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Articles and Expert Insights for the Week of July 12, 2019

  • Colon

    NBI Tops LCI in Head-to-Head Match-Up

    Douglas K. Rex, MD, FASGE reviewing Leung WK, et al. Gastrointest Endosc 2019 July 2.

    There has been enthusiasm for linked-color imaging, which emphasizes red color and has a substantially different appearance than narrow-band imaging and blue-light imaging. Investigators compared narrow-band imaging with linked-color imaging in a randomized tandem study performed in 272 patients.

  • Colon

    Eat More Fish to Prevent Colon Cancer

    Douglas K. Rex, MD, FASGE reviewing Aglago EK, et al. Clin Gastroenterol Hepatol 2019 June 25.

    Fish intake was estimated from questionnaires given to 521,324 persons, of whom 6291 developed colorectal cancer. N-3 long chain-polyunsaturated fatty acids, which are found primarily in fish, were measured in the plasma of 461 cancer cases and 461 matched controls to determine the association with colorectal cancer risk.

  • Colon

    If the Attending’s ADR Is Low, Fellows Can Help

    Douglas K. Rex, MD, FASGE reviewing Tziatzios G, et al. Dig Liver Dis 2019 July 2.

    A number of studies have found that a second observer, including fellow participation in the procedure, can improve colonoscopy adenoma detection rate. In this study, researchers reviewed 19 studies evaluating the effect of fellow involvement in colonoscopy to determine the impact of fellow involvement on detection rate.

  • Esophagus

    Can POEM Be Performed as an Outpatient Procedure?

    Prateek Sharma, MD, FASGE reviewing Benias PC, et al. Gastrointest Endosc 2019 May 10.

    This retrospective study evaluated the outcomes of 103 consecutive patients who underwent peroral endoscopy myotomy (POEM) at a single tertiary care institution. Patients were discharged on the same day without undergoing a barium esophagram and followed a predetermined algorithm based on procedural adverse events and postprocedural pain.

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American Society for Gastrointestinal Endoscopy