ASGE is the home of general and advanced endoscopists, working with members to be the global leader in advancing digestive care through education, advocacy and promotion of excellence and innovation in endoscopy.

Valuable resources have been curated here for easy access by general  endoscopists, including specific information about diverse educational opportunities, quick video tips, GIE and VideoGIE articles, guidelines and more.

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Journal Scan

  • Esophagus

    Upper GI Screening Endoscopy in Individuals With a Family History of Barrett’s Esophagus or Esophageal Cancer

    Prateek Sharma, MD, FASGE reviewing Peters Y, et al. Aliment Pharmacol Ther 2021 Aug 12.

    The incidence of esophageal adenocarcinoma (EAC) continues to increase and is still associated with a poor prognosis with a 5-year survival rate of 20%. Most EAC cases are found during index endoscopic screening of the upper GI tract; therefore, screening for EAC and its precursor lesion, Barrett’s esophagus (BE), could potentially impact EAC rates. This systematic review evaluated the effects of family history on the risk of developing BE or EAC.

  • Colorectal

    Pericolonoscopy Antibiotics Associated With Postcolonoscopy Irritable Bowel Syndrome

    Douglas K. Rex, MD, MASGE reviewing Vajravelu RK, et al. Clin Gastroenterol Hepatol 2021 Sep 2.

    Experienced colonoscopists have seen occasional patients date the onset of irritable bowel syndrome (IBS) to colonoscopy. The combination of bowel preparation and antibiotics could alter the gut flora, potentially precipitating IBS. This study looked at 24,617 patients exposed to antibiotics within 2 weeks of screening colonoscopy, matched to individuals not exposed to antibiotics to assess the risk of IBS after colonoscopy.

  • Stomach and Small Bowel

    Diagnosis and Management of Atrophic Gastritis: Clinical Practice Update From the American Gastroenterological Association

    Vanessa M. Shami, MD, FASGE reviewing Shah SC, et al. Gastroenterology 2021 Aug 25.

    Patients with atrophic gastritis (AG) are at increased risk for gastric cancer; however, the diagnosis and surveillance of AG are not well-defined. Algorithms for the diagnosis and management of AG have not been standardized due to a lack of prospective studies to determine the best approach for these patients. This practice update from the American Gastroenterological Association attempts to bridge this knowledge gap through evidence from published data and expert review.

  • Stomach and Small Bowel

    PEG Placement: Is the Radiologic, Surgical, or Endoscopic Technique Safest?

    Vanessa M. Shami, MD, FASGE reviewing Kohli DR, et al. Gastrointest Endosc 2021 May.

    The optimal technique for gastrostomy tube placement remains undefined. This retrospective study identified and analyzed the outcomes and adverse events of inpatients who underwent creation of a gastrostomy by percutaneous endoscopic gastrostomy, fluoroscopy-guided gastrostomy by an interventional radiologist, or open gastrostomy performed by surgery.

  • IBD

    Use of Anti-Tumor Necrosis Agents in Pregnancy Has Increased Over Time

    David A. Schwartz, MD reviewing Bröms G, et al. Inflamm Bowel Dis 2021 Sep.

    The safety of medications during pregnancy is of great concern to patients with inflammatory bowel disease (IBD), potentially leading them to use suboptimal treatments during pregnancy or voluntarily choose sterility. Active IBD during pregnancy can increase the risk of adverse birth outcomes. Therefore, controlling IBD during pregnancy is imperative to optimize outcomes. These authors utilized 2001-2015 data to evaluate patterns of IBD medication use during pregnancy.

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