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Mashup Score: 7
Inflammatory bowel disease (IBD) increases risk of dysplasia and colorectal cancer. Advanced endoscopic techniques allow for the detection and characterization of IBD dysplastic lesions, but specialized training is not widely available. We aimed to develop and validate an online training platform to improve the detection and characterization of colonic lesions in IBD: OPtical diagnosis Training to Improve dysplasia Characterization in Inflammatory Bowel Disease (OPTIC-IBD).
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Mashup Score: 0DDW Abstract Issue: Gastrointestinal Endoscopy - 13 hour(s) ago
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Source: www.giejournal.orgCategories: General Medicine News, GastroenterologyTweet
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Mashup Score: 10The prospective validation of a scoring system to assess mucosal cleanliness during esophagogastroduodenoscopy - 17 hour(s) ago
Cleanliness of the mucosa of the upper gastrointestinal (UGI) tract is critical for performing a high-quality esophagogastroduodenoscopy (EGD). The aim of this study was to validate a recently developed UGI cleanliness scale (the Polprep: Effective Assessment of Cleanliness in Esophagogastroduodenoscopy [PEACE] system) in the detection of clinically significant lesions (CSLs) in the UGI tract.
Source: www.giejournal.orgCategories: General Medicine News, GastroenterologyTweet
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Mashup Score: 4Direct intrahepatic portocaval shunt compressing the bile duct: a rare case of jaundice - 2 day(s) ago
A 26-year-old man with a history of thalassemia complicated by chronic portal vein thrombosis (PVT), who had received a mesocaval shunt in 2018, with recurrent portal hypertension, was referred for placement of a transjugular intrahepatic portosystemic shunt (TIPS). The patient had chronic PVT with cavernous transformation; therefore, the decision was made to place a direct intrahepatic (inferior vena cava through the liver and into the portal vein) portal systemic shunt (DIPS) instead of a TIPS because of a shorter, more straightforward angle to the recanalized portal branch.
Source: www.giejournal.orgCategories: General Medicine News, GastroenterologyTweet
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Mashup Score: 23
Although quality improvement is crucial for ERCP, a low practice volume can pose challenges to achieving high-quality bile duct cannulation. Transpancreatic precut sphincterotomy (TPS) has been proven effective for advanced cannulation. However, existing data mainly come from skilled endoscopists in large medical centers. The impact of TPS on ERCP quality in a lower-volume setting deserves investigation.
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Mashup Score: 0DDW Abstract Issue: Gastrointestinal Endoscopy - 5 day(s) ago
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Mashup Score: 6
A 68-year-old man with a history of chronic calcific pancreatitis and type 3 diabetes mellitus presented to the gastroenterology clinic with abdominal pain and weight loss for 3 months. He had undergone pancreatic lithotripsy followed by pancreatic duct stenting 7 years earlier. The stent was removed during follow-up care. On physical examination, there were no significant findings. Laboratory testing revealed neutrophilic leukocytosis (19,800/mm3, N = 89%) and cholestatic jaundice (bilirubin 3.5 mg/dL).
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Mashup Score: 6
Covered self-expandable metallic stents have longer patency than uncovered self-expandable metallic stents for unresectable malignant distal biliary obstruction because of the prevention of tumor ingrowth, and they are removable during reintervention. One main cause of recurrent biliary obstruction in covered self-expandable metallic stents is sludge formation, which can be prevented by using large-bore stents. We evaluated the treatment results of 12-mm and 10-mm covered self-expandable metallic stents for unresectable malignant distal biliary obstructions using a randomized controlled trial.
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Mashup Score: 20Successful diagnosis by capsule endoscopy of small intestinal ascariasis that had been misdiagnosed repeatedly - 6 day(s) ago
A 52-year-old woman presented with recurrent abdominal distension and pain that had persisted for 2 years and had worsened over the previous week. The pain was mostly in the middle part of the upper abdomen and was experienced as paroxysmal episodes. The patient had sought medical attention at multiple hospitals and had undergone various examinations, including gastroscopy and colonoscopy. She had received a diagnosis of chronic gastritis and GI dysfunction, receiving corresponding treatments; however, her recurrent symptoms persisted.
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Mashup Score: 1Association of direct oral anticoagulant and delayed bleeding with pharmacokinetics after endoscopic submucosal dissection - 6 day(s) ago
Pharmacokinetic parameters, such as drug plasma level at trough, time to maximum plasma concentration (Tmax), and coagulation factor Xa (FXa) activity generally predict factors for the anticoagulant effects of direct oral anticoagulants (DOACs). Although GI bleeding is a major adverse event after endoscopic submucosal dissection (ESD), little is known about the association between post-ESD bleeding in patients taking DOACs and the pharmacologic parameters. This study aimed to evaluate pharmacologic risk factors for post-ESD bleeding in patients taking DOACs.
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Online now in GIE’s Articles in Press: “Validation of a new optical diagnosis training module to improve dysplasia characterization in inflammatory bowel disease: a multicenter international study” by Marietta Iacucci et al. https://t.co/7r99Dk0Taa @iacuccim @UccDeptMed @ucc_GAA https://t.co/kQGHuSqusz