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Articles and Expert Insights for the Week of November 1, 2019

  • Colon

    Endocuff Vision Made Polypectomy Faster

    Douglas K. Rex, MD, FASGE reviewing von Figura G, et al. Endoscopy 2019 Oct 15.

    Endocuff Vision (EV) has been shown to increase the adenoma detection rate and shorten withdrawal time, but there are various opinions about its impact on polypectomy ease and efficiency. A randomized controlled trial sought to determine that by comparing polypectomy with standard colonoscopy versus EV.

  • Colon

    Dual Antiplatelet Therapy Judged Safe for Cold Snare Polypectomy ≤10 mm

    Douglas K. Rex, MD, FASGE reviewing Won D, et al. Clin Transl Gastroenterol 2019 Oct 10.

    Patients on both aspirin and dual antiplatelet therapy (DAPT) are usually instructed to stop thienopyridine therapy a week before colonoscopy, while continuing aspirin, and to resume DAPT one or more days after colonoscopy. In a trial from Korea, researchers compared patients with polyps who continued DAPT throughout colonoscopy and polypectomy to those who followed the usual protocol.

  • Esophagus

    Artificial Intelligence Could Help Early Discharge of Patients With UGI Bleeding

    Prateek Sharma, MD, FASGE reviewing Shung DL, et al. Gastroenterology 2019 Sep 25.

    A number of clinical scoring systems have been developed for identifying patients with upper GI bleeding (UGIB) who are at low risk for blood transfusions, hemostatic interventions, and mortality. Investigators in this study used machine learning to develop a model to calculate the risk of intervention or death in patients with UGIB and compared its performance with clinical scoring systems.

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American Society for Gastrointestinal Endoscopy