Natural History of Barrett ’s Esophagus
AbstractBarrett ’s esophagus (BE) is a very common condition. We have obtained fairly profound knowledge of the natural history of this condition. This results from many cross-sectional and cohort studies, many describing patients undergoing long-term surveillance. Their consent to use their clinical data has imp roved our knowledge to the benefit of these same and other patients. The prevalence of BE increases with age both in men and in women. This increase starts at a younger age in men than in women. The incidence of high-grade dysplasia and cancer in BE depends on segment length, gender, and age. The la tter two...
Source: Digestive Diseases and Sciences - June 15, 2018 Category: Gastroenterology Source Type: research

Screening and Surveillance for Barrett ’s Esophagus: Is It Cost-Effective?
AbstractThe cost-effectiveness of screening and surveillance for Barrett ’s esophagus continues to evolve as the incidence of esophageal adenocarcinoma increases, biomarkers enhance the identification of individuals at highest risk for developing cancer, and endoscopic eradication of Barrett’s esophagus improves. Screening to detect Barrett’s esophagus may be cost- effective in selected high-risk groups based on age, race, sex and other factors such as symptoms of heartburn. Currently, endoscopic eradication therapy for Barrett’s esophagus and high-grade dysplasia is a cost-effective intervention, w...
Source: Digestive Diseases and Sciences - June 13, 2018 Category: Gastroenterology Source Type: research

Cost-Effectiveness of Melanoma Screening in Inflammatory Bowel Disease
AbstractBackground and AimsInflammatory bowel disease (IBD) patients are at increased risk of melanoma and non-melanoma skin cancers, and preventive care guidelines in IBD favor annual skin examinations. Here we estimate the cost-effectiveness of annual melanoma screening in IBD.MethodsMelanoma screening was defined as receiving annual total body skin examinations starting at age 40 from a dermatologist. Screening was compared to US background total body skin examination rates performed by primary care practitioners. A Markov model was used to estimate intervention costs and effectiveness. Future costs and effectiveness we...
Source: Digestive Diseases and Sciences - June 13, 2018 Category: Gastroenterology Source Type: research

Screening Women Aged 50 –59 for CRC Using Fecal Occult Blood Test Produces Outcomes Similar to Men Undergoing Screening Colonoscopy
AbstractBackgroundAverage-risk women aged 50 –59 years have a lower incidence and mortality of colorectal cancer relative to age-matched men, calling into question the benefit of screening colonoscopy in this age group.AimsWe aimed to determine whether FOBT is an effective initial screening test in 50 –59-year-old women.MethodsWe conducted a cross-sectional study using a computerized endoscopic report generator. We identified 320,906 individuals who had average-risk screening colonoscopy and 32,369 who had colonoscopy for positive FOBT. The primary outcome was the positive predictive value (PPV) of FOBT fo...
Source: Digestive Diseases and Sciences - June 13, 2018 Category: Gastroenterology Source Type: research

Management of Radiation Proctitis
AbstractRadiation proctitis is radiation-induced rectal mucositis, occurring as a result of radiation therapy for various pelvic malignancies. The management of radiation proctitis is challenging as guidelines are not currently available, and studies of the various treatment modalities are limited. There are various medical, endoscopic, and surgical measures for treating chronic radiation proctitis. Medical options such as anti-inflammatory agents, antioxidants, formalin application, and hyperbaric oxygen may improve bleeding related to chronic radiation proctitis. Endoscopic measures such as argon plasma coagulation are e...
Source: Digestive Diseases and Sciences - June 12, 2018 Category: Gastroenterology Source Type: research

Chemoprevention of Barrett ’s Esophagus and Esophageal Adenocarcinoma
AbstractBarrett ’s esophagus is common in Western countries, but progression to esophageal adenocarcinoma is uncommon. Chemoprevention therefore needs to consider whether benefits outweigh risks given an otherwise healthy population. This will depend on the particular population at risk and the relative safety of a potential preventive agent. Most evidence regarding the potential benefit of chemoprevention of Barrett’s esophagus and prevention of progression to esophageal adenocarcinoma is based on observational studies such as case–control and cohort studies. Given the potential benefits and relatively l...
Source: Digestive Diseases and Sciences - June 12, 2018 Category: Gastroenterology Source Type: research

Effect of Metabolic Syndrome on the Clinical Outcomes of Chronic Hepatitis B Patients with Nucleos(t)ide Analogues Treatment
AbstractBackgroundNo data are available about the effect of MS on oral nucleos(t)ide analogues (NUCs) treatment and clinical outcomes in chronic hepatitis B (CHB) patients.AimsWe aimed to elucidate whether coexistence of MS and CHB affects the long-term prognosis of CHB patients with oral NUCs treatment.MethodsWe performed a retrospective data analysis for a total of 587 CHB patients who started oral NUCs treatment for the first time in our institution from January 2006 to March 2016.ResultsAmong the 587 patients, 70 (11.9%) had MS, but 517 (88.1%) had no evidence of MS when oral NUCs treatment was initiated. Cumulative oc...
Source: Digestive Diseases and Sciences - June 12, 2018 Category: Gastroenterology Source Type: research

Epinephrine Dose Has a Preventive Effect on the Occurrence of Stress Ulcer-Induced Gastrointestinal Bleeding in Critically Ill Patients
AbstractBackgroundEpinephrine may impair splanchnic blood flow, but the impact of epinephrine dose on the occurrence of clinically significant gastrointestinal bleeding (CSGB) caused by stress ulcer remains unclear. We investigated the effect of epinephrine dose on the occurrence of stress ulcer-related CSGB in intensive care unit (ICU) patients.MethodsIn this prospective, observational, cohort study conducted in a French teaching hospital, 40 consecutive ICU patients receiving epinephrine infusion in whom a stress ulcer was diagnosed by an upper gastrointestinal endoscopy were included, from February 2010 to July 2015. Th...
Source: Digestive Diseases and Sciences - June 12, 2018 Category: Gastroenterology Source Type: research

Progressive Epigastric Pain with Abnormal Liver Tests in a Patient with Crohn ’s Disease: Don’t DILI Dally
(Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - June 12, 2018 Category: Gastroenterology Source Type: research

Cecal Insertion Time and the ADR: Patience Is Good for Patients
(Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - June 12, 2018 Category: Gastroenterology Source Type: research

Are Gastric and Esophageal Metaplasia Relatives? The Case for Barrett ’s Stemming from SPEM
AbstractChronic injury and inflammation in the esophagus can cause a change in cellular differentiation known as metaplasia. Most commonly, the differentiation changes manifest as Barrett ’s esophagus (BE), characterized by the normal stratified squamous epithelium converting into a cuboidal–columnar, glandular morphology. BE cells can phenotypically resemble specific normal cell types of the stomach or intestine, or they can have overlapping phenotypes in disorganized admixtures . The stomach can also undergo metaplasia characterized by aberrant gastric or intestinal differentiation patterns. In both organs, i...
Source: Digestive Diseases and Sciences - June 9, 2018 Category: Gastroenterology Source Type: research

Managing PBC: Expanding the Provider Comfort Zone
(Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - June 9, 2018 Category: Gastroenterology Source Type: research

Comparison of Point-of-Care and Classical Immunoassays for the Monitoring Infliximab and Antibodies Against Infliximab in IBD
ConclusionThe available evidence allows us to conclude that all of the infliximab monitoring assays correlate well and may be used for IFX monitoring; albeit variations in measured IFX concentration among different assays remain present, these assays could be interchangeable. The ATI monitoring techniques are all capable of detecting ATI-positive patients, but because of the difference in the positivity limits and the measurement units, it is better to follow a patient rate with one definite kit. (Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - June 9, 2018 Category: Gastroenterology Source Type: research

A Goblet (Cell) Half Full: What Do We Really Know About Barrett ’s Esophagus—A Tribute to Emmet Keeffe
(Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - June 9, 2018 Category: Gastroenterology Source Type: research

Origins of Metaplasia in the Esophagus: Is This a GE Junction Stem Cell Disease?
AbstractThe incidence of esophageal adenocarcinoma (EAC) and its precursor lesion Barrett ’s esophagus (BE) has been increasing steadily in the western world in recent decades. Understanding the cellular origins of BE and the conditions responsible for their malignant transformation would greatly facilitate risk assessment and identification of patients at risk of progression, but this topic remains a source of debate. Here, we review recent findings that have provided support for the gastroesophageal junction (GEJ) as the main source of stem cells that give rise to BE and EAC. These include both gastric cardia cells...
Source: Digestive Diseases and Sciences - June 8, 2018 Category: Gastroenterology Source Type: research

Negative Regulation of Kruppel-Like Factor 4 on microRNA-106a at Upstream Transcriptional Level and the Role in Gastric Cancer Metastasis
ConclusionsOur findings provide novel direct insights into molecular mechanisms for interaction of KLF4 and miR-106a at upstream level and new ways for clinical application of KLF4 –miR-106a axis in advanced gastric cancer metastasis. (Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - June 8, 2018 Category: Gastroenterology Source Type: research

Potential of Fecal Calprotectin as an Objective Marker to Discriminate Hospitalized Patients with Acute Severe Colitis from Outpatients with Less Severe Disease
AbstractBackgroundAcute severe colitis (ASC) is conventionally diagnosed by Truelove and Witts ’ criteria which are non-specific and can be affected by other pathologic conditions. Fecal calprotectin (FCP) is a gut-specific marker of inflammation which can predict short-term outcomes in patients with ASC. We aimed to define the role of FCP in the diagnosis of ASC.MethodsThis prospective observational cohort study included adult patients (>  18 years) with ulcerative colitis (UC) for whom FCP was measured and was under follow-up from April 2015 to December 2016. Patients were divided into two cohorts: (...
Source: Digestive Diseases and Sciences - June 8, 2018 Category: Gastroenterology Source Type: research

Epstein –Barr Virus Antibody Titers Are Not Associated with Gastric Cancer Risk in East Asia
ConclusionsMultiplex serology of the aforementioned EBV antigens in serum may not be a suitable biomarker for predicting gastric cancer risk in East Asian populations. (Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - June 8, 2018 Category: Gastroenterology Source Type: research

High-Pressure Tactic: Colonic Manometry in Chronic Constipation
(Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - June 7, 2018 Category: Gastroenterology Source Type: research

Expression of α-Defensins, CD20+ B-lymphocytes, and Intraepithelial CD3+ T-lymphocytes in the Intestinal Mucosa of Patients with Liver Cirrhosis: Emerging Mediators of Intestinal Barrier Function
AbstractAimThe present study investigates the role of innate and adaptive immune system of intestinal mucosal barrier function in cirrhosis.MethodsForty patients with decompensated (n = 40, group A), 27 with compensated cirrhosis (n = 27, group B), and 27 controls (n = 27, group C) were subjected to duodenal biopsy. Expression of α-defensins 5 and 6 at the intestinal crypts was evaluated by immunohistochemistry and immunofluorescence. Serum endotoxin, intestinal T-intraepithelial, and lamina propria B-lymphocytes were quantified.ResultsCirrhotic patients presented higher endo...
Source: Digestive Diseases and Sciences - June 7, 2018 Category: Gastroenterology Source Type: research

Probiotics Ameliorate Stool Consistency in Patients with Chronic Constipation: A Randomized, Double-Blind, Placebo-Controlled Study
ConclusionsProbiotics significantly ameliorated stool consistency in patients with chronic constipation. In addition, the beneficial effect ofL. plantarum on stool consistency remained after the probiotic supplementation was discontinued. The mechanism whereby probiotics benefit patients with chronic constipation should be clarified in further studies. (Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - June 7, 2018 Category: Gastroenterology Source Type: research

Factors Predictive of Complete Excision of Large Colorectal Neoplasia Using Hybrid Endoscopic Submucosal Dissection: A KASID Multicenter Study
AbstractBackgroundEndoscopic submucosal dissection (ESD) with snaring (hybrid ESD) bridges the gap between ESD and endoscopic mucosal resection. We evaluated factors predictive of en bloc and complete resection of large colorectal neoplasms using hybrid ESD.MethodsThis was a prospective clinical study of 78 patients who underwent hybrid ESD for excision of colorectal neoplasms ( ≥ 2 cm) between May 2015 and September 2016 at six university hospitals. We evaluated lesion and patient characteristics, endoscopist experience level (
Source: Digestive Diseases and Sciences - June 7, 2018 Category: Gastroenterology Source Type: research

Delays in Initiating Post-operative Prophylactic Biologic Therapy Are Common Among Crohn ’s Disease Patients
AbstractBackgroundStudies have shown that prophylactic biologic therapy can reduce post-surgical Crohn ’s disease recurrence.AimsWe aimed to identify the frequency of delay and risk factors associated with a delay in the initiation of prophylactic post-surgical biologic therapy in high-risk patients.MethodsWe performed a cohort study of Crohn ’s disease patients who underwent a bowel resection. We identified those at risk of recurrence and explored multiple characteristics for those with and without a delay post-operatively.ResultsA total of 84 patients were included in our analysis of which 69.0% had a greater...
Source: Digestive Diseases and Sciences - June 7, 2018 Category: Gastroenterology Source Type: research

A Deeper Look at the Small Bowel: Training Pathways in Video Capsule Endoscopy and Device-Assisted Enteroscopy
ConclusionsTraining in VCE is widely available in U.S. GI fellowship programs, although programs have different ways of incorporating this training into the curriculum and of measuring competency. While DAE technology was available in the majority of programs, training was less frequently available, and training is shared between 3-year fellowship programs and 4th-year advanced endoscopy programs . (Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - June 5, 2018 Category: Gastroenterology Source Type: research

Smoking and Inflammatory Bowel Disease: A Comparison of China, India, and the USA
ConclusionsWe found heterogeneity in the associations of smoking and IBD risk and outcomes between China, India, and the USA. Further study with more adequate sample size and more uniform definition of smoking status is warranted. (Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - June 4, 2018 Category: Gastroenterology Source Type: research

More Skin in the Game: Screening for Skin Cancer in IBD Patients
(Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - June 4, 2018 Category: Gastroenterology Source Type: research

Children with Crohn ’s Disease Frequently Consume Select Food Additives
ConclusionChildren with CD frequently consume food additives, and the impact on disease course needs further study. (Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - June 4, 2018 Category: Gastroenterology Source Type: research

Extensive Gastrointestinal Manifestations as the Main Relapsing Disease in Granulomatosis with Polyangiitis
(Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - June 4, 2018 Category: Gastroenterology Source Type: research

Portal Hypertensive Bleeding: A Navel Approach
(Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - May 15, 2018 Category: Gastroenterology Source Type: research

Efficacy of a Dexmedetomidine –Remifentanil Combination Compared with a Midazolam–Remifentanil Combination for Conscious Sedation During Therapeutic Endoscopic Retrograde Cholangio-Pancreatography: A Prospective, Randomized, Single-Blinded Preliminary Trial
ConclusionsThe dexmedetomidine –remifentanil protocol provided a parallel sedative efficacy and improved respiratory sparing effects. The higher patient satisfaction scores potentially offer a more reproducible ERCP quality. Adding dexmedetomidine to remifentanil can be used safely as a conscious sedation method during ERCP. (Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - May 15, 2018 Category: Gastroenterology Source Type: research

An Investigation into the Recent Increase in Gastric Cancer in the USA
ConclusionGastric cancer incidence significantly increased among Hispanics residing in Houston resulting in changes in gastric cancer incidence becoming more unevenly experienced across the US population. Consideration should be given to gastric cancer preventive efforts, especially among immigrant populations from high gastric cancer risk countries. (Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - May 15, 2018 Category: Gastroenterology Source Type: research

Lower Sustained Diphtheria and Pertussis Antibody Concentrations in Inflammatory Bowel Disease Patients
AbstractBackgroundPatients with inflammatory bowel disease (IBD) are often immunosuppressed, and those patients receiving anti-tumor necrosis factorα (TNF) therapy can have lower antibody responses to vaccines. Pertussis cases are at their highest levels in the post-vaccine era. There is little data regarding responses to the Tdap (tetanus, diphtheria, and acellular pertussis) vaccine in IBD patients.AimsThe aim of this study was to compare sustained vaccine-induced Tdap antibody concentrations in a cohort of IBD patients stratified by medication regimens with healthy controls (HC) who had received an adult Tdap boos...
Source: Digestive Diseases and Sciences - May 15, 2018 Category: Gastroenterology Source Type: research

Anti-inflammatory and Antioxidant Effects of Captopril Compared to Methylprednisolone in l -Arginine-Induced Acute Pancreatitis
ConclusionCaptopril treatment showed a protective and comparable effect with MP treatment in AP rat model. (Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - May 15, 2018 Category: Gastroenterology Source Type: research

Profiles of Patients Who Use Marijuana for Inflammatory Bowel Disease
ConclusionsFew IBD patients consulted their medical doctors about marijuana use or used prescription marijuana. Where recreational marijuana was available, usage rates were higher. Users reported benefits but also more IBD symptoms, depression, anxiety, and pain. Marijuana use may be higher in patients with IBD symptoms not well treated by conventional medical approaches. (Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - May 15, 2018 Category: Gastroenterology Source Type: research

Curative Criteria After Endoscopic Resection for Superficial Esophageal Squamous Cell Carcinomas
This study included patients with MM/SM1 ESCCs who underwent ER at Hiroshima University Hospital from December 1990 to November 2016. We evaluated the clinicopathological characteristics of 98 patients and overall survival, disease-specific survival, recurrence-free survival, and recurrence rates in the e-curative and non-e-curative groups.ResultsThe mean observation period was 75  months. There was no significant difference in disease-specific survival rate between the e-curative and non-e-curative groups (100 vs. 98%). There was no significant difference in disease-specific survival rates between the groups (100 vs....
Source: Digestive Diseases and Sciences - May 15, 2018 Category: Gastroenterology Source Type: research

Cost/Benefit of Hepatitis C Treatment: It Does Not End with SVR
(Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - May 15, 2018 Category: Gastroenterology Source Type: research

Role of Positron Emission Tomography in Assessing Disease Activity in Ulcerative Colitis: Comparison with Biomarkers
AbstractBackgroundDisease activity in ulcerative colitis (UC) is best assessed clinically by Mayo score. 18-Fluorodeoxyglucose positron emission tomography-computerized tomography (FDG PET-CT) is a noninvasive imaging technique to assess extent, disease activity and response to treatment of UC, especially in high risk population or patients unwilling for endoscopy.AimsWe conducted a prospective observational study with the aim of assessing and correlating UC disease activity by clinical criteria, endoscopy, histology, serum and fecal biomarkers, and FDG PET-CT.MethodsSixty eligible patients of UC were enrolled into three g...
Source: Digestive Diseases and Sciences - May 15, 2018 Category: Gastroenterology Source Type: research

Fecal Microbiome Among Nursing Home Residents with Advanced Dementia and Clostridium difficile
ConclusionLTCF residents with advanced dementia have substantial dysbiosis of their gut microbiome. Specific taxa characterizedC. difficile colonization status. (Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - May 15, 2018 Category: Gastroenterology Source Type: research

Concise Commentary: Visceral Obesity, Sarcopenia, and Cancer Surgery —Increasing Fitness Decreases Risk
(Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - May 15, 2018 Category: Gastroenterology Source Type: research

Hepatitis B Virus Screening and Reactivation in a National VA Cohort of Patients with Inflammatory Bowel Disease Treated with Tumor Necrosis Factor Antagonists
ConclusionsHBV screening rates prior to anti-TNF initiation are low among IBD patients, but have increased over time. Despite low rates of screening, clinically significant HBV reactivation after anti-TNF initiation in this US cohort was nonexistent. (Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - May 15, 2018 Category: Gastroenterology Source Type: research

Gastrointestinal Hemorrhage in Left Ventricular Assist Device Patients: Red Scare or Pressure from the Right?
(Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - May 15, 2018 Category: Gastroenterology Source Type: research

Trans –Transluminal Stenting for Infected Pancreatic Necrosis
(Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - May 15, 2018 Category: Gastroenterology Source Type: research

Endoscopic Interventions in the Treatment of Obesity and Diabetes
AbstractObesity is a global health problem which is on the rise and is strongly associated with the development of type 2 diabetes and other comorbidities. Bariatric surgery is now an established treatment for both these conditions, leading to impressive results in weight loss and glycemic control. More recently, we have seen the development of various endoscopic devices as potential alternatives or adjuncts to bariatric surgery. In this state-of-the-art review, we outline the current landscape of endoscopic treatments available for the management of both obesity and diabetes, including the clinical evidence supporting the...
Source: Digestive Diseases and Sciences - May 14, 2018 Category: Gastroenterology Source Type: research

Testing and Treating Small Intestinal Bacterial Overgrowth Reduces Symptoms in Patients with Inflammatory Bowel Disease
ConclusionsThis study examines the clinical effect of testing and treating for SIBO in an IBD population. We see a significant reduction in HBI after testing for and treating SIBO. Future prospective studies are necessary to further investigate the role of SIBO in the evaluation and management of IBD. (Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - May 14, 2018 Category: Gastroenterology Source Type: research

Gammadelta T Cells: Unconventional T Cells Involved in IBD Pathogenesis
(Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - May 11, 2018 Category: Gastroenterology Source Type: research

A Systematic Review of the Effectiveness of Psychological Treatments for IBS in Gastroenterology Settings: Promising but in Need of Further Study
ConclusionsEvidence for the effectiveness of psychological treatment in gastroenterology practice is promising but limited. Study designs that involve a blending of efficacy and effectiveness components are needed. (Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - May 10, 2018 Category: Gastroenterology Source Type: research

Clarification of Obeticholic Acid Dosing: Response to “Occurrence of Jaundice Following Simultaneous Ursodeoxycholic Acid Cessation and Obeticholic Acid Initiation” by Quigley et al.
(Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - May 10, 2018 Category: Gastroenterology Source Type: research

Value of Two-Dimensional Shear Wave Elastography for Assessing Acute Liver Congestion in a Bama Mini-Pig Model
AbstractBackgroundTo date, liver congestion is one of the most significant clinical diseases. However, few studies have profoundly investigated the development, pathology, and prognosis of the important problems associated with acute hepatic congestion.AimsTo explore the value of noninvasive two-dimensional shear wave elastography (2D-SWE) for assessing acute liver congestion in an animal model.MethodsSix healthy Bama mini-pigs were used for this research and randomly divided into the experimental group and control group. We measured the basal liver stiffness (LS) by 2D-SWE and then clamped the inferior vena cava (IVC). LS...
Source: Digestive Diseases and Sciences - May 8, 2018 Category: Gastroenterology Source Type: research

Autologous Flap Transfer for Esophageal Stricture Prevention After Endoscopic Submucosal Dissection in a Porcine Model
ConclusionAutologous flap transfer after circumferential esophageal endoscopic submucosal dissection is a novel approach that remarkably decreases the degree of esophageal stricture that arises. (Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - May 8, 2018 Category: Gastroenterology Source Type: research

Predictive Chromoendoscopy of Serrated Polyps: Is the Pendulum Swinging Toward the Pit Pattern?
(Source: Digestive Diseases and Sciences)
Source: Digestive Diseases and Sciences - May 8, 2018 Category: Gastroenterology Source Type: research