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Artificial Intelligence in Pediatric Endoscopy
The application of artificial intelligence (AI) has great promise for improving pediatric endoscopy. The majority of preclinical studies have been undertaken in adults, with the greatest progress being made in the context of colorectal cancer screening and surveillance. This development has only been possible with advances in deep learning, like the convolutional neural network model, which has enabled real-time detection of pathology. Comparatively, the majority of deep learning systems developed in inflammatory bowel disease have focused on predicting disease severity and were developed using still images rather than vid...
Source: Gastrointestinal Endoscopy Clinics of North America - March 21, 2023 Category: Gastroenterology Authors: Jasbir Dhaliwal, Catharine M. Walsh Source Type: research

Enhancing Ergonomics in Pediatric Endoscopy Training and Practice
This article reviews the epidemiology of endoscopy-related injuries in pediatric practice, describes methods for controlling exposures in the workplace, discusses key ergonomic principles that can be used to mitigate injury risk, and outlines tips for integrating education on endoscopy ergonomics during training. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - March 21, 2023 Category: Gastroenterology Authors: Catharine M. Walsh Source Type: research

Pediatric Endoscopy
In 2022, the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition celebrated its 50th anniversary. Just as the field of pediatric gastroenterology has expanded over the last five decades, pediatric endoscopy has grown exponentially since its beginnings as fiberoptic endoscopy in the early 1970s. Thanks to reductions in instrument diameters, technological improvements, and progress in sedation and anesthetics, endoscopy in infants, children, and adolescents has become easier and safer. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - March 21, 2023 Category: Gastroenterology Authors: Catharine M. Walsh Tags: Preface Source Type: research

Pediatric Gastrointestinal Endoscopy Continues to Grow and Progress
Swiftly flow the years. The North American Society for Gastroenterology, Hepatology, and Nutrition celebrated its 50th anniversary in 2022. Back in the 1970s, if a pediatrician needed an endoscopy for a patient, it often involved obtaining valuable time in an operating room. If that wasn ’t enough of a hurdle, the only available endoscopist was probably trained in adult internal medicine and gastroenterology. Fifty years and some three generations later, the new pediatric gastrointestinal (GI) fellows would have little awareness of this inauspicious early landscape. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - March 21, 2023 Category: Gastroenterology Authors: Charles J. Lightdale Tags: Foreword Source Type: research

Pediatric Endoscopy
GASTROINTESTINAL ENDOSCOPY CLINICS OF NORTH AMERICA (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - March 21, 2023 Category: Gastroenterology Authors: Catharine M. Walsh Source Type: research

Copyright
ELSEVIER (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - March 21, 2023 Category: Gastroenterology Source Type: research

Contributors
CHARLES J. LIGHTDALE, MD (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - March 21, 2023 Category: Gastroenterology Source Type: research

Contents
Charles J. Lightdale (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - March 21, 2023 Category: Gastroenterology Source Type: research

Forthcoming Issues
Advances in Diagnosis and Therapy of Pancreatic Cystic Neoplasms (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - March 21, 2023 Category: Gastroenterology Source Type: research

Understanding the Principles of Electrosurgery for Endoscopic Surgery and Third Space Endoscopy
This article describes fundamental principles that apply to electrosurgical units, operator technique, and practical considerations for achieving desired tissue effects in endoscopic surgery; and provides practical guidance and safety considerations when using electrosurgical units in endoscopic surgery. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - November 12, 2022 Category: Gastroenterology Authors: Andrew A. Li, Margaret J. Zhou, Joo Ha Hwang Source Type: research

Submucosal Tunneling Techniques for Tumor Resection
The concept of third space endoscopy is based on the principle that the deeper layers of the gastrointestinal tract can be accessed by tunneling in the submucosal space and maintaining the integrity of the overlying mucosa. The mucosal flap safety valve enabled endoscopists to use submucosal space securely. The era of third space endoscopy started with peroral endoscopic myotomy for treatment of achalasia and has expanded to treat various other gastrointestinal disorders, such as mucosal lesions, submucosal tumors, extraluminal tumors, and refractory gastroparesis, Zenker diverticulum, and restoration of the completely obs...
Source: Gastrointestinal Endoscopy Clinics of North America - November 12, 2022 Category: Gastroenterology Authors: Zi-Han Geng, Ping-Hong Zhou, Ming-Yan Cai Source Type: research

Training in Endoscopic Submucosal Dissection in the United States
Endoscopic submucosal dissection (ESD) training in Japan is pursued through a designated master-apprentice, organ-based stepwise training model. However, applying a similar program to the United States is not a practical strategy due to the significant differences in the training system and disease prevalence. To incorporate the ESD training into the current advanced endoscopy fellowship program, the use of recently developed techniques and technologies to improve the efficiency of ESD is ideal. The ESD training program in the United States should be prevalence-based, with increased involvement of trainees depending on the...
Source: Gastrointestinal Endoscopy Clinics of North America - November 12, 2022 Category: Gastroenterology Authors: Cem Simsek, Hiroyuki Aihara Source Type: research

East versus West
Endoscopic submucosal dissection (ESD) is the preferred strategy for the resection of large superficial neoplasia throughout the gastrointestinal tract in Asian countries. The transition of ESD to the West has been slower because of various regional and training differences. Nonetheless, over the past couple of decades, the steady growth of ESD mentors in the West and the introduction of viable training pathways and dedicated devices and accessories have led to the increasing adoption of ESD and other third space endoscopic procedures. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - November 12, 2022 Category: Gastroenterology Authors: Dennis Yang, Muhammad K. Hasan, Peter V. Draganov Source Type: research

Endoscopic Submucosal Dissection in the Stomach and Duodenum
Gastric endoscopic submucosal dissection (ESD) is established for management of early gastric cancer (EGC). Diagnosis of EGC relies on adequate endoscopic assessment involving lesion size, histopathology, presence of ulceration, and depth of invasion. Absolute indications for endoscopic resection of EGC are if patients are presumed to have a less than 1% risk of lymph node metasta endoscopic submucosal dissectionsis, and long-term outcomes are similar to those with surgical gastrectomy. Duodenal ESD is more technically difficult and requires expertise in ESD in other locations. (Source: Gastrointestinal Endoscopy Clinics of North America)
Source: Gastrointestinal Endoscopy Clinics of North America - November 12, 2022 Category: Gastroenterology Authors: Sarah S. Al Ghamdi, Saowanee Ngamruengphong Source Type: research

Endoscopic Submucosal Dissection in the Colon and Rectum
Multimodal assessment of colorectal polyps is needed before decision-making for endoscopic mucosal resection or endoscopic submucosal dissection (ESD). Assessment should include morphology according to Paris classification, magnification endoscopy for vascular pattern, and Kudo pit pattern analysis. ESD should be offered to patients that have Vi pit pattern, lateral spreading tumors (LST) granular multinodular and LST nongranular, lesions with fibrosis and those in patients with inflammatory bowel disease. A defined strategy for resection and planning is crucial for successful and efficient resection with a clear audit of ...
Source: Gastrointestinal Endoscopy Clinics of North America - November 12, 2022 Category: Gastroenterology Authors: Amyn Haji Source Type: research