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Trending Topics in Gastroenterology

Explore current gastroenterology questions, clinical answers, and emerging research by topic.

11

ASGE Technology Update - ESD Is Expanding Rapidly in Western Practice: GIE | August 2026

ntroduction: Endoscopic submucosal dissection (ESD) enables en bloc resection of large superficial GI neoplasia, allowing accurate histopathology and potentially curative R0 resection while avoiding surgery. This ASGE technology...

12

Do All Elderly Patients With Asymptomatic Bile-Duct Stones Need ERCP?: CGH | August 2026

Introduction: Guidelines generally favor removal of common bile-duct stones because of the future risk of cholangitis, pancreatitis, and obstruction. However, in elderly patients, the balance is less straightforward...

13

EUS-Guided Coil + Cyanoacrylate vs TIPS for Gastric Variceal Bleeding: Endoscopy | August 2026

Introduction: Gastric variceal bleeding (GVB) is a high-risk portal hypertensive emergency in which conventional endoscopic therapy may be inadequate. EUS-guided coil embolisation plus cyanoacrylate (EUS-Coils+CYA) offers targeted variceal...

14

Fluoroscopy-Free Cholangioscopy for Bile-Duct Stones: GIE | August 2026

Introduction: Conventional ERCP relies on fluoroscopy for biliary imaging and stone extraction, exposing patients and endoscopy teams to ionising radiation. Fluoroscopy-free direct solitary cholangioscopy (DSC) offers direct intraductal...

15

Salvaging a Transcolonic EUS-Gastroenterostomy Misdeployment With a Stent-in-Stent Technique: GIE | August 2026

Conventional Method: EUS-guided gastroenterostomy (EUS-GE) creates a bypass between the stomach and jejunum using a lumen-apposing metal stent (LAMS) for malignant gastric outlet obstruction. Successful deployment requires a...

16

ERCP for Bile Duct Stones: Frontline Gastroenterology | August 2026

Introduction: ERCP remains central to the management of common bile duct (CBD) stones, with established BSG and ESGE recommendations guiding patient selection, difficult stone management, and prevention of...

17

EUS-Guided Biopsy Changes Management in Small Nonfunctioning Pancreatic Neuroendocrine Tumours: Endoscopy | August 2026

Introduction: Active surveillance is increasingly considered for small (≤20 mm), low-risk nonfunctioning pancreatic neuroendocrine tumors (NF-PanNETs), but the need for routine tissue acquisition remains debated. This study evaluated...

18

Saline-Immersion ESD with Dynamic Traction for Complex Ileocecal Valve Adenomas: GIE | August 2026

Introduction: Endoscopic submucosal dissection (ESD) of lesions involving the ileocecal valve (ICV) and extending into the terminal ileum is among the most technically challenging colorectal procedures. Difficult scope...

19

Paclitaxel-Coated Balloon Dilator for Recurrent Oesophagal Strictures: GIE | May 2026

Introduction: Recurrent esophageal strictures remain a frustrating clinical problem, often requiring repeated endoscopic dilations with persistent dysphagia and reduced quality of life. Although conventional balloon dilation effectively relieves...

20

Cryoballoon Ablation: GIE | July 2026

Introduction: Cryoballoon ablation (CbA) is an emerging endoscopic ablative technology that delivers focal cryotherapy without the need for a decompression tube, making the procedure simpler and more efficient...

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