EndoNews

EndoNews

[EndoNews @EndoNews2014]

🩺 Pediatric bile duct stones – rare but rising. Traditional ERCP uses radiation. Not ideal for kids.
💡 Digital cholangioscopy-assisted radiation-free ERCP.
✅ 20 children, 100% cannulation success
✅ Zero radiation exposure
✅ Direct visualization for precise stone removal

[EndoNews @EndoNews2014]

2026 ACG Diverticulitis Guideline : Prevention & Lifestyle
High-fiber diet (fruits, veg, whole grains)
Nuts, seeds, corn, popcorn – SAFE (no need to avoid!)
Weight loss, exercise, smoking cessation, moderate alcohol
NO mesalamine, NO rifaximin, NO probiotics for prevention

[EndoNews @EndoNews2014]

@RAZ_doctor American Journal of Gastroenterology 121(7):p 1549-1561, July 2026. | DOI: 10.14309/ajg.0000000000004047

[EndoNews @EndoNews2014]

🔴 2026 ACG Diverticulitis Guideline is out!
CT is essential for diagnosis – clinical eval alone is often inaccurate
NO routine antibiotics for low-risk acute uncomplicated diverticulitis
Colonoscopy recommended after COMPLICATED diverticulitis to rule out missed cancer

[EndoNews @EndoNews2014]

AEGVB endoscopy timing: not one-size-fits-all.
Key factors:
🔑 Child-Pugh grade
🔑 Hemodynamic stability
🔑 Bleeding severity (hematemesis vs melena)
🔑 Endoscopy availability
Ideal window: 6–24h for Child-Pugh A/B; earlier for C/ongoing bleeding.
#Gastroenterology #LiverDisease

[EndoNews @EndoNews2014]

Optimal timing for endoscopy in acute variceal bleeding (AEGVB) – still no consensus.

Guidelines say: 6h? 12h? 24h? It varies.

Early vs delayed – which is better? Evidence is conflicting.

📄 #Gastroenterology #PortalHypertension #VaricealBleeding #GIEndoscopy #GIE

[EndoNews @EndoNews2014]

Novel intestinal diversion stent for rectal anastomotic leakage:
3 patients (2 grade C, 1 grade B) – all successfully treated.
✅ 100% success
✅ Zero complications
✅ No reoperation, no stoma
A promising alternative to diverting surgery.
#ColorectalSurgery #AnastomoticLeak #GIE

[EndoNews @EndoNews2014]

China's latest cancer burden data (2024) – 5.15 million new cases, 2.58 million deaths:
Top cancers: Lung, colorectal, thyroid, breast, liver
Urban vs rural: different spectra, different priorities
31 provinces – lung tops 27 regions

📄 #ChinJOncol | #CancerBurden #China

[EndoNews @EndoNews2014]

Underwater EMR vs. conventional EMR for small colorectal polyps (6–10 mm):
Higher R0 resection ✓ Shorter procedure ✓ Less bleeding ✓ Lower recurrence ✓ No added complications ✓
A safe, efficient alternative for routine practice.

#Gastroenterology #EMR #Endoscopy

[EndoNews @EndoNews2014]

EUS-guided coil + gelatin sponge (AGS) for bleeding rectal varices?
First case series (n=6) from a US center shows:
✅ 100% technical & clinical success
✅ 0 adverse events
✅ No rebleeding at median 190-day follow-up
A safe, effective alternative for refractory RV bleeding.

[EndoNews @EndoNews2014]

After just 40 minutes of standardized NBI training, endoscopists from 12 non-academic Chinese hospitals achieved ASGE PIVI benchmarks.

📉SSL detection via WASP criteria:
Overall accuracy: 99.6%
Sensitivity: 75.0%
Even low miss rates matter given the sheer volume of tiny polyps.

[EndoNews @EndoNews2014]

Can community-based Chinese endoscopists meet ASGE PIVI thresholds for NBI polyp diagnosis?
📊 Largest prospective multicenter study (n=2,641 pts, 3,129 polyps) says YES:
✅ Rectosigmoid NPV: 93.2% (≥90% met)
✅ Surveillance interval agreement: 91.7% (≥90% met)
#GIEndoscopy

[EndoNews @EndoNews2014]

Happy Dragon Boat Festival! 🐉 Wishing you a day filled with delicious rice dumplings (zongzi), exciting boat races, and quality time with loved ones. Enjoy the holiday! 🎋❤️
#DragonBoatFestival #DuanwuFestival #端午节 #Zongzi #HappyHolidays

[EndoNews @EndoNews2014]

Practical pearl: Prophylactic mucosal closure (especially with over-the-scope clips) was performed in 90.3% of ESD cases and successfully managed all intraprocedural perforations
No surgery needed. No delayed perforations.
That’s a game-changer for duodenal ESD/EFTR
#GIEndoscopy

[EndoNews @EndoNews2014]

🏥 Can ESD & EFTR work safely in the challenging duodenum?
📊 A large real-world cohort (n=109) shows:
✅ 98.2% technical success
✅ 91.7% R0 resection
⚠️ Severe fibrosis = strongest predictor of intraprocedural AEs (OR 18.74)
🔒 Structured closure reduces delayed AEs.
#GIE

[EndoNews @EndoNews2014]

Key takeaway: Severe submucosal fibrosis (F2), often seen in ulcerated lesions, was the only independent predictor of adverse events.
🔬 Pre-procedural assessment of fibrosis may help stratify risk and guide closure strategies.
📄 Full study in @GIE_journal.

[EndoNews @EndoNews2014]

Following yesterday's focus on pre-endoscopy management, today we cover endoscopic and post-endoscopy management of peptic ulcer bleeding.

[EndoNews @EndoNews2014]

🚨 ESGE 2026 Update on peptic ulcer bleeding is out.

Today’s focus: Pre-endoscopy management – what to do before the scope goes in.

More to follow.

#ESGE #PepticUlcerBleeding #Gastroenterology #Endoscopy

[EndoNews @EndoNews2014]

Gastric cancer: 1M+ new cases, 769k deaths in 2020. Endoscopy still misses 5–26% of lesions.

AI could help.
Now the World Endoscopy Organization (WEO) releases a key position statement on AI for gastric neoplasia diagnosis.
10 core positions to guide the future.
#GastricCancer

[EndoNews @EndoNews2014]

New in GIE: VSE beats conventional methods for polyp sizing.

Key findings (VSE vs. visual assessment):
✅ Improved accuracy
✅ Misclassification: 73.6% → 54.3%
✅ Overestimation reduced by nearly half (RR 0.52)

VSE ranked #1 for minimizing errors in network meta-analysis.