patients (<em>P</em> = .03), but otherwise there were no differences in symptoms. There was no difference between sexes in number of encounters or days from presentation until ERCP (<em>P</em> = .5). Significant differences occurred in the initial diagnostic evaluation. Male patients had liver chemistry testing in 98% of initial visits versus 85% of female patients (<em>P</em> = .01), and 95% had imaging ordered at first visit versus 82% of female patients (<em>P</em> = .03). Excluding febrile patients, male patients remained more likely to have laboratory (<em>P</em> = .02) and imaging evaluations (<em>P</em> = .05) at the initial visit. Thirteen female patients (19%) had an inadequate workup at the first visit for benign pancreaticobiliary conditions compared with 3 male patients (5%, <em>P</em> = .02).</div></div><div><h3>Conclusions</h3><div>We did not observe sex-based delays in time from presentation to ERCP in our sample; however, women were less likely to have adequate workup for benign pancreaticobiliary conditions at the first visit.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"4 2","pages":"Pages 134-138"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144322142","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":"Safety and efficacy of endoscopic sleeve gastroplasty after liver transplantation","authors":"Benjamin I. Richter MD ,&nbsp;Yazan Abboud MD ,&nbsp;Jay Phansalkar BS ,&nbsp;Keri E. Lunsford MD, PhD ,&nbsp;Zaid Tafesh MD ,&nbsp;Arpit Amin MD ,&nbsp;Dhvani Dosh MD, MPH ,&nbsp;Ahmed Al-Khazraji MD ,&nbsp;Suut Gokturk MD ,&nbsp;Paul Gaglio MD ,&nbsp;Kaveh Hajifathalian MD, MPH","doi":"10.1016/j.igie.2025.03.013","DOIUrl":"10.1016/j.igie.2025.03.013","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Obesity after liver transplantation (LT) can compromise patient outcomes. We report safety and efficacy data on endoscopic sleeve gastroplasty (ESG) after LT.</div></div><div><h3>Methods</h3><div>This is a retrospective case series of patients who underwent ESG after LT.</div></div><div><h3>Results</h3><div>All 5 patients underwent ESG at a median 47.3 months (interquartile range [IQR], 34.4-67.4 months) after LT. Patients were predominantly male (4/5, 80%) with median age 61 years (IQR, 51-61 years) and preoperative body mass index 38.8 kg/m² (IQR, 37.1-42.6 kg/m²). Median follow-up after ESG was 18.8 months (IQR, 8.2-19.8 months). Median total body weight loss was 27.2% (IQR, 8.0%-30.0%) at the end of follow-up. Weight loss plateau occurred in 2 patients, with 5 postoperative adverse events in 4 patients (80%) that were mild, and none exceeded grade I on the Clavien-Dindo scale. No patient missed doses of immunosuppressive medications. Liver graft function remained stable.</div></div><div><h3>Conclusions</h3><div>Our data support the use of ESG after LT, although more data are needed to validate our findings.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"4 2","pages":"Pages 162-166"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144322112","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":"Submucosal tunneling endoscopic resection with bidirectional full-thickness resection of gastrointestinal stromal tumor: a case report","authors":"Farimah Fayyaz MD ,&nbsp;Preethi Jagannath MBBS ,&nbsp;Jose Antonio Almario MD ,&nbsp;Mouen A. Khashab MD","doi":"10.1016/j.igie.2025.03.009","DOIUrl":"10.1016/j.igie.2025.03.009","url":null,"abstract":"<div><div>Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal neoplasms of the gastrointestinal tract. Whereas surgical resection remains the criterion standard for high-risk lesions, minimally invasive endoscopic techniques are emerging as viable alternatives. Exophytic subepithelial lesions pose unique challenges for standard endoscopic techniques, including incomplete resection and potential injury to adjacent structures. This case report presents a novel bidirectional full-thickness resection (FTR) technique for resecting an exophytic gastric GIST in a 63-year-old man. The procedure involved submucosal tunneling, peritoneal entry, and circumferential FTR from both the peritoneal and the tunnel sides, ensuring complete removal of the lesion. Mucosal incision closure was achieved by use of an endoscopic suturing system, with no postprocedural adverse events. The diagnosis of GIST was confirmed histopathologically. Twenty-one months after the procedure, no recurrence was observed on imaging. Bidirectional FTR potentially enhances visualization, improves resection completeness, and minimizes procedural risks, making it a promising technique for managing exophytic subepithelial lesions.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"4 2","pages":"Pages 154-156"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144322134","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":"Improvement in documentation rates for resumption of antithrombotic agents after elective endoscopy using an electronic health record–based intervention","authors":"Jeffrey Than MD ,&nbsp;Terrance Rodrigues MD ,&nbsp;Mary Kwasny PhD ,&nbsp;Srinadh Komanduri MD","doi":"10.1016/j.igie.2025.03.004","DOIUrl":"10.1016/j.igie.2025.03.004","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Resumption recommendations for anticoagulants (ACs) and antiplatelet agents (APAs) after endoscopy are inconsistently documented, which has been associated with a small but clinically significant number of adverse events (AEs). Clinical decision support systems must be implemented properly to ensure high adoption and clinically appropriate use. This study aimed to improve the rate of documentation of resumption recommendations for ACs and APAs using an electronic health record–based intervention integrated into the existing clinical workflow.</div></div><div><h3>Methods</h3><div>We implemented a soft-stop endoscopy software alert to trigger if resumption recommendations were not initially documented in patients on ACs and APAs. The rates of documentation of resumption recommendations were compared between pre- and postintervention periods.</div></div><div><h3>Results</h3><div>Across 1238 encounters for elective outpatient endoscopy, there was no difference in AC and APA use between pre- and postintervention periods. More endoscopies were performed in patients taking ACs (77.9%) compared with those taking APAs (25.3%). The intervention led to a significant increase in documentation of resumption recommendations postintervention from 47.1% (95% confidence interval [CI], 42.6-51.6) and 41.6% (95% CI, 34.1-49.6) to 70.5% (95% CI, 66.3-74.4; <em>P</em> &lt; .001) and 73.1% (95% CI, 65.6-79.4; <em>P</em> &lt; .001) in patients on ACs and APAs, respectively. Patients who were older, undergoing colonoscopy, or female were more likely to have documentation of recommendations, whereas those undergoing endoscopic ultrasound (EUS) or endoscopic retrograde cholangiopancreatography (ERCP) on ACs were less likely to have recommendations documented. Sedation type and the presence of a fellow did not impact documentation rates.</div></div><div><h3>Conclusions</h3><div>Implementing an electronic health record–based intervention into the existing endoscopy workflow improved the documentation of resumption recommendations for antithrombotic medications after elective outpatient endoscopy.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"4 2","pages":"Pages 129-133"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144322140","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":"Impact of novel lightweight disposable gastroscope and duodenoscope on endoscopist muscle activation: a comparative study","authors":"Veronica Bessone PhD ,&nbsp;Robin Rusnak MSc ,&nbsp;Sven Adamsen MD, FASGE","doi":"10.1016/j.igie.2024.08.008","DOIUrl":"10.1016/j.igie.2024.08.008","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Musculoskeletal injuries are common among endoscopists, and reducing the endoscope weight is considered to be a preventive measure. We aimed to assess the impact on muscle activation of recently developed lightweight gastroscopes and duodenoscopes, compared with standard endoscopes in a 2-part study.</div></div><div><h3>Methods</h3><div>In the first part, 14 participants performed a protocol using a lightweight disposable and a standard reusable gastroscope in a random order. The protocol constituted of 3 equal working blocks with repetitive and standardized movements. In the second part, 15 endoscopists used a lightweight disposable and a reusable duodenoscope in an artificial model and at rest. For both protocols, the subjects wore a sleeve with embedded superficial electromyographic sensors on the left arm.</div></div><div><h3>Results</h3><div>Wrist flexor muscle activation was significantly lower when using the lightweight single-use endoscopes during the protocol tasks (<em>P</em> &lt; .05). The extensor muscles were also significantly less activated while using the single-use gastroscope (<em>P</em> &lt; .05), but there was no difference when using the duodenoscopes.</div></div><div><h3>Conclusions</h3><div>Standardized operation with lightweight endoscopes reduces the load on the left forearm muscles and favors muscle rest compared with heavier standard endoscopes. These improvements in user ergonomics may aid in preventing or delaying the development of tremor, fatigue, and injuries.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"4 1","pages":"Pages 6-10"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697898","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":"Comparison of quality performance metrics in screening and surveillance colonoscopy: a single-center experience","authors":"James Stephen Love MD ,&nbsp;Michael Siegel DO ,&nbsp;Meredith Yellen MD ,&nbsp;Jeffrey Rebhun MD ,&nbsp;Asim Shuja MD","doi":"10.1016/j.igie.2024.08.007","DOIUrl":"10.1016/j.igie.2024.08.007","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Screening colonoscopy guidelines recommend a minimum adenoma detection rate (ADR) of 35%. There are no established benchmarks for surveillance colonoscopies, and data surrounding the utility of other quality metrics are limited. We aimed to define the relationship between ADR and alternative quality measures in the setting of screening and surveillance colonoscopies and to determine whether validated screening quality benchmarks can be extrapolated to surveillance procedures.</div></div><div><h3>Methods</h3><div>A retrospective review of outpatient screening and surveillance colonoscopies at a tertiary health center was performed. ADR, adenomas per colonoscopy, adenomas per positive participant, polyp detection rate, right-sided polyp detection rate, and colonoscopy withdrawal times (CWTs) were analyzed for screening and surveillance colonoscopies.</div></div><div><h3>Results</h3><div>In total, 2646 procedures (1884 screening, 762 surveillance) were analyzed. Surveillance ADR (CADR) was higher than screening ADR (65.6% ± 0.02% vs 47.0% ± 0.01%; <em>P</em> &lt; .001). All alternate quality measures except CWT were higher in surveillance procedures. Among surveillance procedures, there was a strong correlation between CADR and polyp detection rate (<em>r</em> = .956, <em>P</em> &lt; .01) and right-sided polyp detection rate (r = .771, <em>P</em> = .003); correlations between CADR and other alternate quality measures were not significant.</div></div><div><h3>Conclusions</h3><div>Colonoscopy quality measures were significantly higher in surveillance procedures compared with screening procedures despite similar CWTs. Higher benchmarks should be considered to ensure quality surveillance colonoscopies.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"4 1","pages":"Pages 26-30"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697902","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":"Laser-assisted endoscopic removal of a foreign body impacted in the esophagus","authors":"Rohit Gupta MD, DM ,&nbsp;Sugata Narayan Biswas MD, DM","doi":"10.1016/j.igie.2025.01.004","DOIUrl":"10.1016/j.igie.2025.01.004","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"4 1","pages":"Pages 63-65"},"PeriodicalIF":0.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143697911","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}