iGIE最新文献

{"title":"Training future endoscopists: gastroenterology fellows' perspectives and hands-on exposure to artificial intelligence for polyp detection in the United States","authors":"Tessa Herman MD,&nbsp;Jason A. Dominitz MD, MHS,&nbsp;Tonya Kaltenbach MD, MS, MEd,&nbsp;Andrew Gawron MD,&nbsp;Brian Hanson MD,&nbsp;Daniela Guerrero Vinsard MD","doi":"10.1016/j.igie.2026.01.016","DOIUrl":"10.1016/j.igie.2026.01.016","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Artificial intelligence (AI)-assisted colonoscopy for polyp detection is designed to improve colonoscopy quality. Although surveys have assessed staff gastroenterologists' attitudes toward AI, less is known about the views of gastroenterology (GE) fellows regarding AI during training.</div></div><div><h3>Methods</h3><div>We conducted a nationwide survey of GE fellows from August 2024 to November 2024 to assess (1) exposure to and experience with AI in fellowship, (2) perceptions of AI's impact on colonoscopy quality, and (3) attitudes toward implementing AI into training. The survey included Likert scale questions with branching logic to tailor questions based on AI availability at the fellows' institutions.</div></div><div><h3>Results</h3><div>A total of 126 fellows started the survey, and 88 (69.8%) completed it. AI was available at least at 1 training site for 69.3% of respondents. In addition, 81.8% of fellows believed AI should be available during fellowship. Many fellows (43.2%) thought AI should be incorporated in the second year of training. Most fellows (60.7%) believed early exposure to AI-enhanced polyp detection skills. However, 52.5% felt neutral that AI made them better endoscopists overall. Despite this, 62.5% preferred to pursue a job with AI if they had trained with it.</div></div><div><h3>Conclusions</h3><div>Our nationwide survey found that GE fellows are generally supportive of integrating AI into their training, with most advocating for its incorporation in the second year. These results should be considered by fellowship program leadership and GE practices recruiting fellows trained with AI. Further studies are required to assess the impact of training GE fellows with AI on their polyp detection competency.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 2","pages":"Pages 167-172.e2"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13324113/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148379105","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 case of mixed early gastric adenocarcinoma: blind spot of magnifying endoscopy with narrow-band imaging in detecting submucosal invasion","authors":"Muchen Ren MD,&nbsp;Bing Yue MD,&nbsp;Ye Zong MD,&nbsp;Kuiliang Liu MD","doi":"10.1016/j.igie.2025.11.006","DOIUrl":"10.1016/j.igie.2025.11.006","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 2","pages":"Pages 193-194"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13323924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148379275","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 drains for colonic decompression in acute colonic pseudo-obstruction","authors":"Sarah Householder MD,&nbsp;Nida S. Bham MD,&nbsp;Robert Lam MD,&nbsp;Michelle Hughes MD,&nbsp;Kenneth W. Hung MD, MS,&nbsp;Zain A. Sobani MD","doi":"10.1016/j.igie.2025.11.005","DOIUrl":"10.1016/j.igie.2025.11.005","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 2","pages":"Pages 188-190"},"PeriodicalIF":0.0,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13324207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148379083","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 note from the Editor-in-Chief: a time of gratitude","authors":"Linda S. Lee MD, FACG, FASGE","doi":"10.1016/j.igie.2026.02.001","DOIUrl":"10.1016/j.igie.2026.02.001","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 1","pages":"Page 1"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570660","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":"Gastric peroral endoscopic pyloromyotomy as an effective treatment for symptomatic delayed gastric emptying after Ivor Lewis esophagectomy","authors":"Tarek Nammour MD ,&nbsp;Makoto Nishimura MD ,&nbsp;Natalia Zbib MD ,&nbsp;Seung Eun Lee MD ,&nbsp;Sayaka Nagao MD ,&nbsp;Mako Koseki MD ,&nbsp;Daniela Molena MD ,&nbsp;David R. Jones MD ,&nbsp;Hans Gerdes MD ,&nbsp;Jacques Beauvais MD ,&nbsp;Mark Schattner MD","doi":"10.1016/j.igie.2025.09.005","DOIUrl":"10.1016/j.igie.2025.09.005","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Delayed gastric emptying (DGE) is a frequent adverse event after Ivor Lewis esophagectomy, negatively affecting quality of life. Although gastric peroral endoscopic pyloromyotomy (G-POEM) is effective for gastroparesis, its role in postesophagectomy DGE remains uncertain. This study evaluates the feasibility and outcomes of G-POEM in this setting.</div></div><div><h3>Methods</h3><div>We conducted a single-center retrospective analysis of 11 patients who underwent G-POEM after Ivor Lewis esophagectomy, all of whom had symptomatic DGE confirmed by gastric-emptying studies and Gastroparesis Cardinal Symptom Index scores.</div></div><div><h3>Results</h3><div>All patients had confirmed DGE, with a median 49% (interquartile range, 24-80) gastric retention at 4 hours on gastric-emptying studies (normal is ≤10% retention at 4 hours). After G-POEM, gastric emptying normalized in 50% of patients and improved in 37.5%, with a median retention of 13% (0-75) at 4 hours. The median Gastroparesis Cardinal Symptom Index score improved from 25 (11-33) to 11 (2-33), where a score of 0 indicates no symptoms. Prokinetic use declined from 45.5% to 9.1%. The median procedure time was 68 (33-110) minutes, hospital stay was 1 (1-5) day, and no immediate adverse events were reported.</div></div><div><h3>Conclusions</h3><div>G-POEM appears to be a feasible and safe treatment for DGE after Ivor Lewis esophagectomy, associated with early symptomatic improvement and minimal hospital stay although further prospective studies are needed.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 1","pages":"Pages 9-12"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570662","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":"Gastric peroral endoscopic myotomy for compassionate treatment of symptomatic gastroparesis in patients on chronic opioids","authors":"Maham Hayat MD ,&nbsp;Abel Joseph MD ,&nbsp;Yasi Xiao MD ,&nbsp;Abdullah Abbasi MD ,&nbsp;Saurabh Chandan MD ,&nbsp;Sagar Pathak MD ,&nbsp;Baha Aldeen Bani Fawwaz MD ,&nbsp;Aimen Farooq MD ,&nbsp;Natalie Cosgrove MD ,&nbsp;Deepanshu Jain MD ,&nbsp;Mustafa A. Arain MD ,&nbsp;Kambiz Kadkhodayan MD ,&nbsp;Ernesto R. Gonzaga MD ,&nbsp;Irteza Inayat MD ,&nbsp;Muhammad K. Hasan MD ,&nbsp;Joo Ha Hwang MD ,&nbsp;Dennis Yang MD","doi":"10.1016/j.igie.2025.05.001","DOIUrl":"10.1016/j.igie.2025.05.001","url":null,"abstract":"<div><h3>Background and Aims</h3><div>It has been estimated that nearly half of patients with gastroparesis use opioids long term, are unable to cease or wean opioid use, and continue to endorse debilitating symptoms. The aim of this study was to evaluate outcomes of gastric peroral endoscopic myotomy (G-POEM) as compassionate treatment in patients with gastroparesis who are unable to discontinue long-term opioid use.</div></div><div><h3>Methods</h3><div>This was a multicenter retrospective analysis of prospective databases containing patients with gastroparesis taking opioids who underwent G-POEM between January 2021 and November 2024. Functional luminal imaging probe (FLIP) pyloric measurements were obtained pre- and post-G-POEM at follow-up. Clinical response to G-POEM was defined as improvement of ≥1 point on the Gastroparesis Cardinal Symptom Index.</div></div><div><h3>Results</h3><div>Thirty-eight patients with gastroparesis on opioids with a median follow-up of 6 months (range, 3-18 months) underwent G-POEM during the study period. Technical success was 100%. Clinical success was achieved in 60.5% (23/38) of the patients. There were no differences in demographics, symptom duration, etiology of gastroparesis, baseline Gastroparesis Cardinal Symptom Index score, gastric-emptying scintigraphy or daily morphine milligram equivalent between responders and nonresponders. When compared with nonresponders, patients who responded to G-POEM had a significantly lower FLIP baseline pyloric diameter (13.2 [standard deviation (SD) 3.4 mm² ] vs 15.6 [SD 2.7 mm²]; <em>P</em> = .04) and distensibility index (4.8 [SD 1.9 mm²/mm Hg] vs 8.4 [SD 4.6 mm²/mm Hg]; <em>P</em> = .004). Clinical response was associated with improvement in FLIP pyloric diameter and distensibility index.</div></div><div><h3>Conclusions</h3><div>This study suggests that G-POEM could be considered as a safe and effective compassionate treatment in select patients with gastroparesis who are taking opioids long term, particularly those with lower pyloric compliance on physiologic testing. Future studies are needed to corroborate these preliminary findings.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 1","pages":"Pages 13-20"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570663","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":"Adenoma detection rates during screening colonoscopy performed by interventional gastroenterologists and general gastroenterologists","authors":"Jordan Burlen MD ,&nbsp;Stacey Culp PhD ,&nbsp;Michelle Messer BS ,&nbsp;Peter P. Stanich MD ,&nbsp;Georgios Papachristou MD ,&nbsp;Somashekar Krishna MD ,&nbsp;Samuel Han MD ,&nbsp;Royce Groce MD ,&nbsp;Sajid Jalil MD ,&nbsp;Peter Lee MB, BCh ,&nbsp;Hamza Shah DO ,&nbsp;Luis Lara MD","doi":"10.1016/j.igie.2025.12.006","DOIUrl":"10.1016/j.igie.2025.12.006","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Interventional gastroenterologists typically perform colonoscopies at lower volumes than general gastroenterologists, and we sought to determine whether this disparity affects their overall adenoma detection rates (ADRs). Our study aimed to identify any difference in ADR between interventional gastroenterologists and general gastroenterologists.</div></div><div><h3>Methods</h3><div>A retrospective cohort study from January 2020 to January 2023 was performed to determine ADRs for interventional gastroenterologists and general gastroenterologists at a single academic tertiary care center, as well as assessing for other quality indicators of screening colonoscopy.</div></div><div><h3>Results</h3><div>We reviewed 9755 screening colonoscopies. On univariate analysis, ADR differed between groups (46.9% vs 41.5%, <em>P</em> = .033), but on multivariate analysis, provider type was not associated with ADR (odds ratio = 0.99; 95% confidence interval, 0.80-1.22; <em>P</em> = .919).</div></div><div><h3>Conclusions</h3><div>ADR was similar between interventional and general gastroenterologists after adjustment for patient characteristics, supporting inclusion of interventional gastroenterologists in colorectal cancer screening practices.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 1","pages":"Pages 37-40.e1"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570707","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":"User, expert, and construct validation of a new colonoscopy simulator: correlation with National Endoscopy Database key performance indicators","authors":"Olaolu Olabintan MBBS, MRCP ,&nbsp;Adeyeye Ademola MBBS, FRCS ,&nbsp;Mabel Tanne iBSc ,&nbsp;Homira Ayubi MBBS, MRCP ,&nbsp;Ali Eqbal MBBS, FRACP ,&nbsp;Mehul Patel MBBS, MRCP, PhD ,&nbsp;Andrew Emmanuel MBBS, FRCS, PhD ,&nbsp;Shraddha Gulati MBBS, MRCP, PhD ,&nbsp;Amyn Haji MD, FRCS, FASGE ,&nbsp;Bu’Hussain Hayee PhD, FRCP, FASGE","doi":"10.1016/j.igie.2025.08.007","DOIUrl":"10.1016/j.igie.2025.08.007","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Training in flexible gastrointestinal endoscopy is increasingly challenging. Simulation tools may help impart essential skills, but existing simulators lack real-time feedback, may be unrealistic, and are not aligned with recognized key performance indicators (KPIs). As a result, translating from simulator to real-world procedures has achieved variable outcomes. The Mikoto colonoscopy simulator (R Zero Inc, Tokyo, Japan) aims to address this gap by providing real-time feedback based on procedural dynamics, including patient comfort, producing a single performance-focused score (out of a maximum possible 100; the Mikoto Simulator Score [MSS]).</div><div>We sought to establish construct and user validation for the MSS, with endoscopists' KPIs and structured user feedback.</div></div><div><h3>Methods</h3><div>Twenty endoscopists of varying experience levels were recruited and categorized into novice, training, competent, and expert experience levels, based on lifetime colonoscopy numbers (national accreditation criteria). Participants provided their United Kingdom National Endoscopy Database (NED) KPIs before using the simulator. After standardized introduction and acclimatization, each then performed 3 full colonoscopies on the simulator, with the main test parameters being cecal intubation time and MSS. User validity was determined by means of a structured feedback questionnaire assessing utility and realism.</div></div><div><h3>Results</h3><div>Significant differences were observed in median NED KPIs and MSS across all experience levels (n = 5 in each group, <em>P</em> = .046), with a linear correlation between lifetime colonoscopy numbers and MSS (<em>P</em> = .027). There were also highly significant correlations demonstrated between MSS and NED colonoscopy comfort score (<em>P</em> &lt; .001), polyp detection rate (<em>P</em> &lt; .001), and cecal intubation rate (<em>P</em> &lt; .001).</div></div><div><h3>Conclusions</h3><div>The Mikoto simulator demonstrates close alignment with NED KPIs for colonoscopy, with linear correlation in most cases, providing initial validation as an indicator of endoscopic competence in a nonpatient-contact setting. Further studies are warranted to assess integration into endoscopy training. The Mikoto simulator represents a promising tool for enhancing endoscopic training and improving patient outcomes.</div></div>","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 1","pages":"Pages 2-8.e1"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570661","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":"Rare case of a bronchogenic cyst at the distal esophagus","authors":"Brian Xu MD ,&nbsp;Saurabh Chawla MD ,&nbsp;Gabriela Oprea-Ilies MD ,&nbsp;Emad Qayed MD, MPH","doi":"10.1016/j.igie.2025.08.004","DOIUrl":"10.1016/j.igie.2025.08.004","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 1","pages":"Pages 57-58"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570709","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":"Signet ring adenocarcinoma of the breast diagnosed endoscopically","authors":"Michael Hayes MBChB,&nbsp;John Ahn MBChB,&nbsp;Cameron Schauer MBChB","doi":"10.1016/j.igie.2025.08.002","DOIUrl":"10.1016/j.igie.2025.08.002","url":null,"abstract":"","PeriodicalId":100652,"journal":{"name":"iGIE","volume":"5 1","pages":"Pages 55-56"},"PeriodicalIF":0.0,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147570717","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}