Publications by authors named "S Friedland"
The Current Landscape of Endoscopic Submucosal Training in the United States.
Curr Gastroenterol Rep
December 2025
Purpose Of Review: Endoscopic submucosal dissection (ESD) has been found to increase en bloc and R0 resection as well as decrease risk of recurrence. However, despite literature supporting the benefits of endoscopic submucosal dissection, adoption of ESD in the United States has been challenging, driven by factors including requirement for specialized training as well as limitations in training availability.
Recent Findings: Many devices have been developed to improve ease and therefore adoption for the procedure, with advancements in stability, resection as well as closure of the mucosal defect following resection.
Article Synopsis
- A large-scale survey examined the usage and experiences of healthcare providers regarding single-use duodenoscopes and those with single-use endcaps across US and Canadian endoscopy centers.
- The survey achieved a high response rate of 70.2%, revealing that most institutions primarily utilize standard reprocessable duodenoscopes, with a significant portion adopting duodenoscopes with single-use endcaps.
- Findings indicate that while there's some interest in transitioning to newer designs, both types of novel duodenoscopes face mechanical challenges that hinder effective endoscopic retrograde cholangiopancreatography (ERCP) procedures.
Objective: To compare outcomes of laparoscopic transgastric necrosectomy (LTN) and direct endoscopic necrosectomy (DEN) in the management of retrogastric walled-off necrosis.
Summary Of Background Data: Surgical and endoscopic transgastric approaches are used to manage retrogastric pancreatic necrosis. Studies comparing these treatment modalities are lacking but would influence contemporary practice patterns.
Background And Aims: Water exchange (WE) and cap-assisted colonoscopy separately have been shown to reduce pain during insertion in unsedated patients. We hypothesized that compared with WE, WE cap-assisted colonoscopy (WECAC) could significantly lower real-time maximum insertion pain (RTMIP).
Methods: Veterans without escort were recruited, randomized, blinded, and examined at 3 U.
Background And Objectives: The American Academy of Pediatrics recommends screening for unmet social needs, and the literature on inpatient screening implementation is growing. Our aim was to use quality improvement methods to implement standardized social needs screening in hospitalized pediatric patients.
Methods: We implemented inpatient social needs screening using the Model for Improvement.