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Literature | Lower GI tract

Cold Snare on the Rise?

Cold snare resection has been established in diminutive polyps (up to 5 mm) as being at least as safe and partially more effective than biopsy

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Literature | Lower GI tract

Artificial Intelligence and Polyp Differentiation

Polyp differential diagnosis by endoscopy has become a hot topic in the frame of the DISCARD discussion, stating that histologic analysis of small/diminutive (< 5

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Literature | Lower GI tract

Fecal Transplantation in Active Ulcerative Colitis?

Disturbances of the intestinal microbiota have been linked to the pathogenesis of ulcerative colitis (UC). In active UC microbiota differs from that in healthy subjects

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Literature | Lower GI tract

Full-thickness Resection in the Colon – Finally ?

For clinical cases, endoscopic full-thickness resection (EFTR) was developed and first described by Suzuki and Ikeda in 2001. It was performed in three Japanese patients

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Literature | Lower GI tract

Optimizing the adenoma detection rate – a never-ending story? Or does the outcome quality depend on the follow-up?

The adenoma detection rate (ADR) is the holy grail of quality assurance in colonoscopy. It is the main parameter for outcome quality — or more

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Literature | Lower GI tract | Pancreas | Upper GI tract

News from DDW

The latest developments in the field of gastroenterology and endoscopy are presented every year at Digestive Diseases Week (DDW) in Chicago — although in recent

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Literature | Lower GI tract

The New American Guideline for Capsule Endoscopy – Too Much and Reaching Too Far?

This guidelines on capsule endoscopy was put together by 7 Canadian experts and published in a high-ranking journal. It is limited to capsule endoscopy in

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Literature | Lower GI tract

Proctology, part 2 — treatment of acute anal pain

The most frequent causes of a pain-related presentation to the proctologist are anal venous thrombosis and anal fissure. Both of these conditions typically result from

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Colonoscopy | Literature | Lower GI tract

Colonoscopic adenoma detection – new super wide-angle scopes versus new caps

Adenoma detection rate (ADR) has become the holy grail of colonoscopy outcome quality measurement and efforts to increase ADR are ongoing.

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Literature | Lower GI tract

First Results from the NordICC randomized trial on screening colonoscopy

Screening colonoscopy is well established in a few Western countries as primary method of colorectal cancer (CRC) screening; however, most Western countries use conventional (FOBT)

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Galleries | Lower GI tract

Polyp Classification: WASP (incl. SSA)

The following gallery of images is intended to present the newly evaluated characteristics in the WASP classification, but it also illustrates the problems that still

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Galleries | Lower GI tract

Rectal NET Tumors

Unclear smaller polyps in the rectum may represent a pitfall — if they do not look like perfectly typical hyperplasia or small adenomas, then carcinoids

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Galleries | Lower GI tract

How can I identify sessile serrated adenomas?

Flat polyps are difficult to identify and may be easily overlooked, particularly in the right colon, where there is sometimes limited bowel cleansing. If a

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Literature | Lower GI tract

Are difficult colon polyps still being operated on?

The current standard is that when polyps or adenomas are identified on (screening) colonoscopies, they should be either directly removed or, if not, patients should

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Literature | Lower GI tract

Proctology — part 1: diagnosis

As a therapeutic discipline, proctology belongs primarily to the field of visceral surgery. However, the diagnosis of proctologic diseases is relevant to all physicians working

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Literature | Lower GI tract

Laparoscopic surgery for rectal carcinoma — slash back?

Since the early 2000s, meta-analyses based on smaller studies have shown that open and laparoscopic surgery for rectal carcinoma produce similar results.

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Literature | Lower GI tract

Surveillance and treatment for dysplasia in chronic inflammatory bowel diseases

Patients with chronic inflammatory bowel disease (IBD) are at increased risk for the development of colorectal carcinomas and the corresponding precursor lesions. This applies both

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Literature | Lower GI tract

Fecal DNA testing — a new threat to screening colonoscopy?

Fecal tests have increasingly moved on from the classic fecal occult blood test (FOBT) to fecal immunologic testing (FIT), particularly in countries with newly introduced

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Literature | Lower GI tract

New wide-angle colonoscope — far more adenomas?

A new wide-angle colonoscope now provides a viewing angle of 330°, at least on one level, which represents practically a doubling in comparison with previous

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Literature | Lower GI tract

Adenoma rate confirmed as most important quality parameter in screening colonoscopy

There has been increasing discussion regarding quality indicators in colonoscopy, and on the ways in which what parameters should be assessed and compared using benchmarking.

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Literature | Lower GI tract

Duodenoscopes with problem bacteria — only in the USA?

It has long been known that bacterial infection can be transmitted via endoscopes. Review studies have shown that infections are still occurring and are usually

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Literature | Lower GI tract

How dangerous are serrated adenomas?

Sessile serrated adenomas (SSAs) are the latest fashion in gastroenterological endoscopy. Individual histopathological examinations have shown that there is a separate pathway to carcinoma, apparently

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