GI Signals - Endoscopy

Computer-aided quality assurance versus standard colonoscopy: A systematic review and meta-analysis of randomized-controlled trials.

Sat, 18 Jul 2026 20:04:34 +0000

Endoscopy. Consider adopting CAQ systems for colonoscopy to improve adenoma detection, particularly in settings where ADR is suboptimal. The trade-off is a modest increase in withdrawal time (0.63 minutes). Interpret AADR and ACDR improvements cautiously due to low event rates.

Curriculum on management of acute upper gastrointestinal bleeding: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement.

Sat, 18 Jul 2026 20:04:34 +0000

Endoscopy. GI clinicians involved in training should ensure trainees meet ESGE's structured competency framework before managing UGIB, including simulator training and supervised procedures. No direct clinical action for non-trainers: this is a guideline for endoscopy education.

Long term follow-up from the Barrett's esophagus screening trial 3 (BEST3) demonstrates high negative predictive value of capsule-sponge-Trefoil-factor-3 (TFF3) test for esophageal adenocarcinoma.

Sat, 18 Jul 2026 20:04:34 +0000

Gastroenterology. Consider using the capsule-sponge-TFF3 test as a non-invasive screening tool to rule out esophageal adenocarcinoma in patients at risk for Barrett's esophagus, pending further validation in broader populations.

Advanced and Salvage Techniques for Difficult Biliary Cannulation in ERCP: A Randomized Trial of Outcomes and Efficacy.

Sat, 18 Jul 2026 20:04:34 +0000

Gastrointestinal endoscopy. For difficult biliary cannulation in patients with both malignant and benign biliary obstruction, consider double-guidewire (DGT), trans-pancreatic sphincterotomy (TPS), or precut fistulotomy as equally effective salvage options, but weigh DGT's lower pancreatitis risk (10%) against precut's reduced contrast use and higher pancreatitis risk (24%). Base choice on anatomy, operator skill, and resource availability.

Artificial intelligence-assisted detection and optical differentiation of colorectal lesions in Lynch syndrome surveillance (CADLY2): a multicentre, open-label, randomised controlled superiority trial.

Sat, 18 Jul 2026 20:04:34 +0000

The lancet. Gastroenterology & hepatology. Consider using AI-assisted colonoscopy (e.g., CAD EYE) during Lynch syndrome surveillance to improve adenoma detection, acknowledging potential bias from unblinded endoscopists.

Dysplasia detection using high-definition scopes with dye vs virtual chromoendoscopy in IBD: A meta-analysis of randomized clinical trials.