Pub Date : 2025-11-15DOI: 10.1016/j.gie.2025.11.011
Aamir Saeed, Marjan Haider, Muhammad Hashim Hayat, Ijlal Akbar Ali, Mark Radlinski, Faisal Kamal, Sultan Mahmood
{"title":"Safety and efficacy of same-day discharge after gastric peroral endoscopic myotomy for gastroparesis: A systematic review and meta-analysis","authors":"Aamir Saeed, Marjan Haider, Muhammad Hashim Hayat, Ijlal Akbar Ali, Mark Radlinski, Faisal Kamal, Sultan Mahmood","doi":"10.1016/j.gie.2025.11.011","DOIUrl":"https://doi.org/10.1016/j.gie.2025.11.011","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"185 1","pages":""},"PeriodicalIF":7.7,"publicationDate":"2025-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145515598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-14DOI: 10.1016/j.gie.2025.11.022
Aamir Saeed, Usama Qamar, Erin Tsambikos, Saira Yousuf, Faisal Kamal, Sultan Mahmood, Mohammad Madhoun, Muhammad Aziz, Ijlal Akbar Ali
Background and aims: Colonoscopy stands out as a reliable tool offering comprehensive visualization of the colon, coupled with the potential for therapeutic intervention. The failure to attain complete colonoscopy heightens the risk of subsequent proximal colon cancer following the procedure. Often, in unsuccessful cecal intubation, the alternative approaches of barium enema or CT colonography are pursued instead of a repeat endoscopic assessment, even though these alternatives do not provide direct visualization or the opportunity for therapeutic intervention. We aimed to conduct a systematic review and meta-analysis to assess the outcomes of repeat colonoscopy after a previous incomplete procedure.
Methods: A comprehensive literature search using major databases was conducted, and studies with patients undergoing reattempt endoscopy after a previous failed attempt unrelated to poor bowel preparation were included. Pooled rates were calculated for multiple variables, with a 95% CI, and meta-regression was carried out with statistically significant P <.05. Data were analyzed via Open Meta Analyst software (Center for Evidence-based Medicine, Brown University, Providence, RI, USA).
Results: A total of 26 studies involving 1647 patients (61% female) met the inclusion criteria. The pooled overall cecal intubation rate (CIR) on repeat attempt was 95.7% (95% CI, 94.2%-97.2%), P < .001, I2 = 58%; with standard colonoscope, it was 96.2% (95% CI, 94.1%-98.4%); with single-balloon enteroscopy, 96.8% (95% CI, 95%-98.7%); and with double-balloon enteroscopy, 93% (95% CI, 88.7%-97.3%). Meta regression, when controlled for variables including female gender (P = .81) and age (P = .52), did not reveal any significant covariates.
Conclusions: Repeat colonoscopy attempt in cases of incomplete colonoscopy yielded a commendable CIR of 95%. Importantly, this also enables potential therapeutic intervention of neoplasia and adenomas.
{"title":"Utility of repeat colonoscopy attempt after failed colonoscopy: a systematic review and pooled analysis.","authors":"Aamir Saeed, Usama Qamar, Erin Tsambikos, Saira Yousuf, Faisal Kamal, Sultan Mahmood, Mohammad Madhoun, Muhammad Aziz, Ijlal Akbar Ali","doi":"10.1016/j.gie.2025.11.022","DOIUrl":"10.1016/j.gie.2025.11.022","url":null,"abstract":"<p><strong>Background and aims: </strong>Colonoscopy stands out as a reliable tool offering comprehensive visualization of the colon, coupled with the potential for therapeutic intervention. The failure to attain complete colonoscopy heightens the risk of subsequent proximal colon cancer following the procedure. Often, in unsuccessful cecal intubation, the alternative approaches of barium enema or CT colonography are pursued instead of a repeat endoscopic assessment, even though these alternatives do not provide direct visualization or the opportunity for therapeutic intervention. We aimed to conduct a systematic review and meta-analysis to assess the outcomes of repeat colonoscopy after a previous incomplete procedure.</p><p><strong>Methods: </strong>A comprehensive literature search using major databases was conducted, and studies with patients undergoing reattempt endoscopy after a previous failed attempt unrelated to poor bowel preparation were included. Pooled rates were calculated for multiple variables, with a 95% CI, and meta-regression was carried out with statistically significant P <.05. Data were analyzed via Open Meta Analyst software (Center for Evidence-based Medicine, Brown University, Providence, RI, USA).</p><p><strong>Results: </strong>A total of 26 studies involving 1647 patients (61% female) met the inclusion criteria. The pooled overall cecal intubation rate (CIR) on repeat attempt was 95.7% (95% CI, 94.2%-97.2%), P < .001, I<sup>2</sup> = 58%; with standard colonoscope, it was 96.2% (95% CI, 94.1%-98.4%); with single-balloon enteroscopy, 96.8% (95% CI, 95%-98.7%); and with double-balloon enteroscopy, 93% (95% CI, 88.7%-97.3%). Meta regression, when controlled for variables including female gender (P = .81) and age (P = .52), did not reveal any significant covariates.</p><p><strong>Conclusions: </strong>Repeat colonoscopy attempt in cases of incomplete colonoscopy yielded a commendable CIR of 95%. Importantly, this also enables potential therapeutic intervention of neoplasia and adenomas.</p>","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":7.5,"publicationDate":"2025-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145534504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-13DOI: 10.1016/j.gie.2025.11.002
Sung Yong Han, Dongwook Oh, Jung Wan Choe, Jong Hyun Lee, Moon Jae Chung, Sung Ill Jang, Se Woo Park, Jin Seok Park, Min Jae Yang, Eui Joo Kim, Jae Hee Cho
{"title":"Comparative Safety and Efficacy of Remimazolam versus Propofol for ERCP with the patient Under Deep Sedation: A Multi-center Randomized Controlled Trial","authors":"Sung Yong Han, Dongwook Oh, Jung Wan Choe, Jong Hyun Lee, Moon Jae Chung, Sung Ill Jang, Se Woo Park, Jin Seok Park, Min Jae Yang, Eui Joo Kim, Jae Hee Cho","doi":"10.1016/j.gie.2025.11.002","DOIUrl":"https://doi.org/10.1016/j.gie.2025.11.002","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"24 1","pages":""},"PeriodicalIF":7.7,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145498704","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-11DOI: 10.1016/j.gie.2025.11.007
Thomas R. McCarty, Rashmi Advani, Christopher E. McGowan, Michael B. Ujiki, Sergio A. Sanchez-Luna, Daniel B. Maselli, Zachary M. Callahan, Christopher C. Thompson, Pichamol Jirapinyo
{"title":"Establishing Standards of Practice for Transoral Outlet Reduction: An Expert Consensus using a Modified Delphi Method","authors":"Thomas R. McCarty, Rashmi Advani, Christopher E. McGowan, Michael B. Ujiki, Sergio A. Sanchez-Luna, Daniel B. Maselli, Zachary M. Callahan, Christopher C. Thompson, Pichamol Jirapinyo","doi":"10.1016/j.gie.2025.11.007","DOIUrl":"https://doi.org/10.1016/j.gie.2025.11.007","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"14 1","pages":""},"PeriodicalIF":7.7,"publicationDate":"2025-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145485477","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2025-11-11DOI: 10.1016/j.gie.2025.11.003
See Young Lee, Ji Hae Nahm, Chan Min Jung, Jung Hyun Jo, Hyung Sun Kim, Yeseul Seong, Hye Sun Lee, Soyoung Jeon, Sung Ill Jang, Jae Hee Cho
{"title":"Precipitation-based versus filtration-based liquid-based cytology in EUS-FNB specimens of solid pancreatic masses: a prospective, randomized trial","authors":"See Young Lee, Ji Hae Nahm, Chan Min Jung, Jung Hyun Jo, Hyung Sun Kim, Yeseul Seong, Hye Sun Lee, Soyoung Jeon, Sung Ill Jang, Jae Hee Cho","doi":"10.1016/j.gie.2025.11.003","DOIUrl":"https://doi.org/10.1016/j.gie.2025.11.003","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"110 1","pages":""},"PeriodicalIF":7.7,"publicationDate":"2025-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145492204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
扫码关注我们
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号