Article
Gastroenterology & Hepatology
Schalk W. van der Merwe, Roy L. J. van Wanrooij, Michiel Bronswijk, Simon Everett, Sundeep Lakhtakia, Mihai Rimbas, Tomas Hucl, Rastislav Kunda, Abdenor Badaoui, Ryan Law, Paolo G. Arcidiacono, Alberto Larghi, Marc Giovannini, Mouen A. Khashab, Kenneth F. Binmoeller, Marc Barthet, Manuel Perez-Miranda, Jeanin E. van Hooft
Summary: ESGE recommends various endoscopic ultrasound-guided interventions for different biliary, pancreatic, gastric, and gallbladder diseases with different levels of evidence quality, highlighting the strong recommendation for EUS-GBD in high surgical risk patients due to its lower rates of adverse events and need for re-interventions.
Article
Gastroenterology & Hepatology
Ian M. Gralnek, Marine Camus Duboc, Juan Carlos Garcia-Pagan, Lorenzo Fuccio, John Gasdal Karstensen, Tomas Hucl, Ivan Jovanovic, Halim Awadie, Virginia Hernandez-Gea, Marcel Tantau, Alanna Ebigbo, Mostafa Ibrahim, Jiannis Vlachogiannakos, Marc C. Burgmans, Robyn Rosasco, Konstantinos Triantafyllou
Summary: This article summarizes ESGE recommendations for the treatment of patients with chronic liver disease, including the prevention of variceal bleeding, management of acute upper gastrointestinal hemorrhage, and endoscopic therapy.
Article
Gastroenterology & Hepatology
Bas L. A. M. Weusten, Raf Bisschops, Mario Dinis-Ribeiro, Massimiliano di Pietro, Oliver Pech, Manon C. W. Spaander, Francisco Baldaque-Silva, Maximilien Barret, Emmanuel Coron, Gloria Fernandez-Esparrach, Rebecca C. Fitzgerald, Marnix Jansen, Manol Jovani, Ines Marques-de-Sa, Arti Rattan, W. Keith Tan, Eva P. D. Verheij, Pauline A. Zellenrath, Konstantinos Triantafyllou, Roos E. Pouw
Summary: This recommendation provides standards and guidelines for the surveillance, endoscopic eradication therapy, and follow-up of Barrett's esophagus (BE), including surveillance intervals, indications, precautions, and recommendations for different scenarios. The recommendation also indicates the level of recommendation and quality of evidence for each recommendation.
Article
Gastroenterology & Hepatology
Michael Bretthauer, Yuichi Mori, Jasmin Zessner-Spitzenberg, Michal F. F. Kaminski, Peter D. D. Siersema, Thierry Ponchon, Helmut Messmann, Ian M. M. Gralnek, Raf Bisschops, Cesare Hassan
Summary: The European Union has introduced stricter regulations for the approval of medical devices, affecting both endoscopists and patients. The new regulations require more clinical trials and observational studies to ensure the clinical benefit and reduce patient harm. The European Society of Gastrointestinal Endoscopy (ESGE) will play an active role in establishing the new system.
Article
Gastroenterology & Hepatology
Pedro Pimentel-Nunes, Diogo Libanio, Barbara A. J. Bastiaansen, Pradeep Bhandari, Raf Bisschops, Michael J. Bourke, Gianluca Esposito, Arnaud Lemmers, Roberta Maselli, Helmut Messmann, Oliver Pech, Mathieu Pioche, Michael Vieth, Bas L. A. M. Weusten, Jeanin E. van Hooft, Pierre H. Deprez, Mario Dinis-Ribeiro
Summary: This guideline provides recommendations for the evaluation and treatment of superficial gastrointestinal lesions. It suggests that experienced endoscopists should use high definition white-light and chromoendoscopy for evaluation and recommends endoscopic submucosal dissection for most lesions. Different treatment approaches are suggested for specific situations. The guideline also provides recommendations for post-resection surveillance and treatment.
Article
Gastroenterology & Hepatology
Pradeep Bhandari, Gaius Longcroft-Wheaton, Diogo Libanio, Pedro Pimentel-Nunes, Eduardo Albeniz, Mathieu Pioche, Reena Sidhu, Cristiano Spada, Andrea Anderloni, Alessandro Repici, Rehan Haidry, Marc Barthet, Helmut Neumann, Giulio Antonelli, Alberto Testoni, Thierry Ponchon, Peter D. Siersema, Lorenzo Fuccio, Cesare Hassan, Mario Dinis-Ribeiro
Summary: Over the past four years, 27% of research questions in the field of endoscopy have been answered, with another 27% requiring redefinition. Seven research priorities were removed, seven were redefined, and nineteen remained unchanged for researchers and funding bodies to target.
Article
Gastroenterology & Hepatology
Pierre H. Deprez, Leon M. G. Moons, Dermot O'Toole, Rodica Gincul, Andrada Seicean, Pedro Pimentel-Nunes, Gloria Fernandez-Esparrach, Marcin Polkowski, Michael Vieth, Ivan Borbath, Tom G. Moreels, Els Nieveen van Dijkum, Jean-Yves Blay, Jeanin E. van Hooft
Summary: This article provides recommendations for the characterization and management of subepithelial lesions (SELs), including the use of endoscopic ultrasonography (EUS) for characterization, tissue diagnosis for SELs with features suggestive of gastrointestinal stromal tumor (GIST), and surveillance strategies for SELs based on size and diagnosis.
Article
Gastroenterology & Hepatology
Andrew M. Veitch, Franco Radaelli, Raza Alikhan, Jean-Marc Dumonceau, Diane Eaton, Jo Jerrome, Will Lester, David Nylander, Mo Thoufeeq, Geoffroy Vanbiervliet, James R. Wilkinson, Jeanin E. Van Hooft
Summary: This is a collaboration between the British Society of Gastroenterology and the European Society of Gastrointestinal Endoscopy to update the 2016 guideline on endoscopy in patients on antiplatelet or anticoagulant therapy. The development process adhered to AGREE II principles and utilized GRADE methodology to derive the quality of evidence and strength of recommendations. The risk categories for endoscopic procedures and thrombosis have been revised based on evidence, with a particular focus on atrial fibrillation and strengthened recommendations for direct oral anticoagulants.
Article
Gastroenterology & Hepatology
Helmut Messmann, Raf Bisschops, Giulio Antonelli, Diogo Libanio, Pieter Sinonquel, Mohamed Abdelrahim, Omer F. Ahmad, Miguel Areia, Jacques J. G. H. M. Bergman, Pradeep Bhandari, Ivo Boskoski, Evelien Dekker, Dirk Domagk, Alanna Ebigbo, Tom Eelbode, Rami Eliakim, Michael Haefner, Rehan J. Haidry, Rodrigo Jover, Michal F. Kaminski, Roman Kuvaev, Yuichi Mori, Maxime Palazzo, Alessandro Repici, Emanuele Rondonotti, Matthew D. Rutter, Yutaka Saito, Prateek Sharma, Cristiano Spada, Marco Spadaccini, Andrew Veitch, Ian M. Gralnek, Cesare Hassan, Mario Dinis-Ribeiro
Summary: The ESGE defines the expected value of AI for the diagnosis and management of gastrointestinal neoplasia and sets recommendations for its acceptance in different aspects of endoscopy.
Article
Radiology, Nuclear Medicine & Medical Imaging
Cristiano Spada, Cesare Hassan, Davide Bellini, David Burling, Giovanni Cappello, Cristina Carretero, Evelien Dekker, Rami Eliakim, Margriet de Haan, Michal F. Kaminski, Anastasios Koulaouzidis, Andrea Laghi, Philippe Lefere, Thomas Mang, Sebastian Manuel Milluzzo, Martina Morrin, Deirdre McNamara, Emanuele Neri, Silvia Pecere, Mathieu Pioche, Andrew Plumb, Emanuele Rondonotti, Manon C. W. Spaander, Stuart Taylor, Ignacio Fernandez-Urien, Jeanin E. van Hooft, Jaap Stoker, Daniele Regge
Summary: ESGE/ESGAR strongly recommend computed tomographic colonography (CTC) for diagnosing colorectal neoplasia and suggest CTC or colon capsule endoscopy (CCE) if colonoscopy is incomplete. They provide guidelines on how to choose the appropriate imaging method in different scenarios.
EUROPEAN RADIOLOGY
(2021)
Article
Gastroenterology & Hepatology
Andrew M. Veitch, Franco Radaelli, Raza Alikhan, Jean-Marc Dumonceau, Diane Eaton, Jo Jerrome, Will Lester, David Nylander, Mo Thoufeeq, Geoffroy Vanbiervliet, James R. Wilkinson, Jeanin E. van Hooft
Summary: This article is a collaboration between the British Society of Gastroenterology (BSG) and the European Society of Gastrointestinal Endoscopy (ESGE), updating their 2016 guideline on endoscopy in patients on antiplatelet or anticoagulant therapy. The guideline development committee followed strict principles, included representatives from relevant fields, and analyzed and derived the quality of evidence and strength of recommendations in detail. Major revisions were made to the risk categories for endoscopic procedures and categories for risks of thrombosis, emphasizing important patient considerations and providing recommendations based on the risk balance between thrombosis and hemorrhage in specific situations.
Article
Gastroenterology & Hepatology
Swati Pawa, Richard S. Kwon, Douglas S. Fishman, Nirav C. Thosani, Amandeep Shergill, Samir C. Grover, Mohammad Al-Haddad, Stuart K. Amateau, James L. Buxbaum, Audrey H. Calderwood, Jean M. Chalhoub, Nayantara Coelho-Prabhu, Madhav Desai, Sherif E. Elhanafi, Nauzer Forbes, Larissa L. Fujii-Lau, Divyanshoo R. Kohli, Jorge D. Machicado, Neil B. Marya, Wenly Ruan, Sunil G. Sheth, Andrew C. Storm, Nikhil R. Thiruvengadam, Bashar J. Qumseya
Summary: This clinical practice guideline provides an evidence based approach to prevent endoscopy-related injury (ERI) in GI endoscopists. It includes a detailed account of the methodology used for the evidence review and suggests various measures to decrease the risk of ERI.
GASTROINTESTINAL ENDOSCOPY
(2023)
Review
Gastroenterology & Hepatology
Roy L. J. van Wanrooij, Michiel Bronswijk, Rastislav Kunda, Simon M. Everett, Sundeep Lakhtakia, Mihai Rimbas, Tomas Hucl, Abdenor Badaoui, Ryan Law, Paolo Giorgio Arcidiacono, Alberto Larghi, Marc Giovannini, Mouen A. Khashab, Kenneth F. Binmoeller, Marc Barthet, Manuel Perez-Miranda, Jeanin E. van Hooft, Schalk W. van der Merwe
Summary: This article summarizes the recommendations of ESGE on therapeutic endoscopic ultrasound (EUS) procedures, including the use of prophylactic antibiotics, self-expandable metal stents for biliary drainage, limitations on pancreatic duct drainage, stepwise approach for pancreatic duct drainage, transduodenal gallbladder drainage with LAMS, small-bowel distension with saline instillation, saline instillation and LAMS for EUS-directed transgastric endoscopic retrograde cholangiopancreatography (EDGE) procedures, and preference for 20-mm LAMSs for EDGE.
Article
Gastroenterology & Hepatology
Reena Sidhu, David Turnbull, Hasan Haboubi, John S. Leeds, Chris Healey, Srisha Hebbar, Paul Collins, Wendy Jones, Mohammad Farhad Peerally, Sara Brogden, Laura J. Neilson, Manu Nayar, Jacqui Gath, Graham Foulkes, Nigel J. Trudgill, Ian Penman
Summary: This is a guideline commissioned by the British Society of Gastroenterology, providing detailed information on sedation methods and recent advances in gastrointestinal endoscopy. The guideline covers both elective and emergency procedures, and offers guidance on enhancing safety and minimizing complications.
Article
Gastroenterology & Hepatology
Divyanshoo R. Kohli, Stuart K. Amateau, Madhav Desai, Srinath Chinnakotla, M. Edwyn Harrison, Jean M. Chalhoub, Nayantara Coelho-Prabhu, Sherif E. Elhana, Nauzer Forbes, Larissa L. Fujii-Lau, Richard S. Kwon, Jorge D. Machicado, Neil B. Marya, Swati Pawa, Wenly Ruan, Sunil G. Sheth, Nikhil R. Thiruvengadam, Nirav C. Thosani, Bashar J. Qumseya
Summary: This clinical practice guideline provides evidence-based strategies for managing biliary strictures in liver transplant recipients. The guideline covers the role of different interventions and diagnostic modalities, such as ERCP, percutaneous transhepatic biliary drainage, cSEMSs, multiple plastic stents, and MRCP. It also discusses the administration of antibiotics during ERCP. Recommendations include the use of ERCP as the initial intervention and cSEMSs as the preferred stent for extrahepatic strictures, the use of MRCP for unclear diagnoses or intermediate probability of a stricture, and the administration of antibiotics when biliary drainage cannot be ensured during ERCP.
GASTROINTESTINAL ENDOSCOPY
(2023)
Article
Gastroenterology & Hepatology
Emanuele Rondonotti, Cesare Hassan, Giacomo Tamanini, Giulio Antonelli, Gianluca Andrisani, Giovanni Leonetti, Silvia Paggi, Arnaldo Amato, Giulia Scardino, Dhanai Di Paolo, Giovanna Mandelli, Nicoletta Lenoci, Natalia Terreni, Alida Andrealli, Roberta Maselli, Marco Spadaccini, Piera Alessia Galtieri, Loredana Correale, Alessandro Repici, Francesco Maria Di Matteo, Luciana Ambrosiani, Emanuela Filippi, Prateek Sharma, Franco Radaelli
Summary: The present study demonstrates that real-time artificial intelligence (AI)-assisted optical diagnosis is accurate and useful for the diagnosis of diminutive rectosigmoid polyps (DRSPs), especially for nonexperts.
Letter
Gastroenterology & Hepatology
Cesare Hassan, Prateek Sharma, Yuichi Mori, Michael Bretthauer, Douglas K. Rex, A. L. E. S. S. A. N. D. R. O. Combo Study Grp, Alessandro Repici
Article
Gastroenterology & Hepatology
Mohamed Abdelrahim, Masahiro Saiko, Naoto Maeda, Ejaz Hossain, Asma Alkandari, Sharmila Subramaniam, Adolfo Parra-Blanco, Andres Sanchez-Yague, Emmanuel Coron, Alessandro Repici, Pradeep Bhandari
Summary: This study aimed to develop and validate a computer-aided detection system for Barrett's neoplasia and compare its performance with that of general endoscopists. The results showed that the CAD system had a higher sensitivity in detecting Barrett's neoplasia compared to the endoscopists.
GASTROINTESTINAL ENDOSCOPY
(2023)
Review
Gastroenterology & Hepatology
Cesare Hassan, Daniele Piovani, Marco Spadaccini, Tommaso Parigi, Kareem Khalaf, Antonio Facciorusso, Alessandro Fugazza, Thomas Roesch, Michael Bretthauer, Yuichi Mori, Prateek Sharma, Douglas K. Rex, Stefanos Bonovas, Alessandro Repici
Summary: This study conducted a systematic review and meta-analysis of the control groups in randomized controlled trials (RCTs) using high-definition white-light endoscopy to investigate the variability of adenoma detection rate (ADR). The results showed a high level of variability in ADR among different studies. Fecal immunochemical testing-based colonoscopy studies were found to have an impact on ADR, while primary colonoscopy screening was similar to other indications. Standardization of variables related to clinical, methodologic, and technical parameters is necessary to achieve generalizability and reproducibility.
GASTROINTESTINAL ENDOSCOPY
(2023)
Article
Surgery
Christina J. Sperna Weiland, Evelien C. Verschoor, Alexander C. Poen, Xavier J. M. N. Smeets, Niels G. Venneman, Abha Bhalla, Ben J. M. Witteman, Hester C. Timmerhuis, Devica S. Umans, Jeanin E. van Hooft, Marco J. Bruno, P. Fockens, Robert C. Verdonk, Joost P. H. Drenth, Erwin J. M. van Geenen
Summary: Even with advanced imaging techniques, the presence of common bile duct sludge or stones can be missed during ERCP. Pre-procedural EUS or MRCP can reduce the proportion of unnecessary ERCPs. A shorter time interval between EUS or MRCP and ERCP increases the detection rate of suspected CBD stones during ERCP.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Letter
Gastroenterology & Hepatology
Nadine C. M. van Huijgevoort, Hans B. G. Halfwerk, Selma J. Lekkerkerker, Roy J. Reinten, Frederique Ramp, Paul Fockens, Marc G. Besselink, Olivier R. Busch, Carel J. M. van Noesel, Marc J. van de Vijver, Joanne Verheij, Jeanin E. van Hooft, Frederike Dijk
Article
Gastroenterology & Hepatology
Derk C. F. Klatte, Bas Boekestijn, Anke M. Onnekink, Friedo W. Dekker, Lydia G. van der Geest, Martin N. J. M. Wasser, Shirin Feshtali, Saskia A. C. Luelmo, Hans Morreau, Thomas P. Potjer, Akin Inderson, Jurjen J. Boonstra, Hans F. A. Vasen, Jeanin E. van Hooft, Bert A. Bonsing, Monique E. van Leerdam
Summary: Pancreatic ductal adenocarcinoma (PDAC) patients with a CDKN2A/p16 pathogenic variant diagnosed under surveillance have better outcomes, including increased resectability and improved survival, compared to patients diagnosed outside surveillance. This study analyzed data from the Netherlands Cancer Registry and found that PDAC patients under surveillance had higher rates of early stage cancer, underwent more surgical resections, and had longer survival times.
Article
Gastroenterology & Hepatology
Alexander A. J. T. Grueter, Usha E. Coblijn, Boudewijn Toorenvliet, Pieter L. Tanis, Jurriaan Tuynman
Summary: The purpose of this study is to identify surgical variations, determine the optimal and standardized minimally invasive right hemicolectomy, and train and implement this technique nationally to improve patient outcomes. The study aims to standardize and improve the surgical quality of MIRH for patients with right-sided colon cancer at a national level.
TECHNIQUES IN COLOPROCTOLOGY
(2023)
Article
Surgery
Pepijn Krielen, Lisa P. A. Kranenburg, Martijn W. J. D. Stommel, Nicole J. Bouvy, Pieter J. Tanis, Jorn Willemsen, Jorne Migchelbrink, Rick de Ree, Esther M. G. Bormans, Harry van Goor, Richard P. G. ten Broek, ASBO Snapshot Study Grp Background
Summary: This study aimed to provide insight into the current management of adhesive small bowel obstruction (ASBO) and its associated outcomes. The findings suggest that oral water-soluble contrast and early surgical intervention can lead to shorter hospital stays and reduced complications. These results may support the standardization of ASBO treatment.
INTERNATIONAL JOURNAL OF SURGERY
(2023)
Review
Medicine, General & Internal
Virginia Solitano, Arianna Dal Buono, Roberto Gabbiadini, Marek Wozny, Alessandro Repici, Antonino Spinelli, Stefania Vetrano, Alessandro Armuzzi
Summary: Fibro-stenosing Crohn's disease (CD) is a common disease presentation that leads to impaired quality of life and often requires endoscopic treatments or surgery. Currently, there are no existing imaging techniques that can accurately quantify the amount of fibrosis within a stricture, and managing patients is challenging, requiring a multidisciplinary team.
JOURNAL OF CLINICAL MEDICINE
(2023)
Review
Medicine, General & Internal
Kareem Khalaf, Maria Terrin, Manol Jovani, Tommy Rizkala, Marco Spadaccini, Katarzyna M. Pawlak, Matteo Colombo, Marta Andreozzi, Alessandro Fugazza, Antonio Facciorusso, Fabio Grizzi, Cesare Hassan, Alessandro Repici, Silvia Carrara
Summary: Endoscopic Ultrasound (EUS) is widely used for diagnosing bilio-pancreatic and gastrointestinal (GI) tract diseases, as well as evaluating subepithelial lesions and sampling lymph nodes and solid masses. Artificial Intelligence (AI) algorithms can aid in lesion detection and characterization in EUS by analyzing images and identifying suspicious areas, leading to faster and more accurate diagnoses. Deep learning techniques, such as convolutional neural networks (CNNs), have shown potential in tumor identification and subepithelial lesion evaluation by extracting important features from EUS images. AI integration in EUS has the potential to improve diagnostic accuracy, patient outcomes, and reduce non-diagnostic biopsies.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Oncology
Daan R. Loke, H. Petra Kok, Roxan F. C. P. A. Helderman, Nicolaas A. P. Franken, Arlene L. Oei, Jurriaan B. Tuynman, Remko Zweije, Jan Sijbrands, Pieter J. Tanis, Johannes Crezee
Summary: In this study, a 3D-printed anatomically correct phantom of a female peritoneum was used to validate the thermal module of a treatment planning software. The software, based on OpenFoam, helps understand and map thermal heterogeneities during Hyperthermic IntraPeritoneal Chemotherapy (HIPEC) treatments. The experimental data compared well with simulated temperature distributions, indicating the accuracy of the software.
FRONTIERS IN ONCOLOGY
(2023)
Article
Surgery
Jan M. van Rees, Myrtle F. Krul, Niels F. M. Kok, Dirk J. Grunhagen, E. N. D. Kok, Pieter M. H. Nierop, Klaas Havenga, Harm Rutten, Jacobus W. A. Burger, Johannes H. W. de Wilt, Jeroen Hagendoorn, Femke P. Peters, Johannes Buijsen, Pieter J. Tanis, Cornelis Verhoef, Koert F. D. Kuhlmann
BRITISH JOURNAL OF SURGERY
(2023)
Article
Oncology
Saskia I. Kreisel, Sarah Sharabiany, Joost Rothbarth, Roel Hompes, Gijsbert D. Musters, Pieter J. Tanis
Summary: This study found that the development of perineal hernia after abdominoperineal resection significantly worsens the quality of life in various domains.
Article
Gastroenterology & Hepatology
Paraskevas Gkolfakis, Christina Kapizioni, Georgios Tziatzios, Antonio Facciorusso, Leonardo Frazzoni, Konstantinos Thomopoulos, Spyros Potamianos, Dimitrios Christodoulou, Vasilios Papadopoulos, Lorenzo Fuccio, Cesare Hassan, Konstantinos Triantafyllou
Summary: This study evaluated the comparative efficacy of predictive scores in predicting inadequate bowel cleansing among hospitalized patients undergoing colonoscopy. The results showed that Model B outperformed its comparators in predicting inadequate bowel preparation, particularly in mobilized inpatients.
ANNALS OF GASTROENTEROLOGY
(2023)
