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ASGE is the home of general and advanced endoscopists, working with members to be the global leader in advancing digestive care through education, advocacy and promotion of excellence and innovation in endoscopy.

Valuable resources have been curated here for easy access by general  endoscopists, including specific information about diverse educational opportunities, quick video tips, GIE and VideoGIE articles, guidelines and more.

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Journal Scan

  • IBD

    Ustekinumab Improves Early Onset of Clinical Response in Patients With Moderate to Severe Ulcerative Colitis

    Marietta Iacucci, MD, PhD, FASGE reviewing Danese S, et al. Clin Gastroenterol Hepatol 2022 Mar 8.

    According to recommendations, the first step in a treat-to-target algorithm is rapid symptomatic relief. This is an immediate treatment goal for patients with ulcerative colitis, and the current assessment endpoints are stool frequency and rectal bleeding. This post hoc analysis of the UNIFI study assessed early response over the initial 16 weeks of treatment with ustekinumab.



  • IBD

    Is Endoscopic Balloon Dilatation Cost-Effective for Stricture Management in Patients With Inflammatory Bowel Disease?

    Gursimran S. Kochhar, MD reviewing Lee KE, et al. Dig Dis Sci 2022 Mar 15.

    Stricturing Crohn’s disease is one of the advanced disease phenotypes that can be quite challenging to manage. Although surgery is the most definitive treatment for strictures, surgeries can be associated with morbidity and mortality. Hence, there has always been a need for less invasive endoscopic options. This study aimed to study the cost-effectiveness of endoscopic balloon dilation versus surgical resection for patients with short strictures, both anastomotic and primary.



  • Pancreatobiliary

    Grading Adverse Events in GI Endoscopy

    Bret T. Petersen, MD, MASGE reviewing Nass KJ, et al. Gastrointest Endosc 2021 Dec 7.

    Adverse events are inherent to the practice of GI endoscopy. A uniform means of identifying their occurrence and severity grading is important for quality assurance purposes. Nass and colleagues propose the “AGREE” classification system for adverse events in GI endoscopy, which was adapted for the outpatient circumstances of GI endoscopy from an existing surgical classification.



  • Colorectal

    Relationship of Polyp Size to R0 Resection of T1 Colorectal Cancers Using EFTR

    Douglas K. Rex, MD, MASGE reviewing Didden P, et al. Endoscopy 2022 Mar 7.

    Endoscopic full-thickness resection (EFTR) potentially allows better oncologic assessment of resected specimens of T1 cancers, compared with endoscopic submucosal dissection and endoscopic mucosal resection. However, R0 resection is affected by tumor size because only so much polyp can fit into the EFTR resection cap. This study evaluated the influence of polyp size on the R0 rate with EFTR of suspected T1 colorectal cancers.



  • Colorectal

    Subset of Patients With Covert Submucosal Invasion After Piecemeal EMR May Not Require Surgery

    Douglas K. Rex, MD, MASGE reviewing Gibson DJ, et al. Gut 2022 Mar 7.

    When patients undergo piecemeal endoscopic mucosal resection (pEMR) of nonpedunculated colorectal polyps (NPCRP), cancer that was not evident by endoscopic inspection is sometimes encountered histologically. Because of the piecemeal nature of the resection, these patients are typically referred for adjuvant surgical resection, by which many are found to have no residual cancer. The current study comes from the Australian investigators who have prospectively tracked outcomes of pEMR for NPCRP >20 mm in size.



For Fellows

Resources

NEW ASGE Guideline for EUS

ASGE provides evidence-based guidelines to provide clinicians with recommendations for the evaluation, diagnosis and management of patients undergoing endoscopic procedures of the digestive tract. Read the new guideline addressing Adverse Events Associated with EUS and EUS-guided Procedures.

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