Pancreatic steatosis: Identification of yet another “new” modifiable high-risk factor for post-ERCP pancreatitis?
Pancreatitis is the most common adverse event of ERCP.1 Post-ERCP pancreatitis (PEP) is predictably unpredictable. Those who perform ERCP on a regular basis will likely admit to having been equally surprised as to when pancreatitis does and doesn ’t happen. The list of patient-related and procedure-related risk factors for PEP is long. Unfortunately, the list of proven effective preventions and treatments is short.2,3 The indications for ERCP are usually well defined. Preprocedural imaging is nearly always necessary to make an informed dec ision whether to perform ERCP. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - January 17, 2024 Category: Gastroenterology Authors: Brian R. Weston Tags: Editorial Source Type: research

Contents
(Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - January 17, 2024 Category: Gastroenterology Source Type: research

Editors
(Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - January 17, 2024 Category: Gastroenterology Source Type: research

Focus On...
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Source: Gastrointestinal Endoscopy - January 17, 2024 Category: Gastroenterology Source Type: research

ASGE Update
(Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - January 17, 2024 Category: Gastroenterology Source Type: research

In Upcoming Issues...
(Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - January 17, 2024 Category: Gastroenterology Source Type: research

Information for readers
(Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - January 17, 2024 Category: Gastroenterology Source Type: research

Utility of prophylactic clipping after colorectal cold snare polypectomy in patients on oral antithrombotic agents
This study aimed to evaluate the utility of prophylactic clipping in preventing delayed bleeding (DB) after colorectal CSP in patients on antithrombotic agents. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - January 13, 2024 Category: Gastroenterology Authors: Naoki Akizue, Kenichiro Okimoto, Tomoaki Matsumura, Keisuke Matsusaka, Yosuke Inaba, Ryosuke Horio, Satsuki Takahashi, Chihiro Goto, Akane Kurosugi, Michiko Sonoda, Tatsuya Kaneko, Yuki Ohta, Takashi Taida, Jun Kato, Jun-ichiro Ikeda, Naoya Kato Source Type: research

Innovative submucosal injection solution for endoscopic resection with phosphorylated pullulan: A preclinical study
The submucosal injection solution is used to assist in endoscopic surgery. The high viscosity of current solutions makes it difficult to inject. In the present study, we developed an extremely low-viscosity, easy-to-use submucosal injection solution using phosphorylated pullulan (PPL). (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - January 12, 2024 Category: Gastroenterology Authors: Takuya Satomi, Yukari Ochi, Takumi Okihara, Hiroki Fujii, Yasuhiro Yoshida, Katsumi Mominoki, Haruko Hirayama, Junki Toyosawa, Yasushi Yamasaki, Seiji Kawano, Yoshiro Kawahara, Hiroyuki Okada, Motoyuki Otsuka, Akihiro Matsukawa Source Type: research

Top tips for endoscopic therapy for radiation-associated vascular ectasias in the rectum (with video)
Radiation proctitis, a.k.a. radiation-associated vascular ectasia (RAVE), is still commonly encountered in clinical practice, and develops as a consequence of radiation therapy for pelvic malignancy (usually prostate or gynecologic cancers). In GI fellowship, many (most) people were simply taught to treat these lesions with argon plasma coagulation (APC). Although this approach can certainly work, it belies the complexity of the topic and the additional thought that is often required when managing patients with RAVE. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - January 11, 2024 Category: Gastroenterology Authors: Arvind J. Trindade Tags: Top tips Source Type: research

Top Tips for Endoscopic Therapy for Radiation Associated Vascular Ectasias in the Rectum (with video)
(Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - January 11, 2024 Category: Gastroenterology Authors: Arvind J. Trindade Source Type: research

The prospective validation of a scoring system to assess mucosal cleanliness during upper endoscopy (EGD)
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 PEACE system) in the detection of clinically significant lesions (CSL) in the UGI tract. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - January 10, 2024 Category: Gastroenterology Authors: Marcin Roma ńczyk, Bartosz Ostrowski, Magdalena Lesińska, Paulina Wieszczy-Szczepanik, Katarzyna Monika Pawlak, Krzysztof Kurek, Ewa Wrońska, Katarzyna Kozlowska-Petriczko, Marek Waluga, Tomasz Romańczyk, Piotr Wosiewicz, Marek Bugajski, Marek Hartleb Source Type: research

Marijuana and Endoscopy: The effects of marijuana on sedation
Marijuana usage has increased significantly as it has become more readily available and legal, either recreationally or medicinally, in many states. It has been postulated that marijuana usage increases the amount of sedation required for procedures. However, there is minimal data defining this relationship. We aim to establish the relationship between marijuana usage and the amount of sedation used during endoscopy. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - January 10, 2024 Category: Gastroenterology Authors: Justin Kosirog, Christopher Bouvette, Jiteshwar Pannu, Jalal Gondal, Mohammad Madhoun Source Type: research

Top tips on endoscopy in post –bariatric surgery patients
Modern practitioners of endoscopy will often find themselves called upon by their surgical colleagues to investigate and treat adverse events related to bariatric surgeries. Many endoscopists have had the unsettling experience of realizing, during the endoscopic procedure itself, that they do not really understand the anatomy they are looking at, let  alone what the problem is and how to fix it. As such, it becomes incumbent on us as endoscopists to have a working knowledge of the most commonly performed bariatric surgical reconstructions, their typical failure modes, and the various approaches to treatment. (Source: Gast...
Source: Gastrointestinal Endoscopy - January 9, 2024 Category: Gastroenterology Authors: Pichamol Jirapinyo Tags: Top tips Source Type: research

A novel artificial intelligence-assisted “vascular-healing” diagnosis for prediction of future clinical relapse in patients with ulcerative colitis: a prospective cohort study
Image-enhanced endoscopy (IEE) has attracted attention as a method for detecting inflammation and predicting outcomes in patients with ulcerative colitis (UC); however, the procedure requires specialist endoscopists. Artificial intelligence (AI)-assisted IEE may help non-experts to provide objective accurate predictions using optical imaging. We aimed to develop a novel AI-based system using 8853 images from 167 patients with UC to diagnose “vascular-healing” and establish the role of AI-based vascular-healing for predicting the outcomes of patients with UC. (Source: Gastrointestinal Endoscopy)
Source: Gastrointestinal Endoscopy - January 9, 2024 Category: Gastroenterology Authors: Takanori Kuroki, Yasuharu Maeda, Shin-ei Kudo, Noriyuki Ogata, Iacucci Marietta, Kazumi Takishima, Yutaro Ide, Tomoya Shibuya, Shigenori Semba, Jiro Kawashima, Shun Kato, Yushi Ogawa, Katsuro Ichimasa, Hiroki Nakamura, Takemasa Hayashi, Kunihiko Wakamura, Source Type: research