Comparing blind spots of unsedated ultrafine, sedated, and unsedated conventional gastroscopy with and without artificial intelligence: a prospective, single-blind, 3-parallel-group, randomized, single-center trial

Esophagogastroduodenoscopy (EGD) is the most vital procedure for the diagnosis of upper GI lesions. We aimed to compare the performance of unsedated ultrathin transoral endoscopy (U-TOE), unsedated conventional EGD (C-EGD), and sedated C-EGD, with or without the use of an artificial intelligence (AI) system.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Source Type: research

Related Links:

Objectives: Esophagogastroduodenoscopy (EGD) is often performed to evaluate for mucosal and anatomical abnormalities before vertical sleeve gastrectomy (SG). Little is known, however, about how prebariatric EGD in adolescents influences clinical management or outcome. Our aim was to assess if an abnormal prebariatric EGD resulted in interventions or modification of bariatric surgery. Methods: We performed a retrospective cohort study of adolescents undergoing evaluation for bariatric surgery. We obtained demographic and anthropometric data in addition to EGD findings, biopsy pathology, gastrointestinal symptoms, and s...
Source: Journal of Pediatric Gastroenterology and Nutrition - Category: Gastroenterology Tags: Original Articles: Gastroenterology Source Type: research
ConclusionESG is a feasible endobariatric option, but complications like gastric perforation can occur. For such complication, immediate surgical treatment is indicated.
Source: Obesity Surgery - Category: Surgery Source Type: research
ConclusionAlthough AENS is a rare clinical entity, it should not be dismissed by doctors, avoiding useless surgical management. This pathology remains nevertheless associated with a considerable mortality rate.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
Abstract Endoscopic-retrograde-cholangiopancreatography (ERCP) is now a vital modality with primarily therapeutic and occasionally solely diagnostic utility for numerous biliary/pancreatic disorders. It has a significantly steeper learning curve than that for other standard gastrointestinal (GI) endoscopies, such as esophagogastroduodenoscopy or colonoscopy, due to greater technical difficulty and higher risk of complications. Yet, GI fellows have limited exposure to ERCP during standard-three-year-GI-fellowships because ERCP is much less frequently performed than esophagogastroduodenoscopy/colonoscopy. This led t...
Source: World Journal of Gastroenterology : WJG - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research
Authors: Park N, Jang JS, Cha JH Abstract Peptic ulcer disease is the most common cause of acute gastrointestinal bleeding, followed by variceal bleeding, Mallory-Weiss syndrome, and malignancy. On the contrary, acquired hemophilia A is a very rare hemorrhagic disease, which usually manifests with musculocutaneous bleeding, caused by autoantibodies against coagulation factor VIII. A 78-year-old man presented to the Emergency Department with melena. Dieulafoy's lesions were observed on esophagogastroduodenoscopy, and endoscopic cauterization was performed. However, the patient complained of back pain and symptoms in...
Source: Clinical Endoscopy - Category: Gastroenterology Tags: Clin Endosc Source Type: research
Conclusion: Guidelines recommendH. pylori testing under non-suppressive conditions. However, this does not always meet the clinical practice. Our data show that de facto, many patients undergoing elective EGD are tested forH. pylori under suppressive conditions coming along with a higher risk of potentially false negative results. Particularly, concerning this issue, further research is needed to improve and clarify everyday clinical practice.Digestion
Source: Digestion - Category: Gastroenterology Source Type: research
Endoscopic ultrasound (EUS) is an important, increasingly utilized diagnostic and management tool for a variety of gastrointestinal (GI) disorders. There are no consensus guidelines as to whether routine esophagogastroduodenoscopy (EGD) should be performed prior to upper EUS, and previous studies are conflicting. While some authors have shown that EGD increases the detection of clinically significant upper GI lesions at the time of EUS for pancreaticobiliary and mediastinal indications, others have argued that linear EUS alone is adequate for luminal tract evaluation.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Sunday abstract Source Type: research
Obscure GI bleeding is persistent bleeding from the GI tract without an identifiable source on both upper and lower endoscopy. In most cases of obscure GI bleeding, the source is eventually found in the small intestine, the majority of which cannot be examined using routine esophagogastroduodenoscopy or colonoscopy. Double balloon enteroscopy (DBE) is an endoscopic technique which allows for visual examination of the entire GI tract. It also provides the ability to intervene on any active GI bleed using techniques such as argon plasma coagulation, hemoclipping, or epinephrine injection.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Sunday abstract Source Type: research
A 62 years old female underwent screening Esophagogastroduodenoscopy and a suspicious 80 mm laterally spreading elevated lesion was found involving the greater curvature of the upper gastric body. She was referred to our hospital for further evaluation and treatment. Biopsy showed well differentiated tubular adenocarcinoma. Computed tomography scan was negative for nodal and distant metastasis. After discussing the various treatment options, patient opted for endoscopic resection.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Oral abstract Source Type: research
Esophagogastroduodenoscopy (EGD) is the pivotal procedure in the diagnosis of upper gastrointestinal lesions. However, there are significant variations in EGD performance among endoscopists, impairing the discovery rate of gastric cancers and precursor lesions. Plenty of standardized protocols were proposed, however, they are not often well followed due to the shortage of supervision or availability of practical tools, especially in developing countries. The aim of this study was to construct a real-time quality improving system, Wisense, to monitor blind spots, time the procedure and automatically generate photodocumentat...
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Oral abstract Source Type: research
More News: Endoscopy | Esophagogastroduodenoscopy | Eyes | Gastroenterology | Panendoscopy | Upper Endoscopy