{"title":"Cover","authors":"","doi":"10.1016/S2590-0307(26)00029-2","DOIUrl":"10.1016/S2590-0307(26)00029-2","url":null,"abstract":"","PeriodicalId":36169,"journal":{"name":"Techniques and Innovations in Gastrointestinal Endoscopy","volume":"28 4","pages":"Article 250994"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149251518","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":"Training and Credentialing in Metabolic and Bariatric Endoscopy","authors":"Mark H. Hanscom","doi":"10.1016/j.tige.2026.250967","DOIUrl":"10.1016/j.tige.2026.250967","url":null,"abstract":"<div><div>Metabolic and bariatric endoscopy is an established but evolving field, with increased adoption of existing endoscopic bariatric and metabolic therapies and new techniques on the horizon. In turn, it is important for training programs and privileging institutions to adapt to ensure that standards of treatment are upheld and patient outcomes are maintained. In this review, we aim to summarize the status of training and credentialing in metabolic and bariatric endoscopy.</div></div>","PeriodicalId":36169,"journal":{"name":"Techniques and Innovations in Gastrointestinal Endoscopy","volume":"28 2","pages":"Article 250967"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147397418","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":"Preface: Colorectal Endoscopic Submucosal Dissection in the West: Charting the Roadmap for Safe, Effective, and Widespread Adoption","authors":"Trent J. Walradt, Hiroyuki Aihara","doi":"10.1016/j.tige.2025.250960","DOIUrl":"10.1016/j.tige.2025.250960","url":null,"abstract":"","PeriodicalId":36169,"journal":{"name":"Techniques and Innovations in Gastrointestinal Endoscopy","volume":"28 2","pages":"Article 250960"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145886403","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}
NEAL MAHAJAN, SRIYA MURALIDHARAN, ERIK A. HOLZWANGER, TYLER M BERZIN, JEREMY R. GLISSEN BROWN
{"title":"AutoML and No-Code Artificial Intelligence: Not Yet Ready for Clinical Prime-Time but a Cost-Effective Tool for Modeling","authors":"NEAL MAHAJAN, SRIYA MURALIDHARAN, ERIK A. HOLZWANGER, TYLER M BERZIN, JEREMY R. GLISSEN BROWN","doi":"10.1016/j.tige.2026.250979","DOIUrl":"10.1016/j.tige.2026.250979","url":null,"abstract":"","PeriodicalId":36169,"journal":{"name":"Techniques and Innovations in Gastrointestinal Endoscopy","volume":"28 3","pages":"Article 250979"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148565365","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":"Innovation, Validated: The Road Ahead for Techniques and Innovations in Gastrointestinal Endoscopy","authors":"Somashekar G. Krishna","doi":"10.1016/j.tige.2026.250981","DOIUrl":"10.1016/j.tige.2026.250981","url":null,"abstract":"","PeriodicalId":36169,"journal":{"name":"Techniques and Innovations in Gastrointestinal Endoscopy","volume":"28 4","pages":"Article 250981"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148744038","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}
Kevin P. Shah, Terrance J. Rodrigues, Rajesh N. Keswani
{"title":"Innovations in Advanced Endoscopy Training: Enhancing Skill Acquisition and Performance","authors":"Kevin P. Shah, Terrance J. Rodrigues, Rajesh N. Keswani","doi":"10.1016/j.tige.2026.250966","DOIUrl":"10.1016/j.tige.2026.250966","url":null,"abstract":"<div><div>The educational landscape for advanced endoscopy trainees (AETs) continues to evolve alongside endoscopic innovations in diagnostics and therapeutics. As procedural complexity increases, educational strategies for AETs must adapt to support the development of cognitive, technical, and nontechnical skills. Effective skill acquisition requires a foundation of mastery learning, deliberate practice, feedback, and management of cognitive load, with attention to nontechnical competencies such as communication, teamwork, and situational awareness. To ensure that AETs are competent prior to independent practice, a range of educational interventions has been implemented. Current and emerging educational interventions help to ensure competency of AETs prior to independent practice. Established educational interventions, including audit and feedback, simulation-based training, video-based feedback, and online learning with feedback, have demonstrated value in enhancing skills acquisition and performance. Novel, emerging approaches, including artificial intelligence-assisted training, virtual and augmented reality, telemonitoring with remote supervision, and advanced data analytics with quality dashboards, offer personalized, adaptable, and scalable solutions tailored to trainee needs. Moving forward, priorities for AET educational interventions include cross-institutional collaboration, standardized training benchmarks, and the integration of informatics and technology to support competency-based performance and delivery of high-quality patient care.</div></div>","PeriodicalId":36169,"journal":{"name":"Techniques and Innovations in Gastrointestinal Endoscopy","volume":"28 2","pages":"Article 250966"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147397417","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}
Francisco Alejandro Félix-Téllez, Paul Andre Alvarado-Garza, Luis Ochoa-Meza, Lluvia Moye-Haro, Ángel Ricardo Flores-Rendón
{"title":"Efficacy and Tolerability of a Custom Low-Volume Polyethylene Glycol-Ascorbate Bowel Preparation: A Prospective Multicenter Trial","authors":"Francisco Alejandro Félix-Téllez, Paul Andre Alvarado-Garza, Luis Ochoa-Meza, Lluvia Moye-Haro, Ángel Ricardo Flores-Rendón","doi":"10.1016/j.tige.2026.250987","DOIUrl":"10.1016/j.tige.2026.250987","url":null,"abstract":"<div><h3>BACKGROUND AND AIMS</h3><div>Colonic preparation remains a challenge for endoscopists, as currently available regimens often present poor adherence and tolerability because of their high-volume requirements and complex dosing schedules. These factors can lead to suboptimal bowel cleansing and low-quality colonoscopies. Low-volume regimens may help overcome these limitations by improving patient compliance and tolerability. The aim of this study was to compare the degree of bowel cleansing and patient tolerance between 2 bowel preparation strategies: a split-dose regimen of 105 g of polyethylene glycol (PEG) 3350 diluted in 4 L of water, or a split-dose regimen of a low-volume preparation based on PEG plus sodium ascorbate and ascorbic acid diluted in 1 L of water.</div></div><div>Colonic preparation remains a challenge for endoscopists, as currently available regimens often present poor adherence and tolerability because of their high-volume requirements and complex dosing schedules. These factors can lead to suboptimal bowel cleansing and low-quality colonoscopies. Low-volume regimens may help overcome these limitations by improving patient compliance and tolerability. The aim of this study was to compare the degree of bowel cleansing and patient tolerance between 2 bowel preparation strategies: a split-dose regimen of 105 g of polyethylene glycol (PEG) 3350 diluted in 4 L of water, or a split-dose regimen of a low-volume preparation based on PEG plus sodium ascorbate and ascorbic acid diluted in 1 L of water.</div><div><h3>METHODS</h3><div>This was a prospective, dual-center, single-blind, comparative clinical trial conducted in 2024. Patients undergoing screening colonoscopy were randomly assigned to either the high-volume PEG group (group 1, n = 55) or the low-volume ascorbate–based preparation (group 2, n = 55). All colonoscopies were performed by 3 physicians at 2 endoscopy centers using standardized techniques and high-definition video equipment. The primary endpoint was bowel cleansing quality, measured by the Boston Bowel Preparation Scale. A noninferiority analysis was conducted to determine whether the ascorbate-based regimen was not clinically inferior to the standard PEG regimen.</div></div><div>This was a prospective, dual-center, single-blind, comparative clinical trial conducted in 2024. Patients undergoing screening colonoscopy were randomly assigned to either the high-volume PEG group (group 1, n = 55) or the low-volume ascorbate–based preparation (group 2, n = 55). All colonoscopies were performed by 3 physicians at 2 endoscopy centers using standardized techniques and high-definition video equipment. The primary endpoint was bowel cleansing quality, measured by the Boston Bowel Preparation Scale. A noninferiority analysis was conducted to determine whether the ascorbate-based regimen was not clinically inferior to the standard PEG regimen.</div><div><h3>RESULTS</h3><div>A total of 107 patients (63.6% female; mean age ","PeriodicalId":36169,"journal":{"name":"Techniques and Innovations in Gastrointestinal Endoscopy","volume":"28 4","pages":"Article 250987"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148995625","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":"Cover","authors":"","doi":"10.1016/S2590-0307(26)00018-8","DOIUrl":"10.1016/S2590-0307(26)00018-8","url":null,"abstract":"","PeriodicalId":36169,"journal":{"name":"Techniques and Innovations in Gastrointestinal Endoscopy","volume":"28 3","pages":"Article 250983"},"PeriodicalIF":1.1,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148634227","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":"Appreciation to Reviewers","authors":"","doi":"10.1016/S2590-0307(26)00009-7","DOIUrl":"10.1016/S2590-0307(26)00009-7","url":null,"abstract":"","PeriodicalId":36169,"journal":{"name":"Techniques and Innovations in Gastrointestinal Endoscopy","volume":"28 2","pages":"Article 250974"},"PeriodicalIF":0.9,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147802606","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}