Endoscopic Mucosal Resection: Best Practices for Gastrointestinal Endoscopists

Abstract: Endoscopic mucosal resection (EMR) is an endoscopic technique used to remove sessile or flat lesions from the gastrointestinal tract. This article reviews EMR and focuses […]

Diagnosis and Management of Clip Artifact on Endoscopic Mucosal Resection Scars

Abstract: Delayed hemorrhage is the most common complication of endoscopic mucosal resection (EMR). Studies have shown that prophylactic placement of hemostatic clips on certain EMR scars […]

Chicago Classification Version 4.0 and Its Impact on Current Clinical Practice

Abstract: High-resolution manometry (HRM) has revolutionized esophageal motility testing, and the evolving Chicago Classification has been critical in codifying HRM metrics and definitions of old and […]

Innovations in Gastrointestinal Endoscopy: Challenges in Advancing the Frontier

G&H What limitations are inherent in conventional endoscopy in terms of the quality of the imaging and detection of abnormalities? DS It is first worth mentioning […]

Advances in Endoscopic Resection in the Lower Gastrointestinal Tract

G&H What are the goals of endoscopic resection of neoplastic lesions in the colon? MB The goals of endoscopic resection of neoplastic lesions are pretty much […]

Techniques for Detection and Complete Resection of Sessile Serrated Polyps

G&H What characterizes sessile serrated polyps, and how are they distinguished from hyperplastic polyps? JA Sessile serrated polyps (SSPs) and hyperplastic polyps (HPs) are part of […]

The Role of Endoscopic Impedance Planimetry in Esophageal Disease

G&H How is endoscopic impedance planimetry performed? KR In clinical practice, endoscopic impedance planimetry utilizes an endoscopic functional luminal imaging probe known as EndoFLIP (Medtronic). It […]

Endoscopic Ultrasound–Guided Portosystemic Pressure Gradient and Endo-Hepatology

G&H What defines portal hypertension, and why can it develop in patients with cirrhosis? KC Portal hypertension reflects the gradient of blood pressure between vessels coming […]

Applications, Limitations, and Expansion of Cholangioscopy in Clinical Practice

Abstract: Peroral cholangioscopy (POC) provides minimally invasive, direct endoscopic visualization of the biliary ductal system for both diagnostic and therapeutic purposes. POC has benefited from a […]

Endoscopic Management of Complex Lesions in Patients With Inflammatory Bowel Disease

Abstract: Patients with inflammatory bowel disease (IBD) have a higher risk of developing colitis-associated dysplastic lesions. Surveillance colonoscopy with endoscopic imaging techniques such as chromoendoscopy has […]

Challenges in Defining and Preventing Suspected Duodenoscope Infections

G&H How common are duodenoscope infections in patients undergoing endoscopic retrograde cholangiopancreatography? SH At this time, estimates have been made based on so-called napkin math—that is, […]

Accessing a Difficult Colon

G&H What defines a difficult colonoscopy? RW A difficult colonoscopy is any colonoscopy in which the endoscopist has trouble achieving cecal intubation without significant effort or […]

Ergonomics in Endoscopy

G&H What is the study of ergonomics as it relates to endoscopy? AS Ergonomics is the study of how work affects people, and it takes […]

COVID-19 and Endoscopy

Abstract: The coronavirus disease 2019 (COVID-19) pandemic has caused significant disruptions in health care. Gastrointestinal (GI) societies have strongly recommended the rescheduling of elective procedures […]

Polypectomy and the Efficacy and Safety of Postpolypectomy Clipping

G&H What are the indications for polypectomy? HP In general, polyps should be resected if they have neoplastic potential (eg, tubular adenomas or sessile serrated […]

Novel Endoscopic Techniques for the Diagnosis of Pancreatic Cysts

G&H How are pancreatic cysts classified? SK Pancreatic cysts are classified into mucinous and nonmucinous categories. The mucinous classification tends to imply precancerous lesions, and […]

Update on Cholangioscopy

G&H What are the primary indications for cholangioscopy? PT Cholangioscopy has both diagnostic and therapeutic indications. More broadly, ductoscopy encompasses both cholangioscopy (biliary) and pancreatoscopy (pancreatic). […]

Diagnosis and Management of Esophagogastric Junction Outflow Obstruction

Abstract: Esophagogastric junction outflow obstruction (EGJOO) is an abnormal topographic pattern seen on high-resolution mano-metry. EGJOO is characterized by an elevated median integrated relaxation pressure […]

Pearls and Pitfalls of Endoscopic Resection of Duodenal Adenomas

G&H What endoscopic resection techniques are currently available for the treatment of duodenal adenomas? PD Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) are […]

The Role of the Functional Lumen Imaging Probe in Research and Clinical Practice

G&H When was the functional lumen imaging probe developed? KL The concept of the functional lumen imaging probe was first demonstrated in 2006, while the […]