7 recent reports on interventional endoscopy
Click Here to Manage Email Alerts
Healio Gastroenterology presents the following reports on the most recent news in interventional endoscopy.
These reports include new research in adenoma detection, the impact of COVID-19 on colonoscopy capacity and endoscopy-related injuries among GIs.
Linked color imaging may improve adenoma detection in endoscopy
Endoscopy with linked color imaging may help improve adenoma detection, particularly among endoscopists who normally have lower adenoma detection rates, according to study results.
“Linked color imaging [LCI] is a new equipment-based image-enhanced endoscopy [eIEE] designed to enhance slight color differences,” Takeshi Yamamura, MD, PhD, from the department of gastroenterology and hepatology at Nagoya University Graduate School of Medicine in Japan, and colleagues wrote. “LCI enhances the color separation of red blood vessels and white pits, allowing similar visualization to conventional white light imaging [WLI]. Furthermore, LCI is brighter than blue laser imaging [BLI]-bright and is expected to enhance visibility to improve polyp detection.” READ MORE.
Extending intervals may help accommodate COVID-19-related colonoscopy reductions
In the wake of a COVID-19 wave, extending screening intervals may be the best way to accommodate the reduction in available colonoscopy capacity with the smallest impact on the incidence of colorectal cancer, according to study results.
In her presentation at the European Society of Gastrointestinal Endoscopy (ESGE) Days 2021, Lucie de Jonge, from Erasmus MC University Medical Center in the Netherlands, said that the Dutch national CRC screening program was disrupted during the first wave of COVID-19 between March and May of 2020. READ MORE.
Lumen-apposing metal stents do not decrease need for endoscopic necrosectomy
Lumen-apposing metal stents for endoscopic drainage were not superior to double-pigtail plastic stents in reducing the need for endoscopic necrosectomy, according to a presenter at the ESGE Days.
“The lumen-apposing metal stents did not reduce the need for endoscopic necrosectomy when compared with double-pigtail plastic stents in patients with necrotizing pancreatitis,” Lotte Boxhoorn, MD, PhD candidate from gastroenterology and hepatology Amsterdam University Medical Center, in the Netherlands, said during the presentation. “In addition, [there was] no increased risk of complications, in particular bleed.” READ MORE.
Endoscopy-related injuries common in GI physicians
While endoscopic-related injuries are common among physicians in gastroenterology, men and women report differences in injury sites and contributing mechanisms, according to study results.
Swati Pawa, MD, from the section of gastroenterology and hepatology at Wake Forest School of Medicine, and colleagues wrote it is unclear how aware practicing GIs are about ergonomic concepts in endoscopy or how many are incorporating them into their practice. READ MORE.
Sites impacted by endoscopy-related injuries differ by sex
Endoscopy-related injury was prevalent among gastroenterologists, with significant sex-based differences in specific sites, according to a study published in the American Journal of Gastroenterology.
“Our results highlight the importance of training and education of all GI in ergonomics from early career stages, as well as the critical need for endoscopes with better ergonomic design to help reduce [endoscopy-related injury (ERI)],” Swati Pawa, MD, from the section of gastroenterology and hepatology at Wake Forest School of Medicine in Winston-Salem, North Carolina, and colleagues wrote. READ MORE.
Eliquis linked with lower risk for post-polypectomy bleeding
Patients who received Eliquis were at lower risk for post-polypectomy bleeding and thromboembolism than those who received warfarin and other direct oral anticoagulants, according to study results.
Francis KL Chan, from the department of medicine and therapeutics at The Chinese University of Hong Kong, and colleagues wrote that the difference among competing anticoagulants in terms of post-polypectomy bleeding risk has not been fully explored. READ MORE.
Second-look endoscopy recommended for patients with recurrent GI bleeding
Single endoscopy was not inferior to second-look endoscopy in decreasing risk for recurrent bleeding in patients with acute upper gastrointestinal bleeding due to peptic ulcer disease, according to study results.
“Our findings lend further support to current guidelines from ACG, [European Society of Gastrointestinal Endoscopy] and an international consensus group, and would support a change in [National Institute for Clinical Excellence] guidelines,” Faisal Kamal, MD, division of gastroenterology, University of Tennessee Health Science Center, and colleagues wrote. “Based on our analysis, we recommend reserving second-look endoscopy for patients with evidence of recurrent bleeding or those in whom there was concern about the adequacy of hemostasis at the initial endoscopy.” READ MORE.
Follow @HealioGastro on Twitter to stay up to date on all the latest research in the field.