Article
Gastroenterology & Hepatology
Karlijn J. Nass, Liselotte W. Zwager, Manon van der Vlugt, Evelien Dekker, Patrick M. M. Bossuyt, Srivathsan Ravindran, Siwan Thomas-Gibson, Paul Fockens
Summary: This article introduces a new classification system called AGREE for adverse events in GI endoscopy, which provides a standardized and reproducible approach to assessing these events. Through surveys and questionnaires involving endoscopists, endoscopy nurses, and patients, the acceptability and effectiveness of the AGREE classification were demonstrated.
GASTROINTESTINAL ENDOSCOPY
(2022)
Article
Gastroenterology & Hepatology
Julia Arribas, Giulio Antonelli, Leonardo Frazzoni, Lorenzo Fuccio, Alanna Ebigbo, Fons van der Sommen, Noha Ghatwary, Christoph Palm, Miguel Coimbra, Francesco Renna, J. J. G. H. M. Bergman, Prateek Sharma, Helmut Messmann, Cesare Hassan, Mario J. Dinis-Ribeiro
Summary: Studies have evaluated the diagnostic performance of artificial intelligence in detecting and characterizing upper gastrointestinal lesions, showing a high overall accuracy for diagnosing any neoplastic lesion of the upper GI tract independently of the underlying condition.
Article
Gastroenterology & Hepatology
Frank Phillips, Jane Crowley, Samantha Warburton, George S. D. Gordon, Adolfo Parra-Blanco
Summary: This study found that significant quantities of aerosols and droplets are generated during GI endoscopy, particularly with the use of throat and nasal sprays. Adequate personal protective equipment should be used for GI endoscopy in areas with a high prevalence of COVID-19.
GASTROINTESTINAL ENDOSCOPY
(2022)
Article
Gastroenterology & Hepatology
Eric Swei, J. Christie Heller, Frank Scott, Augustin Attwell
Summary: Fatal endoscopic adverse events are rare but tend to occur in older patients with major comorbidities. Most deaths result from aspiration pneumonia, cardiac arrest, or perforation-related sepsis within 1 week of the procedure.
DIGESTIVE DISEASES AND SCIENCES
(2022)
Article
Gastroenterology & Hepatology
Honggang Yu, Rajvinder Singh, Seon Ho Shin, Khek Yu Ho
Summary: AI has recently been introduced to assist endoscopists in the detection and diagnosis of upper GI neoplasia. However, current AI studies for upper GI endoscopy are smaller pilot studies, and researchers lack large volume, well-annotated datasets.
JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY
(2021)
Article
Gastroenterology & Hepatology
Hang Yang, Yu Wu, Bo Yang, Min Wu, Jun Zhou, Qin Liu, Yifei Lin, Shilin Li, Xue Li, Jie Zhang, Rui Wang, Qianrong Xie, Jingqi Li, Yue Luo, Mengjie Tu, Xiao Wang, Haitao Lan, Xuesong Bai, Huaping Wu, Fanwei Zeng, Hong Zhao, Zhang Yi, Fanxin Zeng
Summary: Background and Aims: The clinical application of GI endoscopy for the diagnosis of multiple diseases using artificial intelligence (AI) has been limited by its high false-positive rates. This study developed a GI endoscopy AI-assisted diagnosis system (GEADS) to improve diagnostic accuracy and clinical utility. The results showed that the GEADS model achieved high diagnostic accuracy in the validation dataset and significantly improved the diagnosing accuracies of endoscopists.
GASTROINTESTINAL ENDOSCOPY
(2022)
Article
Pediatrics
Jose C. Flores-Gonzalez, Alfonso M. Lechuga-Sancho, Monica Saldana Valderas, Gema Jimenez Gomez, Maria D. Cruzado Garcia, Cristina Perez Aragon, Jose A. Blanca Garcia
Summary: The study aimed to assess the occurrence of respiratory adverse events during upper digestive endoscopies in children under ketamine sedation without oxygen supplementation. Results showed that 60% of patients experienced desaturation episodes, with most occurring during endoscope introduction. Furthermore, 70.5% of patients required oxygen therapy once it was initiated.
MINERVA PEDIATRICS
(2021)
Article
Gastroenterology & Hepatology
Lihui Zhang, Zihua Lu, Liwen Yao, Zehua Dong, Wei Zhou, Chunping He, Renquan Luo, Mengjiao Zhang, Jing Wang, Yanxia Li, Yunchao Deng, Chenxia Zhang, Xun Li, Renduo Shang, Ming Xu, Junxiao Wang, Yu Zhao, Lianlian Wu, Honggang Yu
Summary: An artificial intelligence-based endoscopy automatic reporting system (AI-EARS) was developed and validated, showing its efficacy in improving the accuracy and completeness of EGD reports. It has the potential to facilitate the generation of complete endoscopy reports and postendoscopy patient management.
GASTROINTESTINAL ENDOSCOPY
(2023)
Review
Gastroenterology & Hepatology
Tom G. Moreels
Summary: Quality improvement through registration of endoscopy-related AEs is recognized as an important indicator, but implementation in daily practice is challenging. Literature highlights the difficulties in capturing endoscopy-related events and sedation-related incidents. Government-driven health-care databases with automated data coupling are the most efficient way to implement comprehensive endoscopy-related AEs and outcomes, allowing feedback and credentialing based on national benchmark data.
DIGESTIVE ENDOSCOPY
(2023)
Review
Gastroenterology & Hepatology
Ayesha Shah, Ali Eqbal, Naomi Moy, Natasha Koloski, Helmut Messmann, Bradley J. Kendall, Prateek Sharma, Uwe Dulleck, Michael P. Jones, Gerald J. Holtmann
Summary: A systematic review and meta-analysis found that there is a significant prevalence of upper gastrointestinal (UGI) lesions in FOBT+ subjects. Anemia is associated with UGI lesions, but symptoms and colonic pathology are not. Dual endoscopy may yield more malignancies in FOBT+ subjects, but further study is needed to determine its cost-effectiveness.
GASTROINTESTINAL ENDOSCOPY
(2023)
Review
Gastroenterology & Hepatology
Ayesha Shah, Ali Eqbal, Naomi Moy, Natasha Koloski, Helmut Messmann, Bradley J. Kendall, Prateek Sharma, Uwe Dulleck, Michael P. Jones, Gerald J. Holtmann
Summary: This study aimed to determine the prevalence of upper gastrointestinal (UGI) lesions in subjects with a positive fecal occult blood test (FOBT+). The results showed that the prevalence of UGI cancers in FOBT+ subjects was 0.8%, and the prevalence of UGI clinically significant lesions (CSLs) was 30.4%. Anemia was associated with UGI cancers and UGI CSLs, while gastrointestinal symptoms were not associated with UGI CSLs.
GASTROINTESTINAL ENDOSCOPY
(2023)
Article
Gastroenterology & Hepatology
Linda S. Yang, Alexander J. Thompson, Andrew C. F. Taylor, Paul Desmond, Bronte A. Holt
Summary: A simple endoscopist education session can improve the quality of upper gastrointestinal endoscopy by improving compliance with guidelines and increasing the detection of clinically significant pathology. A minimum inspection time of 7 minutes is associated with increased diagnostic yield and may be a feasible quality indicator for clinical practice.
GASTROINTESTINAL ENDOSCOPY
(2022)
Article
Oncology
Stephan Zandanell, Sophie Gensluckner, Gernot Wolkersdoerfer, Frieder Berr, Christiane Dienhart, Antonia Gantschnigg, Franz Singhartinger, Andrej Wagner
Summary: The endoscopic diagnosis and treatment of (pre-)malignant lesions in gastrointestinal oncology are important but high-risk procedures. Continuous monitoring of adverse events and performance measures is recommended but not yet established in clinical practice. This study aims to evaluate the quality of documentation and validate the method of monitoring at our hospital.
Review
Medicine, General & Internal
Nauzer Forbes, Grigorios I. Leontiadis, Marcus Vaska, B. Joseph Elmunzer, Yuhong Yuan, Kirles Bishay, Zhao Wu Meng, Jordan Iannuzzi, Dylan E. O'Sullivan, Brittany Mah, Arun C. R. Partridge, Amanda M. Henderson, Aatif Qureshi, Rajesh N. Keswani, Sachin Wani, Ronald J. Bridges, Steven J. Heitman, Robert J. Hilsden, Yibing Ruan, Darren R. Brenner
Summary: This study aims to systematically review the adverse event rates of ERCP and report up-to-date pooled estimates. A comprehensive search will be conducted on relevant medical databases to assess the quality and abstract data for meta-analysis. The findings will be disseminated through conference presentations and publication in peer-reviewed journals.
Article
Gastroenterology & Hepatology
Camilo J. Acosta, David Goldberg, Sunil Amin
Summary: Frailty status in hospitalized patients undergoing endoscopy for GI bleeding is significantly associated with an increased risk of adverse events, including higher all-cause mortality rates. Frailty assessments can be valuable in guiding clinical decision-making and risk evaluation for endoscopy in adult patients with GI hemorrhage.
GASTROINTESTINAL ENDOSCOPY
(2021)
Article
Gastroenterology & Hepatology
Swati G. Patel, Folasade P. May, Joseph C. Anderson, Carol A. Burke, Jason A. Dominitz, Seth A. Gross, Brian C. Jacobson, Aasma Shaukat, Douglas J. Robertson
Summary: This document is an update to the screening recommendations for colorectal cancer (CRC) by the U.S. Multi-Society Task Force on Colorectal Cancer. The update suggests that average-risk individuals should start CRC screening at age 45 and should not continue screening after age 85.
AMERICAN JOURNAL OF GASTROENTEROLOGY
(2022)
Article
Gastroenterology & Hepatology
Swati G. Patel, Folasade P. May, Joseph C. Anderson, Carol A. Burke, Jason A. Dominitz, Seth A. Gross, Brian C. Jacobson, Aasma Shaukat, Douglas J. Robertson
Summary: This updated recommendation suggests starting colorectal cancer screening at age 45 based on increasing disease burden and modeling studies showing benefits outweigh potential harms and costs, while recommending individualized decisions for screening in individuals aged 76 to 85.
Article
Gastroenterology & Hepatology
Swati G. Patel, Folasade P. May, Joseph C. Anderson, Carol A. Burke, Jason A. Dominitz, Seth A. Gross, Brian C. Jacobson, Aasma Shaukat, Douglas J. Robertson
Summary: The U.S. Multi-Society Task Force on Colorectal Cancer recommends starting average-risk individuals on colorectal cancer screening at age 45 due to increasing disease burden among those under 50. Decisions regarding screening for individuals aged 76-85 should be personalized, while screening is not recommended after age 85.
GASTROINTESTINAL ENDOSCOPY
(2022)
Article
Gastroenterology & Hepatology
Vera Yakovchenko, Timothy R. Morgan, Edward J. Miech, Brittney Neely, Carolyn Lamorte, Sandra Gibson, Lauren A. Beste, Heather McCurdy, Dawn Scott, Rachel Gonzalez, Angela M. Park, Byron J. Powell, Jasmohan S. Bajaj, Jason A. Dominitz, Maggie Chartier, David B. Ross, Matthew J. Chinman, Shari S. Rogal
Summary: This study identified and specified implementation strategies for improving cirrhosis care through surveys, analysis, and qualitative interviews. The findings can be applied to other implementation challenges in hepatology.
Article
Gastroenterology & Hepatology
Ashley C. Mog, Peter S. Liang, Lucas M. Donovan, George G. Sayre, Aasma Shaukat, Folasade P. May, Thomas J. Glorioso, Michelle A. Jorgenson, Gordon Blake Wood, Candice Mueller, Jason A. Dominitz
Summary: The study found that the primary difference between high- and low-performing facilities is not in barriers but rather in the GI clinical care process. Therefore, developing and disseminating patient education materials about the importance of diagnostic colonoscopy, eliminating in-person precolonoscopy visits when clinically appropriate, and involving GI in missed colonoscopy appointments and outside referrals should be considered.
CLINICAL AND TRANSLATIONAL GASTROENTEROLOGY
(2022)
Article
Gastroenterology & Hepatology
C. Richard Boland, Gregory E. Idos, Carol Durno, Francis M. Giardiello, Joseph C. Anderson, Carol A. Burke, Jason A. Dominitz, Seth Gross, Samir Gupta, Brian C. Jacobson, Swati G. Patel, Aasma Shaukat, Sapna Syngal, Douglas J. Robertson
Summary: Gastrointestinal hamartomatous polyposis syndromes are rare, autosomal dominant disorders associated with an increased risk of benign and malignant tumors. Diagnosis is based on clinical criteria and confirmed by demonstrating germline pathogenic variants. Management includes prevention of bleeding and surveillance for cancer risks.
AMERICAN JOURNAL OF GASTROENTEROLOGY
(2022)
Article
Gastroenterology & Hepatology
Aasma Shaukat, Anne Tuskey, Vijaya L. Rao, Jason A. Dominitz, M. Hassan Murad, Rajesh N. Keswani, Fateh Bazerbachi, Lukejohn W. Day
GASTROINTESTINAL ENDOSCOPY
(2022)
Review
Education & Educational Research
Theresa Thai, Diana K. N. Louden, Rosemary Adamson, Jason A. Dominitz, Jacob A. Doll
Summary: This study aims to explore the application of peer evaluation in invasive medical procedures. Through a review of existing studies, it is found that peer evaluation has good consistency in the assessment of clinicians and provides some best practices, such as standardized scoring systems and prospective case selection criteria. However, current research has not yet proven the correlation between peer evaluation and other quality measures, or the improvement of patient care and outcomes through feedback to clinicians. Therefore, further research is needed to refine the application of peer evaluation and feedback interventions.
BMC MEDICAL EDUCATION
(2022)
Article
Gastroenterology & Hepatology
Joshua Demb, Lin Liu, Ranier Bustamante, Jason A. Dominitz, Ashley Earles, Shailja C. Shah, Andrew J. Gawron, Maria Elena Martinez, Samir Gupta
Summary: The delays in colonoscopy work-up for red flag signs or symptoms of colorectal cancer (CRC) during the COVID-19 pandemic were examined in a cohort study. The study found that colonoscopy completion rates were similar before and during the pandemic, indicating that there was no delay in colonoscopy work-up for CRC during this time. The study suggests that VHA policies supporting prioritization and completion may have contributed to these findings.
DIGESTIVE DISEASES AND SCIENCES
(2023)
Editorial Material
Medicine, General & Internal
Jason A. Dominitz, Douglas J. Robertson
NEW ENGLAND JOURNAL OF MEDICINE
(2022)
Article
Health Care Sciences & Services
Megan A. Adams, Eve A. Kerr, Jason A. Dominitz, Yuqing Gao, Nicholas Yankey, Folasade P. May, John Mafi, Sameer D. Saini
Summary: An electronic measure of screening colonoscopy overuse using ICD-10 codes was developed and applied to a national observational study of US Veterans. The study found that a quarter of screening colonoscopies in 2017 within the Veterans Health Administration were identified as potential low-value procedures, with substantial variability across facilities.
BMJ QUALITY & SAFETY
(2023)
Article
Gastroenterology & Hepatology
Adeyinka C. Adejumo, Vera Yakovchenko, Timothy R. Morgan, Patrick Spoutz, Linda Chia, Jasmohan S. Bajaj, Michael F. Chang, Jason A. Dominitz, Shari S. Rogal
Summary: This study aimed to evaluate the outcomes of Veterans with cirrhosis before and during the COVID-19 pandemic. The study found that screening rates for hepatocellular carcinoma declined, and there were significant decreases in new hepatocellular carcinoma diagnoses, surveillance and treatment of esophageal varices, variceal bleeding, and all-cause hospitalization. Rurality was newly associated with a lack of screening.
Article
Health Care Sciences & Services
Stefanie Ann Deeds, Christopher B. Moore, Eric J. Gunnink, Chelle L. Wheat, Amy E. Robinson, Mayan D. Bomsztyk, John R. Geyer, Anders Chen, Regina M. Godbout, Karin M. Nelson, Jason A. Dominitz, Ashok Reddy
Summary: Colorectal cancer screening with FIT is effective in reducing mortality, but has been impacted by deferred care during the COVID-19 pandemic. A mailed FIT programme was developed to increase screening rates and recommendations were made for adoption in the Veterans Health Administration and other large healthcare systems.
Meeting Abstract
Gastroenterology & Hepatology
Roshan Panchanathan, Omeed Alipour, Sophia Dominitz, Claire I. Thoreson, Jason A. Dominitz, Peter Wu, Stefanie Deeds
AMERICAN JOURNAL OF GASTROENTEROLOGY
(2022)
Meeting Abstract
Gastroenterology & Hepatology
Jason A. Dominitz, Jennifer Holub, Rachel Issaka, Cynthia Ko, Uri Ladabaum, Douglas Robertson
AMERICAN JOURNAL OF GASTROENTEROLOGY
(2022)