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5 recent highlights in interventional endoscopy
Recently published studies have demonstrated new developments in colonoscopy procedures and endoscopies.
In case you missed it, the editors of Healio Gastroenterology and Liver Disease have compiled a recap of some of our most recent popular articles involving interventional endoscopy.
POEM effective in spastic esophageal disorders
Per-oral endoscopic myotomy is a safe and effective treatment for esophagogastric junction outflow obstruction and spastic esophageal disorders, like jackhammer esophagus and type 3 achalasia, according to research presented at Digestive Disease Week.
Saurabh Chandan, MD, of the department of gastroenterology and hepatology at the University of Nebraska Medical Center, said current guidelines recommend that POEM should be considered for treating any of the achalasia syndromes, as long as the appropriate expertise is available, and recent reports have shown successful outcomes with POEM in patients with spastic esophageal disorders. READ MORE.
Device to improve cleansing for colonoscopy receives FDA clearance
The FDA has given 510(k) clearance to the second generation of Motus GI’s Pure-Vu System, which helps provide adequate cleansing of a poorly prepared colon during a colonoscopy screening.
“Receiving FDA clearance for our Pure-Vu GEN2 represents a major milestone for the company,” Motus CEO Tim Moran said in a press release. “The Pure-Vu System continues to demonstrate outstanding cleansing performance in poorly prepped colons, including the statistically significant improvement in colon cleanliness in hospitalized patients as recently demonstrated by the positive outcome of our REDUCE study.” READ MORE.
Cold snare with continuous anticoagulants does not increase bleeding in small polypectomies
Patients who underwent cold snare polypectomy while taking continuous anticoagulants did not experience increased incidence of severe bleeding compared with those who underwent hot snare polypectomy with heparin bridging, according to research presented at Digestive Disease Week.
In his presentation, Yuichi Shimodate, of the Kurashiki Institute in Japan, said heparin bridging has been the standard of care for peri-polypectomy management in patients who are on anticoagulants, but they do not come without risk. READ MORE.
Surgery fellows performing more endoscopies
The number of endoscopies performed by surgery fellows has increased during the last 10 years, and that trend is likely to continue, according to data presented at Digestive Disease Week.
David Morrell, MD, a general surgery resident at Penn State Health Milton S. Hershey Medical Center, said in his presentation that endoscopy has become a common part of surgical practice, but little information is available on the volume of endoscopic surgery. READ MORE.
Post-holiday colonoscopies more likely to have inadequate bowel prep
Patients undergoing colonoscopy in the days following state holidays and early in the week more often presented with inadequate bowel preparation, according to a presenter at Digestive Disease Week 2019.
“We showed that having a colonoscopy on the day after a holiday has a higher chance of inadequate bowel preparation,” Ammar Nassri, MD, of the department of medicine, division of gastroenterology and hepatology at University of Florida-Jacksonville, said during his presentation. “We also showed that colonoscopy on certain days of the week or toward the end of the week had a better bowel preparation.” READ MORE.