Shows
Evidence-Based GI: An ACG Publication and PodcastSurveillance of Branch Duct IPMN – Enough is Enough, At Least in Older Adults and Small, Stable LesionsPhilip Schoenfeld, MD, MSEd, MSc (Epi) and Shria Kumar, MD, MSCE discuss “Surveillance for Presumed BD-IPMN of the Pancreas: Stability, Size, and Age Identify Targets for Discontinuation,” by Marchegiani G, Pollini T, Burelli A, et al. Gastroenterology 2023 Oct;165(4):1016-1024.e52023-11-1509 minEvidence-Based GI: An ACG Publication and PodcastSurveillance Colonoscopy Recommendations in Older Adults With Limited Life Expectancy– More Work to be Done!Philip Schoenfeld, MD, MSEd, MSc (Epi) and Shria Kumar, MD, MSCE discuss “Association of Life Expectancy With Surveillance Colonoscopy Findings and Follow-up Recommendations in Older Adults,” by Calderwood AH, Tosteson TD, Wang Q, et al. JAMA Intern Med. [2023 May 1;183(5):426-34].2023-08-1614 minEvidence-Based GI: An ACG Publication and PodcastDisposable Elevator Caps for Duodenoscopes Decrease Persistent Bacterial Contamination Without Hindering Technical ERCP Performance: The ICECAP TrialShria Kumar, MD, MSCE and Editor-in-Chief Philip Schoenfeld, MD, MSEd, MScEpi discuss “Effect of Disposable Elevator Cap Duodenoscopes on Persistent Microbial Contamination and Technical Performance of Endoscopic Retrograde Cholangiopancreatography: The ICECAP Randomized Clinical Trial,” by Forbes N, Elmunzer BJ, Allain T, et al. JAMA Intern Med [2023;183(3):191-200].2023-05-1707 minEvidence-Based GI: An ACG Publication and PodcastEarly Colonoscopy for Acute Lower GI Bleeding Usually Is Not the AnswerShria Kumar, MD, MSCE and Editor-in-Chief Philip Schoenfeld, MD, MSEd, MScEpi FACG discuss “Timing of Colonoscopy in Acute Lower GI Bleeding: A Multicenter Retrospective Cohort Study,” by Shiratori Y, Ishii N, Tomonori A, et al. Gastrointest Endosc [2023; 97: 89-99].2023-02-2210 minEvidence-Based GI: An ACG Publication and PodcastAcute pancreatitis: Need IV fluid resuscitation but avoid a WATERFALL!Shria Kumar, MD, MSCE and Editor-in-Chief Philip Schoenfeld, MD, MSEd, MScEpi FACG discuss “Aggressive or Moderate Fluid Resuscitation in Acute Pancreatitis,” by de-Madaria E, Buxbaum JL, Maisonneuve P, et al, published in N Engl J Med [2022;387(11):989-1000].2022-10-1809 minEvidence-Based GI: An ACG Publication and PodcastTiny Polyps-It’s OK to Remove Polyps equal or less than 3mm with Large Biopsy ForcepsShria Kumar, MD, MSCE and Editor-in-Chief Philip Schoenfeld, MD, MSEd, MScEpi FACG discuss “Randomized Controlled Trial Investigating Cold Snare and Forceps Polypectomy Among Small POLYPs in Rates of Complete Resection: The TINYPOLYP Trial,” by Wei et al, published in Am J Gastroenterol [2022 Aug 1;117(8):1305-1310]. https://pubmed.ncbi.nlm.nih.gov/35467557/2022-08-1112 minEvidence-Based GI: An ACG Publication and PodcastLow Grade Dysplasia in Barrett’s Esophagus – Get Two Expert GI Pathologist Reviews and Repeat EGD After PPI TreatmentAssociate Editor Shria Kumar, MD, MSCE and Editor-in-Chief Philip Schoenfeld, MD, MSEd, MScEpi FACG discuss “Discordance Among Pathologists in the United States and Europe in Diagnosis of Low-Grade Dysplasia for Patients With Barrett’s Esophagus” by Vennalaganti et al, published in Gastroenterology [2017 Feb;152(3):564-570.e4]. https://pubmed.ncbi.nlm.nih.gov/27818167/2022-05-0515 minEvidence-Based GI: An ACG Publication and PodcastDrainage for Infected Pancreatic Necrosis – Earlier Is Not BetterAssociate Editor Shria Kumar, MD, MSCE and Editor-in-Chief Philip Schoenfeld, MD, MSEd, MScEpi, FACG discuss “Immediate versus Postponed Intervention for Infected Necrotizing Pancreatitis” by Boxhoorn et al, published in NEJM. [2021;15:1372-1381]. https://pubmed.ncbi.nlm.nih.gov/34614330/2022-01-2016 minEvidence-Based GI: An ACG Publication and PodcastComputer-aided Detection Systems increase detection of non-advanced adenomas, but is it ready for prime-time?Shria Kumar, MD, MSCE discusses a 2020 article in Gastroenterology, “Efficacy of Real-Time Computer-Aided Detection of Colorectal Neoplasia in a Randomized Trial.” GI-Genius™, a new computer-aided adenoma detection tool, is FDA-approved, integrates into existing endoscopic systems, and overlays a detection box around a potential polyp. In a well-designed RCT, adenoma detection was significantly higher with GI-Genius™. Endoscopists will need to consider a variety of factors to determine whether to integrate this tool into their endoscopy practice.2021-11-0413 min