Article
Gastroenterology & Hepatology
Elissa M. Ozanne, Elisabeth R. Silver, Sameer D. Saini, Joel H. Rubenstein, Iris Lansdorp-Vogelaar, Nicole Bowers, Sarah Xinhui Tan, John M. Inadomi, Chin Hur
Summary: Physicians' recommendations for BE surveillance cessation vary based on patient age, comorbidities, and BE length, with age showing the most significant variation in decisions. It appears that age and comorbidities influence BE surveillance cessation decisions, but with differences among clinicians. Clear guidelines balancing the risks and benefits of BE surveillance cessation are needed.
AMERICAN JOURNAL OF GASTROENTEROLOGY
(2021)
Article
Gastroenterology & Hepatology
Edward H. Tsoi, Puneet Mahindra, Georgina Cameron, Richard Williams, Richard Norris, Paul Desmond, Spiro Raftopoulos, Darren Pavey, Arti Rattan, Luke F. Hourigan, Richard Lee, Michael J. Bourke, Naaz Sidhu, Rajvinder Singh, Andrew Chan, Sudarshan Krishnamurthi, Andrew C. F. Taylor
Summary: This study aimed to determine the proportion of prevalent HGD or EAC detected in Barrett's esophagus (BE) patients referred from the community with a recent diagnosis of low-grade dysplasia (LGD). The results showed that BERU assessment endoscopy identified more visible lesions than community referral endoscopy and identified HGD or EAC in 27% of patients referred from the community with a recent diagnosis of LGD. Reported progression rates from LGD to HGD or EAC may be overestimated.
GASTROINTESTINAL ENDOSCOPY
(2021)
Review
Oncology
Lu Zhang, Binyu Sun, Xi Zhou, QiongQiong Wei, Sicheng Liang, Gang Luo, Tao Li, Muhan Lu
Summary: This article briefly describes the etiology and clinical significance of intestinal metaplasia in Barrett's esophagus, as well as its impact on diagnosis, monitoring, and treatment according to different guidelines. The basis for endoscopic diagnosis and identification techniques of goblet cells in Barrett's esophagus are explored, along with current treatment methods related to the condition.
FRONTIERS IN ONCOLOGY
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Hsin-Yu Fang, Stefan Stangl, Sabrina Marcazzan, Marcos J. Braz Carvalho, Theresa Baumeister, Akanksha Anand, Julia Strangmann, Julia Slotta Huspenina, Timothy C. Wang, Roland M. Schmid, Marcus Feith, Helmut Friess, Vasilis Ntziachristos, Gabriele Multhoff, Dimitris Gorpas, Michael Quante
Summary: This study evaluated the use of a highly specific Hsp70-specific contrast agent in guided fluorescence molecular endoscopy biopsy, showing promising potential to improve tumor surveillance in BE patients, especially in cases with dysplasia and EAC.
EUROPEAN JOURNAL OF NUCLEAR MEDICINE AND MOLECULAR IMAGING
(2022)
Article
Gastroenterology & Hepatology
Joel H. Rubenstein, Jennifer A. Burns, Maria E. Arasim, Elizabeth M. Firsht, Matthew Harbrecht, Marilla Widerquist, Richard R. Evans, John M. Inadomi, Joy W. Chang, William D. Hazelton, Chin Hur, Jacob E. Kurlander, Francesca Lim, Georg Luebeck, Peter W. Macdonald, Chanakyaram A. Reddy, Sameer D. Saini, Sarah Xinhui Tan, Akbar K. Waljee, Iris Lansdorp-Vogelaar
Summary: This study aimed to estimate the yield of repeat esophagogastroduodenoscopy (EGD) performed at prolonged intervals after a normal index EGD. The results showed that a longer duration between EGD was associated with a greater odds of a new diagnosis of Barrett's esophagus, esophageal adenocarcinoma, or esophagogastric junction adenocarcinoma, especially among younger individuals.
AMERICAN JOURNAL OF GASTROENTEROLOGY
(2023)
Article
Gastroenterology & Hepatology
Abhiram Duvvuri, Madhav Desai, Sreekar Vennelaganti, April Higbee, Venkat Subhash Gorrepati, Chandra Dasari, Viveksandeep Thoguluva Chandrasekar, Prashanth Vennalaganti, Divyanshoo Kohli, Anjana Sathyamurthy, Tarun Rai, Prateek Sharma
Summary: In this pilot study, it was found that the novel esophageal capsule is not suitable for population screening of Barrett's esophagus. Further studies integrating artificial intelligence into improved quality novel esophageal capsule should be conducted for BE screening.
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
(2021)
Review
Medicine, General & Internal
Francesco Maione, Alessia Chini, Rosa Maione, Michele Manigrasso, Alessandra Marello, Gianluca Cassese, Nicola Gennarelli, Marco Milone, Giovanni Domenico De Palma
Summary: Barrett's Esophagus is a common condition associated with chronic gastroesophageal reflux disease and has a higher risk of developing esophageal adenocarcinoma. Low and high-grade dysplasia precede neoplastic transformation in this condition. The evaluation of low-grade dysplastic esophageal mucosa is still controversial, but endoscopic surveillance and minimally invasive endoscopic treatments such as endoscopic mucosal resection and radiofrequency ablation are available options. Cryotherapy ablation and argon plasma coagulation are novel endoscopic treatments with high eradication rates and fewer complications and post-procedural pain.
Article
Gastroenterology & Hepatology
Jing Dong, Catriona Grant, Barry Vuong, Norman Nishioka, Anna Huizi Gao, Matthew Beatty, Grace Baldwin, Aaron Baillargeon, Ara Bablouzian, Patricia Grahmann, Nitasha Bhat, Emily Ryan, Amilcar Barrios, Sarah Giddings, Timothy Ford, Emilie Beaulieu-Ouellet, Seyed Hamid Hosseiny, Irene Lerman, Wolfgang Trasischker, Rohith Reddy, Kanwarpal Singh, Michalina Gora, Daryl Hyun, Lucille Queneherve, Michael Wallace, Herbert Wolfsen, Prateek Sharma, Kenneth K. Wang, Cadman L. Leggett, John Poneros, Julian A. Abrams, Charles Lightdale, Samantha Leeds, Mireille Rosenberg, Guillermo J. Tearney
Summary: TCE can be used at multiple sites, administered to unsedated patients by non-expert physicians or nurses, and rapidly and safely evaluate the microscopic structure of the esophagus.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2022)
Review
Medicine, General & Internal
Arteen Arzivian, Elke Wiseman, Yanna Ko
Summary: Capsule endoscopy is the preferred method for diagnosing small bowel disorders, but capsule retention is a common adverse event. The retention of capsules in the upper esophagus lacks guidelines for diagnosis and management. This review analyzed 12 case reports to summarize the diagnostic workup and management of this complication. Most patients were asymptomatic before the examination, and symptoms were present in half of the cases with retention. Diagnosis was confirmed through neck X-ray, and capsule retrieval was mostly achieved through endoscopy, with a few cases requiring rigid endoscopy. Re-insertion using an overtube in the upper esophagus was the safest method.
Article
Gastroenterology & Hepatology
Maarten R. Struyvenberg, Albert J. de Groof, Joost van der Putten, Fons van der Sommen, Francisco Baldaque-Silva, Masami Omae, Roos Pouw, Raf Bisschops, Michael Vieth, Erik J. Schoon, Wouter L. Curvers, Peter H. de With, Jacques J. Bergman
Summary: The research demonstrated the feasibility of a deep-learning CAD system for tissue characterization of NBI zoom imagery in Barrett's esophagus, achieving promising diagnostic accuracy in predicting the presence/absence of Barrett's neoplasia.
GASTROINTESTINAL ENDOSCOPY
(2021)
Article
Computer Science, Interdisciplinary Applications
Chao Liao, Chengliang Wang, Jianying Bai, Libin Lan, Xing Wu
Summary: This paper proposes a deep-learning-based registration method for WCE imaging motion, which can automatically register ROI without labels and achieves good results. Experimental results show that the proposed method outperforms other existing methods, laying the foundation for subsequent studies.
COMPUTER METHODS AND PROGRAMS IN BIOMEDICINE
(2021)
Review
Biochemistry & Molecular Biology
Maria Manuela Estevinho, Rolando Pinho, Joao Carlos Silva, Joao Correia, Pedro Mesquita, Teresa Freitas
Summary: Hybrid argon plasma coagulation (hAPC) is a novel technique that combines conventional argon plasma coagulation and waterjet submucosal expansion. This meta-analysis evaluated the efficacy and safety of hAPC in Barret's esophagus (BE) ablation and as an adjunct to colonic endoscopic mucosal resection (EMR). The results showed high percentages of endoscopic and histologic remission after hAPC for BE, along with low rates of adverse events and recurrence. Similarly, hAPC-assisted EMR had low rates of adverse events and recurrence. Further trials comparing hAPC with standard strategies are needed to support its use for these indications.
Article
Gastroenterology & Hepatology
Sarmed S. Sami, James P. Moriarty, Jordan K. Rosedahl, Bijan J. Borah, David A. Katzka, Kenneth K. Wang, John B. Kisiel, Krish Ragunath, Joel H. Rubenstein, Prasad G. Iyer
Summary: In GERD-independent scenarios, most non-sEGD BE screening tests were cost-effective, with swallowable esophageal cell collection devices with biomarkers being the optimal choice. However, exhaled volatile organic compounds had the highest ICERs in all scenarios.
AMERICAN JOURNAL OF GASTROENTEROLOGY
(2021)
Review
Gastroenterology & Hepatology
Marco Spadaccini, Edoardo Vespa, Viveksandeep Thoguluva Chandrasekar, Madhav Desai, Harsh K. Patel, Roberta Maselli, Alessandro Fugazza, Silvia Carrara, Andrea Anderloni, Gianluca Franchellucci, Alessandro De Marco, Cesare Hassan, Pradeep Bhandari, Prateek Sharma, Alessandro Repici
Summary: This paper summarizes the current evidence, recent research advancements, and future perspectives regarding advanced imaging technology and artificial intelligence (AI) in Barrett's esophagus (BE). It stresses the importance of comprehensive endoscopic assessment and computer-aided diagnosis in improving diagnostic outcomes.
WORLD JOURNAL OF GASTROENTEROLOGY
(2022)
Article
Gastroenterology & Hepatology
Claire A. Beveridge, Chetan Mittal, V. Raman Muthusamy, Amit Rastogi, Vladimir Kushnir, Mariah Wood, Sachin Wani, Srinadh Komanduri
Summary: This study aimed to assess the rate of visible lesion (VL) detection by academic and community endoscopists using high-definition white-light endoscopy (HD-WLE) and narrow-band imaging (NBI). Participants identified VLs using HD-WLE and NBI, and the results showed that 28% and 31% of VLs were not identified using HD-WLE and NBI respectively. The study also found that the rate of VL detection was associated with the endoscopist's experience and the number of surveillance endoscopies performed each month.
GASTROINTESTINAL ENDOSCOPY
(2023)