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

    Vancomycin Effective in Treating Chronic Pouch Conditions

    Bincy P. Abraham, MD, MS reviewing Lupu G, et al. Inflamm Bowel Dis 2022 Mar 5.

    Pouchitis rates can be as high as 50% after ileal pouch-anal anastomosis surgery in patients with ulcerative colitis, and chronic pouchitis can occur in 19%. Ciprofloxacin, metronidazole, or a combination of these medications is typically considered first-line therapy for acute pouchitis, chronic pouchitis, and other chronic pouch disorders. This study evaluated the efficacy of vancomycin as an additional option in the treatment of chronic pouch-related disorders.

  • 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

    Impact of Psychological Health on Inflammatory Bowel Disease Outcomes

    David H. Bruining, MD, FASGE reviewing Fairbrass KM, et al. Gastroenterology 2022 Mar 23.

    Multiple variables, including genetic profiles, demographics, and disease phenotypes, have been explored as prognostics markers in patients with inflammatory bowel disease (IBD). Although mental health assessments are important in all patients, limited data exist regarding the interaction between disease activity and psychological health and the impact on IBD outcomes. Researchers sought to further explore this issue in this study.

  • Colorectal

    CMS Reduction in RVU Payment for Endoscopy With Anesthesia Slowed but Did Not Stop Growth in Anesthesia Use

    Douglas K. Rex, MD, MASGE reviewing Adams MA, et al. Gastroenterology 2022 Mar 15.

    In 2017, the Centers for Medicare and Medicaid Services instituted a small relative value unit reduction in the professional fee payment for endoscopy performed with anesthesia assistance (AA) for the patient. The current study examined trends in AA growth in 4 U.S. regions for the 3 years before and after the payment change.

  • Colorectal

    Cold Snaring Effective for Colorectal Lesions Up to 15 mm

    Douglas K. Rex, MD, MASGE reviewing Rex DK, et al. Gastrointest Endosc 2022 Mar 11.

    Cold snare resection is well established as comparably effective to and safer than hot snare resection for lesions ≤10 mm in size. In a study at 3 U.S. centers, 235 patients were randomized to cold snaring, cold endoscopic mucosal resection (EMR), hot snaring, or hot EMR to compare the efficacy of these procedures at resecting colorectal lesions 6 to 15 mm in size.

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