Integration of research into endoscopic practice
I work in an institution in which research is valued, but you do not need to do it to maintain a successful practice. Nor do you need to publish to move up the administrative food chain. Why then do members of our Digestive Disease Institute (DDI) have 138 active research projects as of this writing and routinely publish 50 to 100 peer-reviewed articles yearly? Admittedly, these are not all endoscopy-driven research projects. They include studies from other components of the DDI (GI surgeons, oncologists, pathologists, and interventional radiologists as well as, in our shop, an endocrinologist who is the director of our Nu...
Source: Gastrointestinal Endoscopy - June 16, 2018 Category: Gastroenterology Authors: Richard A. Kozarek Tags: Practice management Source Type: research

How we resect colorectal polyps < 20 mm in size
We review our approach to resection of colorectal polyps (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - June 14, 2018 Category: Gastroenterology Authors: Douglas K. Rex, Evelien Dekker Source Type: research

Metastatic hepatocellular carcinoma of small bowel presenting as GI bleeding
(Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - June 13, 2018 Category: Gastroenterology Authors: Wei-Chih Sun, Tzung-Jiun Tsai, Wei-Lun Tsai, Jin-Shiung Cheng, Wen-Chi Chen Source Type: research

Should I admire the cecum for a while once I get there?
(Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - June 13, 2018 Category: Gastroenterology Authors: Manoop S. Bhutani Source Type: research

Unusual cause of a pancreatic mass
(Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - June 13, 2018 Category: Gastroenterology Authors: Yuko Sogabe, Shuji Yamamoto, Yuzo Kodama Source Type: research

Candida colitis: an endoscopic diagnosis
(Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - June 13, 2018 Category: Gastroenterology Authors: Alejandro Salagre, Miguel Telmo Galovart, Constanza Ciriza De Los R íos, Fernando Canga Source Type: research

Mucinous cystic neoplasia with denuded epithelium: EUS through-the-needle biopsy diagnosis
(Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - June 13, 2018 Category: Gastroenterology Authors: Luca Barresi, Matteo Tacelli, Gaia Chiarello, Ilaria Tarantino, Mario Traina Source Type: research

Gastric anisakiasis
(Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - June 13, 2018 Category: Gastroenterology Authors: S ónia Bernardo, Fernando Castro-Poças Source Type: research

New-generation full-spectrum endoscopy versus standard forward-viewing colonoscopy: a multicenter, randomized, tandem colonoscopy trial (J-FUSE Study)
Although colonoscopy is the criterion standard for detection of colorectal adenomas, some adenomas are missed. Full-spectrum endoscopy (FUSE) allows for observation with a 330 ° angle of view, which is expected to decrease the miss rate. However, no consensus has been reached regarding the superiority of FUSE over standard forward-viewing colonoscopy (SFVC) for detection of adenomas; we therefore compared new-generation FUSE and SFVC regarding colorectal adenoma miss rat e (AMR) in this, the first reported randomized control trial using new-generation FUSE. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - June 13, 2018 Category: Gastroenterology Authors: Toyoki Kudo, Yutaka Saito, Hiroaki Ikematsu, Kinichi Hotta, Yoji Takeuchi, Masaaki Shimatani, Ken Kawakami, Naoto Tamai, Yuichi Mori, Yasuharu Maeda, Masayoshi Yamada, Taku Sakamoto, Takahisa Matsuda, Kenichiro Imai, Sayo Ito, Kenta Hamada, Norimasa Fukat Source Type: research

Young Patients with Sporadic Colorectal Adenomas: Current Endoscopic Surveillance Practices and Outcomes
For young individuals ( (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - June 13, 2018 Category: Gastroenterology Authors: Jae Myung Cha, Danielle La Selva, Richard A. Kozarek, Michael Gluck, Andrew Ross, Otto S. Lin Source Type: research

EUS and confocal endomicroscopic diagnosis of pancreatic acinar cell cystadenoma
(Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - June 12, 2018 Category: Gastroenterology Authors: Jordan Orr, Robert Lockwood, Jordan Roberts, Chanjuan Shi, Patrick Yachimski Source Type: research

How I perform sphincterotomy
Since 1973, endoscopic sphincterotomy has been one of the cornerstones in therapeutic endoscopic retrograde cholangiopancreatography (ERCP). However, the procedure adds to the overall risk of the ERCP procedure and the risk/benefit ratio must always be assessed carefully prior to performing the cut. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - June 12, 2018 Category: Gastroenterology Authors: Lars Aabakken, Gregory Haber Tags: Masters of endoscopy Source Type: research

Alternative Approaches to Polyp Extraction in Colonoscopy: A Proof of Principle Study
A limitation of determination of the completeness of resection in polypectomy is polyp fragmentation. When a polyp fragments, the pathologist cannot determine resection completeness. Alternative approaches to reduce polyp fragmentation include reducing shearing forces on the polyp or removing polyps through the instrument channel. The primary aim of this study was to assess fragmentation of polyps extracted using different approaches from conventional polyp retrieval. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - June 6, 2018 Category: Gastroenterology Authors: Rama Behara, Shriram Jakate, Faraz Bishehsari, John Losurdo, Salina Lee, Shubha Singh, Joshua Melson Source Type: research

Natural history of colonic polyposis in young patients with familial adenomatous polyposis
This study examined the rate of polyposis progression and factors associated with it. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - June 1, 2018 Category: Gastroenterology Authors: Shashank Sarvepalli, Carol A. Burke, Marc Monachese, Brandie H. Leach, Lisa Laguardia, Margaret O ’Malley, Matthew F. Kalady, James M. Church Source Type: research

ASGE Program
COMBINED CLINICAL SYMPOSIUM (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Tags: ASGE Program Source Type: research

68 eus-guided gastrojejunostomy with lumen apposing metal stent versus enteral stent placement for palliation of malignant gastric outlet obstruction
Enteral stent placement is commonly performed for palliation of obstructive symptoms caused by malignant gastric outlet obstruction (GOO). EUS-guided gastrojejunostomy (EUS-GJ) with placement of a lumen-apposing metal stent (LAMS) is a novel procedure that may offer long lasting patency with fewer incidence of stent failure, however there is limited data comparing EUS-GJ to enteral stent placement. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Phillip S. Ge, Joyce Y. Young, William Dong, Christopher C. Thompson Tags: Oral abstract Source Type: research

73 a prospective multicenter study evaluating eus and ercp competence during advanced endoscopy training and subsequent independent practice: the rapid assessment of trainee endoscopy skills (rates2) study
We have shown that AETs achieve EUS and ERCP competence at varying rates, validating the shift from defining competence based on an absolute number of procedures to well-defined metrics. However, there are no data to confirm that advanced endoscopy trainees (AETs) who achieve competence during training subsequently perform high quality EUS and ERCP in their 1st year of independent practice. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Sachin B. Wani, Rajesh N. Keswani, Matt Hall, Samuel Han, Eva Aagaard, Violette C. Simon, Linda Carlin, Swan Ellert, Wasif M. Abidi, Todd H. Baron, Brian C. Brauer, Hemant Chatrath, Gregory A. Cote, Koushik K. Das, Christopher J. DiMaio, Steven A. Edmundo Tags: Oral abstract Source Type: research

76 proceduralist-driven fluoroscopy significantly reduces irradiation during ercp
Fluoroscopy exposure should be reduced as much as possible for safety of staff and patients. Accumulated radiation exposure of busy ERCP proceduralists approaches risk of organ damage (eg: cataract formation1). Annual exposure of a busy proceduralist has been equated to a single fluoroscopic examination (3-5mSv) which involves a small but real increased risk of malignancy2. Proceduralist-driven fluoroscopy might reduce exposure. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Ian Norton, Cameron J. Bell, Sarah Cho, Bok Kim, Katherine Erdman Tags: Oral abstract Source Type: research

107 uncovered versus covered self-expandable metal stents in palliative endoscopic treatment of malignant gastric outlet obstruction: a large multicenter randomized trial in west japan
The pathogenesis of gastric outlet obstruction (GOO) mainly involves extrinsic tumors (i.e. pancreatic carcinomas) or intrinsic tumors (i.e. gastric carcinomas). Self-expandable metal stents (SEMSs) are an effective treatment option for GOO. However, stent dysfunction due to tumor ingrowth is a frequent problem with uncovered SEMSs, while covered SEMSs are prone to migration. The aim of this study was to compare uncovered and covered SEMSs for palliation of malignant GOO. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Masayuki Kitano, Yasutaka Chiba, Kentaro Yamao, Takeshi Ogura, Takaaki Eguchi, Ichiro Moriyama, Yukitaka Yamashita, Hironari Kato, Takahisa Kayahara, Noriyuki Hoki, Yoshinobu Okabe, Hideyuki Shiomi, Yoshitaka Nakai, Yoshinori Kushiyama, Yoshifumi Fujimoto Tags: Oral abstract Source Type: research

108 covered stents and endoscopic suturing for benign and malignant gastric outlet obstruction: safety and efficacy.
Self-expandable metallic stents (SEMS) have a wide range of therapeutic application in the management of malignant gastric outlet obstruction (GOO), and in select cases, esophageal covered SEMS have been used for benign indications. Uncovered SEMS to relieve malignant GOO have a shorter recovery time compared to conventional surgical bypass. Covered SEMS (CSEMS) confer the benefit of minimizing tissue ingrowth but are prone to stent migration. Endoscopic suturing (ES) reduces esophageal stent migration. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Jennifer T. Higa, Toufic Kachaamy, Shayan Irani Tags: Oral abstract Source Type: research

109 per oral endoscopic pyloromyotomy (pop) is efficious and safe for refractory gastroparesis: the first prospective study (gastro-pop- nct02779920)
Gastroparesis is a functionnal disorder defined by delayed gastric emptying without mechanical obstruction and cardinal symptoms (nausea, vomiting, early satiety). It ’s prevalence is high around 3% in USA. Treatment of gastroparesis is based on specific diet (frequent small meals with low fat and low fiber) and prokinetics drugs. However these drugs are concerned by a lot of cardiac side effect, and a lot of patients escape because of a tachyphylaxy effect. In case of failure of these treatments, there is no validated therapeutic alternative. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: J érémie Jacques, Lauriane Pagnon, Florent Hure, Romain LEGROS, Philippe R. Ducrotté, Denis Sautereau, Veronique LOUSTAUD-RATTI, Guillaume Gourcerol, Jacques Monteil Tags: Oral abstract Source Type: research

110 continued versus interrupted aspirin use and bleeding risk after endoscopic submucosal dissection of gastric neoplasms: a meta-analysis
Balancing the risk of bleeding and thromboembolic events for patients who use aspirin and need to undergo endoscopic submucosal dissection (ESD) for gastric neoplasms is a delicate process. The current guidelines from different associations provide inconsistent recommendations. For instance, the American Society of Gastrointestinal Endoscopy recommends continuing aspirin peri-procedurally regardless of thrombotic risks, whereas the European Society of Gastrointestinal Endoscopy recommends that aspirin discontinuation should be considered for patients whose risk of hemorrhage outweighs the risk of thrombotic events. (Source...
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Veeravich Jaruvongvanich, Tomoki Sempokuya, Karn Wijarnpreecha, Patompong Ungprasert Tags: Oral abstract Source Type: research

111 efficacy and safety of endoscopic submucosal dissection with over-the-scope-clip closure for superficial non-ampullary duodenal epithelial tumor
We reported that laparoscopic and endoscopic co-operative surgery (LECS) is one of the minimally invasive treatments for SNADET. LECS can prevent delayed complications due to laparoscopic closure. In contrast, there have been some reports with regard to the usefulness of the over-the-scope clip (OTSC) for prevention of delayed complications after endoscopic treatment. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Osamu Dohi, Takahiro Nakano, Yuji Naito, Shun Takayama, Kazuyuki Ogita, Kei Terasaki, Naoto Iwai, Tomohiro Ueda, Ryohei Hirose, Tetsuya Okayama, Naohisa Yoshida, Kazuhiro Kamada, Kazuhiko Uchiyama, Takeshi Ishikawa, Osamu Handa, Tomohisa Takagi, Hideyuki Tags: Oral abstract Source Type: research

112 “band and leave” strategy: a case series comparison of banding vs. endoscopic resection for management of small duodenal carcinoid
Duodenal carcinoid is a rare entity, comprising ∼ 2% of small intestinal carcinoid. While the majority have an indolent course, resection is recommended due to risk of nodal involvement and metastasis. No clear consensus exists on management of sub-centimeter duodenal carcinoid. While surgical resection was the mainstay of therapy prior to endo scopy, for small mucosal and submucosal carcinoid endoscopic resection and banding are two available treatment modalities. Here we compare the efficacy and safety of duodenal carcinoid eradication via endoscopic banding vs. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Chaitanya Allamneni, Ali M. Ahmed, Shajan Peter, Klaus E. Monkemuller, Kondal R. Kyanam Kabir Baig Tags: Oral abstract Source Type: research

113 application of artificial intelligence using convolutional neural network for detecting gastric cancer in endoscopic images.
Image recognition using artificial intelligence with deep learning through convolutional neural networks (CNNs) has dramatically improved and been increasingly applied to medical fields for diagnostic imaging. We developed a CNN that can automatically detect gastric cancer in endoscopic images. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Toshiaki Hirasawa, Kazuharu Aoyama, Junko Fujisaki, Tomohiro Tada Tags: Oral abstract Source Type: research

114 how does endoscopic full thickness resection and submucosal tunneling with endoscopic resection compares with laparoscopic assisted endoscopic submucosal dissection ?
Submucosal esophageal and gastric lesions can be removed endoscopically using advanced endoscopic techniques. Submucosal Tunneling for endoscopic resection (STER) involves tunneling within the submucosa surrounding the lesion in order to complete en-bloc resection; Endoscopic full-thickness resection involves removal of the lesion by creating a full-thickness defect that is closed after en-bloc removal. An alternative technique involves laparoscopy-assisted endoscopic submucosal dissection (lap-ESD) where the lesion is partially resected endoscopically using ESD technique and then fully removed via laparoscopic surgery. (S...
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Michel Kahaleh, Amy Tyberg, Georgios Mavrogenis, Stefanos Bassioukas, Shawn L. Shah, Jose Nieto, Monica Gaidhane, Vitor N. Arantes, Seiichiro Abe Tags: Oral abstract Source Type: research

115 endoscopic full-thickness resection of gastric subepithelial tumors with the gftrd system – a prospective pilot study
Gastric subepithelial tumors (SET) are rare, usually benign and often detected incidentally. However, up to 13% are reported to be malignant. Histology after conventional biopsy usually is inconclusive. In consequence, further management often is unclear and leads to multiple surveillance endoscopies. For SET arising from deeper layers endoscopic resection (ER) with the standard techniques is difficult and associated with a high risk of perforation. The RESET trial further evaluates feasibility, efficacy and safety of clip-assisted endoscopic full-thickness resection (EFTR) for gastric SET using a modified FTRD system. (So...
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Benjamin Meier, Arthur Schmidt, Karel Caca Tags: Oral abstract Source Type: research

116 successful eradication of helicobacter pylori reduces the development of metachronous gastric cancer after endoscopic submucosal dissection for early gastric cancer: a propensity matching analysis
Helicobacter pylori infection is the most important risk factor for gastric cancer. Some randomized studies showed that successful H. pylori eradication after endoscopic resection of early gastric cancer (EGC) significantly reduced metachronous gastric cancer (MGC), whereas others showed that H. pylori eradication did not significantly contribute to reducing MGC. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Rieko Nakata, Yasuaki Nagami, Atsushi Hashimoto, Taishi Sakai, Masaki Ominami, Shusei Fukunaga, Koji Otani, Shuhei Hosomi, Fumio Tanaka, Mizuki Ohira, Noriko Kamata, Koichi Taira, Hirokazu Yamagami, Tetsuya Tanigawa, Masatsugu Shiba, Toshio Watanabe, Yasu Tags: Oral abstract Source Type: research

117 the multicenter validation study of the simple score, which predicts need for an urgent endoscopic intervention for suspected upper gastrointestinal bleeding
To assist a rapid decision whether urgent endoscopic intervention is required for patients with suspected upper gastrointestinal bleeding (UGIB), we previously developed the Simple Score (range 0-3 points), which consists of the following three variables: “no daily use of proton pump inhibitors during one week before examination (+1 point),” “shock index (Heart rate/systolic blood pressure) ≥1 (+1 point)”, and “Urea/creatinine ≥140 (Blood urea nitrogen/creatinine ≥30) (+1 point)” (Horibe et al. Dig Liver Dis 2016; 48: 1180-6.). (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Masayasu Horibe, Yuki Ogura, Juntaro Matsuzaki, Kazuhiro Minami, Seiichiro Fukuhara, Eisuke Iwasaki, Naoki Hosoe, Tatsuhiro Masaoka, Yasuo Hosoda, Shin Namiki, Haruhiko Ogata, Takanori Kanai Tags: Oral abstract Source Type: research

118 endoscopic radiofrequency ablation is an effective therapy in patients with symptomatic anaemia secondary to gastric antral vascular ectasia
Gastric antral vascular ectasia (GAVE) is a rare cause of gastrointestinal bleeding (GIB). Patients often require regular blood transfusions and long-term oral or intravenous iron supplementation to manage symptomatic anaemia impacting on quality of life. Endoscopic therapy (ET) for GAVE includes argon plasma coagulation (APC), laser therapy and endoscopic band ligation. In some patients, these measures are not successful with significant effects on their health and quality of life. Radio-frequency ablation (RFA) may provide a solution in these patients. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Cormac Magee, Gideon Lipman, Durayd Alzoubaidi, Martin A. Everson, Rami Sweis, Matthew Banks, David G. Graham, Laurence Lovat, Charles Murray, Rehan Haidry Tags: Oral abstract Source Type: research

119 optical detection of colorectal neoplasia after endoscopic mucosal resection: comparision of high definition white light, narrow band imaging and near focus: final analysis of a prospective double blind clinical  trial
Detection of subtle recurrences after colorectal endoscopic mucosal resection (EMR) is challenging. High definition colonoscopy with narrow band imaging (NBI) in combination with a near-focus, providing sharp focus within 2-6mm from the colonic mucosa, may help to differentiate residual neoplasia from granular tissue. This could potentially reduce the need for pathologic assessment during EMR follow-up and correctly guide immediate treatment decisions. We aimed to evaluate the diagnostic accuracy of high-definition white light and NBI with and without near-focus in the optical detection of residual neoplasia after EMR in r...
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Pujan Kandel, Eelco C. Brand, Joe Pelt, Ernest P. Bouras, Victoria Gomez, Massimo Raimondo, Timothy A. Woodward, Michael B. Wallace Tags: Oral abstract Source Type: research

120 diagnostic accuracy of high definition white light, narrow band imaging with or without near focus for assessment of colorectal endoscopic mucosal resection scars: escart trial (emr scar assessment trial), multicenter image evaluation study
High definition colonoscopy white light, narrow band imaging (NBI) with or without near-focus (an optical zoom providing sharp image within 2-6mm of intestinal mucosa) may aid in detection of subtle recurrence in the follow-up after EMR. If recurrence can confidently be excluded based on optical diagnosis, biopsy of EMR scar base can be avoided during surveillance colonoscopy. We aimed to test the diagnostic accuracy and inter-observer agreement of the optical diagnosis of EMR-scar recurrent neoplasia. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Pujan Kandel, Eelco C. Brand, Joe Pelt, Gottumukkala S. Raju, Douglas K. Rex, Dennis Yang, Mohammad A. Al-Haddad, Peter Draganov, Jeffrey Gill, Cesare Hassan, Ian S. Grimm, Stuart R. Gordon, B. Joseph Elmunzer, Evelien Dekker, Paul Fockens, Charles J. Kah Tags: Oral abstract Source Type: research

121 injection-assisted versus underwater endoscopic mucosal resection without injection for the treatment of colorectal laterally spreading tumors: interim analysis of an international multicenter randomized controlled trial
Underwater endoscopic mucosal resection (UEMR) without submucosal injection has emerged as an alternative technique to conventional injection-assisted endoscopic mucosal resection (CEMR) for the treatment of laterally spreading tumors (LSTs) in the colon. However, little data exists comparing the two techniques. Our aim was to compare the outcomes and safety of UEMR versus CEMR. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Chris M. Hamerski, Andrew Y. Wang, Arnaldo Amato, Jason B. Samarasena, Rabindra R. Watson, Andrew S. Nett, Jona Calitis, Daniel Strand, Kenneth F. Binmoeller Tags: Oral abstract Source Type: research

122 therapeutic results of precutting emr for lesions 10-30mm in size
In this study, we analyzed the therapeutic results of precutting EMR cases for large colorectal tumors. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Naohisa Yoshida, Yuji Naito, Takaaki Murakami, Ryohei Hirose, Yutaka Inada, Osamu Dohi, Kazuhiro Kamada, Kazuhiko Uchiyama, Osamu Handa, Hideyuki Konishi, Rafiz Abdul Rani, Yoshito Itoh Tags: Oral abstract Source Type: research

123 impact of united states preventive services task force guidelines on overall colorectal cancer screening rates and screening modalities
In June 2016 the US Preventive Services Task Force (USPSTF) included multitarget stool DNA and CT colonography as accepted colorectal cancer (CRC) screening modalities to the already recommended tests: FOBT/FIT, sigmoidoscopy and colonoscopy. The aim of our study was to determine the effect of the USPSTF update, adding two additional CRC screening tests, on existing colorectal cancer screening modalities and on the overall CRC screening rates within an academic primary care network. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Mark Benson, Jennifer Weiss, Michael R. Lucey, Jeff Pier, Patrick Pfau Tags: Oral abstract Source Type: research

124 effectiveness of preoperative total colonoscopy and computed tomographic colonography after placement of a self-expandable metallic stent as a bridge to surgery
Endoscopic placement of a self-expandable metallic stent (SEMS) as a bridge to surgery (BTS) is widely accepted in the treatment of obstructing colorectal cancer. In addition, the colorectal patency provided by the SEMS makes preoperative total colonoscopy (TCS) possible. Exclusion of synchronous tumors before the operation is important to determine the optimal operative procedure, including the extent of resection. Preoperative TCS through the colonic stent in patients with colorectal cancer obstruction is a reasonable technique for exclusion of synchronous tumors. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Takashi Osoegawa, Yorinobu Sumida, Naohiko Harada, Hirotaka Turu, Tomonori Mishima, Masafumi Wada, Yoichiro Iboshi, Eikichi Ihara, Makoto Nakamuta Tags: Oral abstract Source Type: research

165 efficacy of digital cholangioscopy-guided laser lithotripsy versus mechanical lithotripsy in patients with very large common bile duct stone(s) who failed papillary large balloon dilation: a randomized controlled study
This study therefore aimed to compare the efficacy of CL versus ML in patients with large CBDS that failed EPLBD. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Santi Kulpatcharapong, Wiriyaporn Ridtitid, Phonthep Angsuwatcharakon, Panida Piyachaturawat, Pradermchai Kongkam, Chaloemphon Boonmee, Wattana Pareesri, Thawee Ratanachu-ek, Rungsun Rerknimitr Tags: Oral abstract Source Type: research

166 safety and efficacy of eus-guided gallbladder drainage (eus-gbd) combined with ercp in the same session
ERCP is increasingly being combined in a single-session with other endoscopic procedures such as EUS (staging, screening for CBD stones, rendezvous for failed cannulation) duodenal stenting or cholangioscopy. EUS-guided gallbladder drainage (EUS-GBD) is an emerging option for acute cholecystitis in non-surgical candidates. Patients with acute cholecystitis often need CBD stone removal. Combination of ERCP for CBD stones and EUS-GBD might be appealing in some patient subsets, but there is virtually no objective evidence to support this combined approach to gallstone disease. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Ra úl Torres-Yuste, Francisco J. Garcia-Alonso, Marta Cimavilla, Ana Y. Carbajo López, Natalia Mora, Irene Penas-Herrero, Ramón Sánchez-Ocaña, Sergio Sevilla-Ribota, Carlos De la Serna, Manuel Perez-Miranda Tags: Oral abstract Source Type: research

167 outcomes of early versus late ercp in hospitalized patients with acute cholangitis: a nationwide analysis
The impact of the timing of endoscopic retrograde cholangiopancreatography (ERCP) on outcomes in patients with acute cholangitis is unclear. In addition, the severity of disease may affect this association. The aim of this study is to assess the effect of early versus late ERCP on mortality in acute cholangitis, using a nationally representative sample. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Ramzi Mulki, Rushikesh Shah, Emad S. Qayed Tags: Oral abstract Source Type: research

168 the impact of weekend admission on acute cholangitis outcomes: a nationwide analysis
Acute cholangitis (AC) is a potentially life-threatening condition that requires prompt management. Weekend admission has been noted to negatively impact outcomes on several medical conditions. Although the effect of weekend admission has been studied at a national level, available studies were performed only on cohorts undergoing ERCP with little statistical analysis and number of outcomes. Therefore, the aim of this study was to assess the impact of weekend admission on AC mortality and resource utilization using a national database. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Paul T. Kroner, Juan P. Gutierrez, Alvaro Mart ínez-Alcalá, Marco A. D'Assuncao, Ivan Jovanovic, Giovani Schwingel, Klaus E. Monkemuller Tags: Oral abstract Source Type: research

169 primary needle-knife fistulotomy versus conventional cannulation method in high risk cohort of post-endoscopic restrograde cholangiopancreatography pancreatitis: a multicenter randomized controlled trial
The aims of this study are to evaluate the usefulness of needle knife fistulotomy (NKF) as a procedure for primary biliary access in patients who are at increased risk for post-endoscopic retrograde endoscopic retrograde cholangiopancreatography pancreatitis (PEP) and to assess PEP and other complications between NKF and conventional cannulation methods (CCM). (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Sung Ill Jang, Dong Uk Kim, Jae Hee Cho, Chang Il Kwon, Dong Hee Koh, Se Woo Park, Tae Hoon Lee, Jin-Seok Park, Seok Jeong Tags: Oral abstract Source Type: research

170 factors predictive of resolution for pancreatic fluid collections: a multicenter international collaborative study.
Pancreatic fluid collections (PFCs) are a frequent complication of pancreatitis. Endoscopic drainage is the gold standard choice of drainage. Concurrent therapies, such as pancreatic duct (PD) exploration with ERCP and enteral feeding beyond the ligament of Treitz, are likely important cofactors for PFC resolution. The aim of this study is to identify predictors of resolution of symptomatic PFCs. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Michel Kahaleh, Amy Tyberg, Janak N. Shah, Abdul H. El Chafic, Ugmangi Patel, Luis Sabbagh, Carlos Robles-Medranda, Andrada Seicean, Monica Gaidhane, Aleksey A. Novikov, Enad Dawod, Prashant Kedia, Paul R. Tarnasky, Nikhil A. Kumta, Ahmed T. Kurdi, Ming-m Tags: Oral abstract Source Type: research

171 eus-guided transmural stenting vs. conventional ercp assisted transpapillary stenting for primary palliation of malignant distal biliary obstruction: a randomized clinical trial
Although ERCP assisted transpapillary stenting for the palliation of malignant biliary obstruction is the standard care, post-procedure pancreatitis and stent dysfunctions are not uncommon. While EUS-guided transmural stenting has garnered interest as a viable alternative when transpapillary stenting is impossible, its role as a primary palliation of malignant distal biliary obstruction is yet to be proven. The aim of this study was to determine whether transmural stenting is comparable to conventional transpapillary stenting in the primary palliation of malignant distal biliary obstruction. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Woo Hyun Paik, Tae Hoon Lee, Do Hyun Park, Jun-Ho Choi, Seon-Ok Kim, Sunguk Jang, Dong Uk Kim, Ju Hyun Shim, Tae Jun Song, Sang Soo Lee, Dong Wan Seo, Sung Koo Lee, Myung-Hwan Kim Tags: Oral abstract Source Type: research

172 cumulative risks of stent migration and upper gastrointestinal bleeding in patients with lumen apposing metal stents
Gastrointestinal bleeding and stent migration are lumen apposing metal stents (LAMS) related adverse events which might appear with a significant delay after stent deployment. Our objective was to address the cumulative risk of migration and upper gastrointestinal bleeding associated with the deployment of LAMS. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Francisco J. Garcia-Alonso, Irene Penas-Herrero, Ram ón Sánchez-Ocaña, Sergio Sevilla-Ribota, Marina de Benito, Marta Cimavilla, Ana Y. Carbajo López, Paula Gil-Simon, Carlos De la Serna, Manuel Perez-Miranda Tags: Oral abstract Source Type: research

173 outcomes of an international multi-centered registry on eus-guided gallbladder drainage in patients that are unfit for cholecystectomy
EUS-guided gallbladder drainage (EGBD) is gaining popularity as a means of achieving gallbladder drainage in patients suffering from acute cholecystitis that are unfit for cholecystectomy. However, most of the published studies only included small number of patients using one type of stent with a short follow-up. Hence, the aim of the current study is to review the outcomes of a large scale international registry on EUS-guided gallbladder drainage that encompasses different stent systems. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Anthony Y. Teoh, Manuel Perez-Miranda, Rastislav Kunda, Sang Soo Lee, Shayan Irani, Paul Yeaton, Todd H. Baron, Siyu Sun, Rungsun Rerknimitr, Jong Ho Moon, Bronte Holt, Christopher Jen Lock Khor, Amol Bapaye, Shannon M. Chan, Hyun Jong Choi, Theodore Jame Tags: Oral abstract Source Type: research

175 randomized trial of a transparent cap in single balloon enteroscopy for obscure gi bleed
Single balloon enteroscopy (SBE) is primarily utilized in evaluation of obscure gastrointestinal bleeding (OGIB). However 40-50% of patients with OGIB experience continued GI blood loss following SBE, in part due to missed lesions. Utilization of a transparent cap to the end of the endoscope can improve mucosal visualization in a variety of endoscopic applications, but to date has not been evaluated in SBE. The aim of this study was to evaluate impact of cap on diagnostic yield of SBE. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Stephen Hasak, Dayna Early, Gabriel Lang, Daniel Mullady, Chien-Huan Chen, Koushik K. Das, Gregory S. Sayuk, Vladimir Kushnir Tags: Oral abstract Source Type: research

176 rate of bleeding on antiplatelet and anticoagulant agents in patients undergoing double balloon enteroscopy.
Double balloon enteroscopy (DBE) is a widely used method of examining the portion of small bowel where conventional upper endoscopy and colonoscopy are unable to reach. Although theoretical increased risk of intra or post-operative bleeding exists in patients on antiplatelet (AP) or anticoagulant (AC) regimen, actual incidence is unclear at present. We sought to assess the rate of clinically significant intra and post-procedural bleeding in the patients undergoing DBE while on AP and AC treatment. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Abhik Bhattacharya, Matthew Hoscheit, Alfred Nelson, Rocio Lopez, Vaibhav Wadhwa, John J. Vargo, Madhusudhan R. Sanaka, Amit Bhatt, Roger Charles, Sunguk Jang Tags: Oral abstract Source Type: research

177 single incision laparoscopic assisted double balloon enteroscopy: a novel technique to manage small bowel pathology
Double balloon enteroscopy (DBE) has revolutionised the diagnosis and treatment of small bowel (SB) conditions. However, deep SB insertion can be challenging in patients with a history of abdominal surgery and a two-step procedure is required when findings are not amenable to endoscopic therapy. Laparoscopic assisted DBE (LA-DBE) using a standard multi-port technique has previously been reported in a series of 3 patients with Peutz-Jeghers Syndrome (PJS). This case series reports the development of LA-DBE using single incision laparoscopic surgery (SILS) applied to a wide range of clinical indications. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Ioannis Stasinos, Nikolaos Kamperidis, R. Rameshshanker, Alberto Murino, Chris H. Fraser, Janindra Warusavitarne, Adam Humphries Tags: Oral abstract Source Type: research

178 impact of a protocol involving the rational use of capsule endoscopy and double balloon enteroscopy on the cost-effectiveness in the management of obscure gastrointestinal bleeding
The etiologic diagnosis and specific treatment of patients with obscure gastrointestinal bleeding (OGIB) usually imply the repetition of various endoscopic and imaging tests, multiple blood transfusions and hospitalizations, with increased risks and costs for the patients and the health system. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Rafael Pasqualini Carvalho, Leonardo S. Lima, Jose Henrique Silvah, Rafael Kemp, Jose Sebastiao S. dos Santos Tags: Oral abstract Source Type: research

179 multicenter prospective case-crossover study on the association between overt small-bowel bleeding and drugs using capsule endoscopy database in japan
Small bowel capsule endoscopy (SBCE) has been useful in diagnosing drug-induced small bowel injury. However, the etiology and temporal development of drug-associated small-bowel bleeding (SBB) has not been well characterized. The aim of this study was to determine the risk of drugs associated with overt SBB using a prospective case-crossover design. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - May 30, 2018 Category: Gastroenterology Authors: Naoki Ohmiya, Shunji Fujimori, Masanao Nakamura, Atsuo Yamada, Shiro Oka, Motohiro Esaki, Atsushi Nakajima, Takayuki Matsumoto, Shinji Tanaka, Kiyoshi Kubota, Choitsu Sakamoto Tags: Oral abstract Source Type: research