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Articles and Expert Insights for the Week of May 17, 2019

  • Colon

    Current Status of Hot Versus Cold Snare Polypectomy for 4-10 mm Polyps

    Douglas K. Rex, MD, FASGE reviewing Jegadeesan R, et al. Endosc Int Open 2019 May.

    Expert advice for resection of flat and sessile 4-10 mm colorectal polyps is progressively moving toward cold snare resection without submucosal injection and including a margin of normal tissue. This study examined the evidence supporting cold snare resection of 4-10 mm colorectal polyps.

  • Esophagus

    Hot Tea Consumption Increases the Risk for Esophageal Squamous Cell Cancer

    Prateek Sharma, MD, FASGE reviewing Sheikh M, et al. Gastroenterology Apr 2019.

    It is well documented that esophageal squamous cell cancer (ESCC) is linked to alcohol and tobacco use; however, the role of various other environmental and behavioral factors is not well understood. This study evaluated 50,038 participants and identified at least 7 risk factors for ESCC that could contribute to nearly 80% of these cancer cases.

  • Stomach and Small Bowel

    Can PPI Therapy Minimize GI Events From Low-Dose Aspirin and DOACs?

    Vanessa M. Shami, MD, FASGE Vanessa M. Shami, MD, FASGE reviewing Moayyedi P, et al. Gastroenterology 2019 May 2.

    This is the first randomized placebo-controlled trial that studies the prophylactic role of proton pump inhibitor (PPI) therapy given to patients with stable cardiovascular disease on low-dose direct oral anticoagulation and/or aspirin. This trial, which included nearly 17,600 patients, evaluated whether PPI therapy could reduce the risk of upper gastrointestinal bleeding.

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