Gastrointestinal endoscopy最新文献

{"title":"Information for readers","authors":"","doi":"10.1016/S0016-5107(25)00019-7","DOIUrl":"10.1016/S0016-5107(25)00019-7","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"101 3","pages":"Page A16"},"PeriodicalIF":6.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520824","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare cause of recurrent pancreatitis: intraductal papillary mucinous neoplasm in the duct of Santorini (with video)","authors":"Peijing Bao MB, Guangchao Li MD, Ning Zhong MD, Yanqing Li MD, Peng Wang MD","doi":"10.1016/j.gie.2024.10.050","DOIUrl":"10.1016/j.gie.2024.10.050","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"101 3","pages":"Pages 679-680"},"PeriodicalIF":6.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142564254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic scoring of immune-mediated colitis disease activity","authors":"Viktoria Bergqvist MD, PhD, Peter Gedeon MD, PhD, Erik Hertervig MD, PhD, Jan Marsal MD, PhD","doi":"10.1016/j.gie.2024.10.007","DOIUrl":"10.1016/j.gie.2024.10.007","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"101 3","pages":"Pages 695-696"},"PeriodicalIF":6.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143519298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use patterns, technical challenges, and patient selection associated with single-use duodenoscopes and duodenoscopes with single-use endcaps in the United States and Canada","authors":"Monique T. Barakat MD, PhD ,&nbsp;Kelita Singh MD ,&nbsp;Mike Wei MD,&nbsp;Shai Friedland MD,&nbsp;Subhas Banerjee MD","doi":"10.1016/j.gie.2024.09.043","DOIUrl":"10.1016/j.gie.2024.09.043","url":null,"abstract":"<div><h3>Background and Aims</h3><div>The extent of adoption, patient selection, and use patterns of single-use duodenoscopes and duodenoscopes with single-use endcaps have not yet been characterized, and large-scale assessments of endoscopist-reported function and challenges have not been reported.</div></div><div><h3>Methods</h3><div>An anonymous 6-minute electronic survey assessing use and experience with single-use duodenoscopes and duodenoscopes with novel design features was distributed to U.S. and Canadian endoscopy centers, and responses were analyzed using descriptive statistics.</div></div><div><h3>Results</h3><div>The survey was notable for a 70.2% response rate, with representation from academic (68.9%), community (18%), and veterans affairs (8.2%) centers. Most institutions used standard reprocessable duodenoscopes and duodenoscopes with single-use endcaps (34.4%) or a mix of standard reprocessable duodenoscopes, duodenoscopes with single-use endcaps, and single-use duodenoscopes (29.5%). No center used only single-use duodenoscopes. Some institutions (10.3%) planned to transition to duodenoscopes with a single-use endcap, 10.3% to a mix of single-use duodenoscopes and duodenoscopes with a single-use endcap, and 1.7% to single-use duodenoscopes alone. Challenges were reported with each type of novel duodenoscope, and selection patterns for use were characterized.</div></div><div><h3>Conclusions</h3><div>This first of its kind, large-scale survey of use patterns and functionality of newly introduced duodenoscopes is notable for the fairly widespread use of duodenoscopes with single-use endcaps and more limited use of single-use duodenoscopes. Both novel duodenoscope designs are associated with mechanical limitations that respondents indicate represent challenges to successful completion of ERCPs.</div></div>","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"101 3","pages":"Pages 663-668"},"PeriodicalIF":6.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142377752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Impact of difficult biliary cannulation on post-ERCP pancreatitis: secondary analysis of the stent versus indomethacin trial dataset","authors":"Samuel Han MD, MS ,&nbsp;Jingwen Zhang MS ,&nbsp;Valerie Durkalski-Mauldin PhD ,&nbsp;Lydia D. Foster MS ,&nbsp;Jose Serrano MD, PhD ,&nbsp;Gregory A. Coté MD ,&nbsp;Ji Young Bang MD ,&nbsp;Shyam Varadarajulu MD ,&nbsp;Vikesh K. Singh MD ,&nbsp;Mouen Khashab MD ,&nbsp;Richard S. Kwon MD ,&nbsp;James M. Scheiman MD ,&nbsp;Field F. Willingham MD ,&nbsp;Steven A. Keilin MD ,&nbsp;J. Royce Groce MD ,&nbsp;Peter J. Lee MBBS ,&nbsp;Somashekar G. Krishna MD ,&nbsp;Amitabh Chak MD ,&nbsp;Adam Slivka MD, PhD ,&nbsp;Daniel Mullady MD ,&nbsp;Georgios I. Papachristou MD, PhD","doi":"10.1016/j.gie.2024.10.003","DOIUrl":"10.1016/j.gie.2024.10.003","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Difficult biliary cannulation (DBC) is a known risk factor for developing post-ERCP pancreatitis (PEP). To better understand how DBC increases PEP risk, we examined the interplay between technical aspects of DBC and known PEP risk factors.</div></div><div><h3>Methods</h3><div>This was a secondary analysis of a multicenter, randomized controlled trial comparing rectal indomethacin alone with the combination of rectal indomethacin and prophylactic pancreatic duct (PD) stent placement for PEP prophylaxis in high-risk patients. Participants were categorized into 3 groups: DBC with high preprocedure risk for PEP, DBC without high preprocedure risk for PEP, and non-DBC at high preprocedure risk for PEP.</div></div><div><h3>Results</h3><div>In all, 1601 participants (84.1%) experienced DBC, which required a mean of 12 cannulation attempts (standard deviation, 10) and mean duration of 14.7 minutes (standard deviation, 14.9). PEP rate was highest (20.7%) in DBC with a high preprocedure risk, followed by non-DBC with a high preprocedure risk (13.5%), and then DBC without a high preprocedure risk (8.8%). Increasing number of PD wire passages (adjusted odds ratio [aOR], 1.97; 95% confidence interval [CI], 1.25-3.1) was associated with PEP in DBC, but PD injection, pancreatic sphincterotomy, and number of cannulation attempts were not associated with PEP. Combining indomethacin with PD stent placement lowered the risk of PEP (aOR, .61; 95% CI, .44-.84) in DBCs. This protective effect was evident in up to at least 4 PD wire passages.</div></div><div><h3>Conclusions</h3><div>DBC confers higher PEP risk in an additive fashion to preprocedural risk factors. PD wire passages appear to add the greatest PEP risk in DBCs, but combining indomethacin with PD stent placement reduces this risk, even with increasing PD wire passages.</div></div>","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"101 3","pages":"Pages 617-628"},"PeriodicalIF":6.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142399940","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimal visual gaze pattern of endoscopists for improving adenoma detection during colonoscopy (with video)","authors":"Mizuki Nagai MD ,&nbsp;Fumiaki Ishibashi MD, PhD ,&nbsp;Kosuke Okusa DrEng ,&nbsp;Kentaro Mochida MD ,&nbsp;Eri Ozaki MD, PhD ,&nbsp;Tetsuo Morishita MD, PhD ,&nbsp;Sho Suzuki MD, PhD","doi":"10.1016/j.gie.2024.09.028","DOIUrl":"10.1016/j.gie.2024.09.028","url":null,"abstract":"<div><h3>Background and Aims</h3><div>Visual gaze pattern (VGP) analysis quantifies endoscopists’ specific eye movements. VGP during colonoscopy may be associated with polyp detection. However, the optimal VGP to maximize detection performance remains unclear. This study evaluated the optimal endoscopic VGP that enabled the highest colorectal adenoma detection rate.</div></div><div><h3>Methods</h3><div>This randomized controlled trial was conducted between July and December 2023. We developed an eye-tracking and feedback (ETF) system that instructed endoscopists to correct their gaze toward the periphery of an endoscope screen with an audible alert. Patients who underwent colonoscopy were randomly assigned to 4 groups: 3 intervention groups, in which the endoscopist’s gaze was instructed to a different level of the peripheral screen area using the ETF system (the periphery of 4 × 4, 5 × 5, and 6 × 6 divisions of the screen), and a control group in which the endoscopist did not receive instructions. The primary outcome was the number of adenomas detected per colonoscopy (APC).</div></div><div><h3>Results</h3><div>In total, 189 patients were enrolled. The APC and adenoma detection rate were significantly higher in the 6 × 6 group than in the control group (1.82 ± 2.41 vs 0.59 ± 1.17, <em>P</em> = .002; 68.9% vs 30.8%, <em>P</em> = .002). The APC and the number of screen divisions were positively correlated (<em>R</em> = 0.985, <em>P</em> = .0152). The rate at which the endoscopist gazed at the periphery of the screen was positively correlated with the number of divisions (<em>R</em> = 0.964, <em>P</em> = .0363).</div></div><div><h3>Conclusions</h3><div>Colorectal adenoma detection was improved by correcting the endoscopist’s gaze to the periphery of the screen, especially by dividing the screen into 6 × 6 segments.</div></div>","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"101 3","pages":"Pages 639-646.e3"},"PeriodicalIF":6.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142344842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Marked lymphatic involvement and lymph node metastases without direct submucosal invasion in a sigmoid colon cancer arising from a flat variant of traditional serrated adenoma","authors":"Shota Tomaru MD,&nbsp;Yoji Takeuchi MD, FJGES, FASGE,&nbsp;Masazumi Koike MD,&nbsp;Hayato Ikota MD, PhD,&nbsp;Toshiki Mukai MD, PhD,&nbsp;Hiroshi Kawachi MD, PhD,&nbsp;Keigo Sato MD,&nbsp;Hirohito Tanaka MD, PhD,&nbsp;Shiko Kuribayashi MD, PhD,&nbsp;Toshio Uraoka MD, PhD","doi":"10.1016/j.gie.2024.10.025","DOIUrl":"10.1016/j.gie.2024.10.025","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"101 3","pages":"Pages 683-685"},"PeriodicalIF":6.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142462627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Automated endoscopic restrictive procedure: a pilot trial with more to come","authors":"Ivo Boskoski MD, PhD,&nbsp;Steven Shamah MD","doi":"10.1016/j.gie.2024.10.063","DOIUrl":"10.1016/j.gie.2024.10.063","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"101 3","pages":"Page 692"},"PeriodicalIF":6.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A note from the Editor-in-Chief","authors":"Douglas G. Adler MD","doi":"10.1016/j.gie.2025.01.001","DOIUrl":"10.1016/j.gie.2025.01.001","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"101 3","pages":"Page 495"},"PeriodicalIF":6.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520825","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"American Society for Gastrointestinal Endoscopy Colorectal Cancer Screening Project National Summit","authors":"Pegah Hosseini-Carroll MD, FASGE ,&nbsp;Jason A. Dominitz MD, MHS, MASGE ,&nbsp;Brian C. Jacobson MD, MPH, FASGE ,&nbsp;Folasade P. May MD, PhD, MPhil ,&nbsp;Rachel B. Issaka MD, MAS ,&nbsp;Colleen M. Schmitt MD, MHS, MASGE ,&nbsp;Tonya L. Adams MD ,&nbsp;Iman J. Boston MD, MBA ,&nbsp;Juan Carlos Bucobo MD, FASGE ,&nbsp;Lukejohn Day MD, FASGE ,&nbsp;Inessa B. Khaykis MD, FASGE ,&nbsp;Mark J. Marino MD ,&nbsp;Douglas K. Rex MD, MASGE ,&nbsp;Edward Sun MD, MBA, FASGE ,&nbsp;Javelle A. Wynter MD ,&nbsp;Jennifer A. Christie MD, MASGE","doi":"10.1016/j.gie.2024.11.016","DOIUrl":"10.1016/j.gie.2024.11.016","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"101 3","pages":"Pages 511-519"},"PeriodicalIF":6.7,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143520826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}