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Colon capsule endoscopy: Can it contribute to green endoscopy?
World J Gastrointest Endosc
December 2024
Endoscopy Center, Aishinkai Nakae Hospital, Wakayama-shi 6408461, Japan.
Climate change due to sustained carbon dioxide (CO) emissions poses a serious threat to human existence, such as extreme weather events that must be addressed in all sectors of society. Gastrointestinal endoscopy is a healthcare sector that produces high levels of CO emissions. Colonoscopy (CS) is the gold standard for colorectal cancer (CRC) screening that reduces the number of CRC-related deaths.
View Article and Find Full Text PDFJejunal Diverticular Bleeding on Long-Term Aspirin and Short-Term Corticosteroid Therapy.
Case Rep Gastrointest Med
November 2024
Department of Gastroenterology, Western Health, Melbourne, Victoria, Australia.
Haemorrhage is one of the most common complications of jejunal diverticula, which is a challenge to diagnose as the anatomical location of the jejunum renders it inaccessible to standard upper endoscopy, while routine imaging modalities may miss subtle or intermittent bleeding. Male gender, increasing age and colonic diverticula are known risk factors for jejunal diverticula. Nonsteroidal anti-inflammatory drugs and corticosteroids increase gastrointestinal bleeding risk.
View Article and Find Full Text PDFUpdate from 2010 (standard operating procedure): protocol for the 2024 British Society of Gastroenterology Guidelines on colorectal surveillance in inflammatory bowel disease.
BMJ Open Gastroenterol
November 2024
Nuffield Department of Medicine, University of Oxford Translational Gastroenterology Unit, Oxford, UK.
Introduction: The evolving landscape of inflammatory bowel disease (IBD) necessitates refining colonoscopic surveillance guidelines. This study outlines methodology adopted by the British Society of Gastroenterology (BSG) Guideline Development Group (GDG) for updating IBD colorectal surveillance guidelines.
Methods And Analysis: The 'Grading of Recommendations, Assessment, Development and Evaluation' (GRADE) approach, as outlined in the GRADE handbook, was employed.
Assessment of the frequency and risk factors for colorectal cancer in acromegaly.
Endocrine
November 2024
Endocrine Unit and Neuroendocrinology Research Center, Medical School, and Hospital Universitário Clementino Fraga Filho - Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brazil.
Article Synopsis
- Acromegaly is linked to an uncertain increased risk for colorectal cancer (CRC), prompting this study to evaluate the prevalence of colonic adenomatous polyps and CRC in acromegaly patients during colonoscopies.
- The study involved 123 patients and found that the majority had non-neoplastic findings at their first colonoscopy, with a small percentage developing CRC over time; risk factors like age and smoking were significantly associated with neoplasia.
- Findings indicate that older age (specifically over 50) and smoking elevate the risk of colonic lesions, suggesting that the recommended screening age for CRC in those with acromegaly may need to be reconsidered.
In vivo evaluation of complex polyps with endoscopic optical coherence tomography and deep learning during routine colonoscopy: a feasibility study.
Sci Rep
November 2024
Department of Biomedical Engineering, Washington University in St. Louis, St. Louis, MO, 63130, USA.
Standard-of-care (SoC) imaging for assessing colorectal polyps during colonoscopy, based on white-light colonoscopy (WLC) and narrow-band imaging (NBI), does not have sufficient accuracy to assess the invasion depth of complex polyps non-invasively during colonoscopy. We aimed to evaluate the feasibility of a custom endoscopic optical coherence tomography (OCT) probe for assessing colorectal polyps during routine colonoscopy. Patients referred for endoscopic treatment of large colorectal polyps were enrolled in this pilot clinical study, which used a side-viewing OCT catheter developed for use with an adult colonoscope.
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