Jeffrey D. Mosko
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View article: High Rates of Defect Closure After Resection of Large Nonpedunculated Colorectal Lesions Using a Through‐The‐Scope Clip With Anchor Prongs
High Rates of Defect Closure After Resection of Large Nonpedunculated Colorectal Lesions Using a Through‐The‐Scope Clip With Anchor Prongs Open
Background Prophylactic complete closure of mucosal defects after resection of gastrointestinal lesions is key to reducing delayed bleeding, but complete closure for large defects can be challenging with conventional through‐the‐scope clip…
View article: Through-the-scope clip with anchor prongs for defect closure following myotomy, resection, anti-reflux mucosectomy, fistula management or bleeding
Through-the-scope clip with anchor prongs for defect closure following myotomy, resection, anti-reflux mucosectomy, fistula management or bleeding Open
BACKGROUND & AIMS: Through-the-scope endoscopic clips (TTSC) are essential for defect closure. A newly designed TTSC with anchor prongs can close defects that were challenging with standard TTSC. We assessed the safety and efficacy of the …
View article: Risk stratification for stricture formation after endoscopic submucosal dissection for esophageal dysplasia
Risk stratification for stricture formation after endoscopic submucosal dissection for esophageal dysplasia Open
Summary We aimed to evaluate the demographic, clinical, procedural, and histopathologic factors associated with stricture development following esophageal endoscopic submucosal dissection (ESD). We conducted a retrospective cohort study of…
View article: Minimum standards for training in colorectal endoscopic mucosal resection among advanced endoscopy trainees
Minimum standards for training in colorectal endoscopic mucosal resection among advanced endoscopy trainees Open
Data on colorectal endoscopic mucosal resection (C-EMR) training during advanced endoscopy fellowship remain limited. We aimed to determine the number of procedures required by an “average” advanced endoscopy trainee (AET) to achieve compe…
View article: 165. RISK STRATIFICATION FOR STRICTURE FORMATION AFTER ENDOSCOPIC SUBMUCOSAL DISSECTION FOR ESOPHAGEAL DYSPLASIA
165. RISK STRATIFICATION FOR STRICTURE FORMATION AFTER ENDOSCOPIC SUBMUCOSAL DISSECTION FOR ESOPHAGEAL DYSPLASIA Open
Background Endoscopic submucosal dissection (ESD) is increasingly employed for early esophageal dysplasia, including squamous cell (SCD) and Barrett’s esophagus-related (BE) dysplasia. A major drawback of this strategy is stricture formati…
View article: Endoscopic retrograde cholangiopancreatography and primary sclerosing cholangitis: a retrospective study of a high-volume program
Endoscopic retrograde cholangiopancreatography and primary sclerosing cholangitis: a retrospective study of a high-volume program Open
Background Endoscopic retrograde cholangiopancreatography (ERCP) is valuable in management of primary sclerosing cholangitis (PSC). Herein, we characterize individuals with PSC who underwent ERCP on-demand at a high-volume quaternary centr…
View article: Endoscopic mucosal resection for Barrett’s neoplasia: Long-term outcomes from the largest Canadian single-center experience
Endoscopic mucosal resection for Barrett’s neoplasia: Long-term outcomes from the largest Canadian single-center experience Open
Endoscopic mucosal resection (EMR) remains an important treatment for high-grade dysplasia (HGD) and early esophageal adenocarcinoma (EAC) in Barrett’s esophagus (BE). However, there are limited data regarding long-term recurrence rates. T…
View article: Safety and efficacy of margin and base ablation after endoscopic mucosal resection of large nonpedunculated colorectal polyps: a prospective multicenter study
Safety and efficacy of margin and base ablation after endoscopic mucosal resection of large nonpedunculated colorectal polyps: a prospective multicenter study Open
In a prospective multicenter study, EMR with systematic ablation of the complete postresection base and visible vessels in addition to margin ablation demonstrated high technical success, low adverse events, and low recurrences. A randomiz…
View article: The potential utility of CHATGPT4.0 as an AI assistant in the education and management of patients with Barrett’s esophagus
The potential utility of CHATGPT4.0 as an AI assistant in the education and management of patients with Barrett’s esophagus Open
Summary Chat Generative Pre-trained Transformer (ChatGPT) has emerged as a new technology for physicians and patients to obtain medical information. Our aim was to assess the ability of ChatGPT 4.0 to deliver high-quality information in re…
View article: Factors affecting technical success of endoscopic retrograde cholangiopancreatographic outcomes in patients with surgically altered foregut anatomy: a retrospective study
Factors affecting technical success of endoscopic retrograde cholangiopancreatographic outcomes in patients with surgically altered foregut anatomy: a retrospective study Open
Introduction Patients with surgically altered gastrointestinal anatomy undergoing endoscopic retrograde cholangiopancreatography (ERCP) pose challenges due to anatomical distortions. Various patient and endoscopic factors, such as sex and …
View article: Endoscopic approach to large non-pedunculated colorectal polyps
Endoscopic approach to large non-pedunculated colorectal polyps Open
Large non-pedunculated colorectal polyps ≥20 mm (LNPCPs) constitute approximately 1% of all colorectal polyps and present a spectrum of risks, including overt and covert submucosal invasive cancer (T1 colorectal cancer (CRC)). Importantly,…
View article: Factors associated with delayed bleeding following ampullectomy: A retrospective cohort study
Factors associated with delayed bleeding following ampullectomy: A retrospective cohort study Open
Introduction and objectives Endoscopic ampullectomy is the preferred treatment for selected periampullary lesions, yet up to 10.6% of patients may experience delayed bleeding post‐procedure. This study aims to identify predictors for bleed…
View article: A30 THROUGH-THE-SCOPE CLIP WITH ANCHOR PRONGS FOR PROPHYLACTIC CLIP CLOSURE AFTER GI LESION RESECTION: A PROSPECTIVE COHORT STUDY
A30 THROUGH-THE-SCOPE CLIP WITH ANCHOR PRONGS FOR PROPHYLACTIC CLIP CLOSURE AFTER GI LESION RESECTION: A PROSPECTIVE COHORT STUDY Open
Background Endoscopic clipping following gastrointestinal (GI) lesion resection provides prophylaxis for delayed bleeding. A rotatable, anchor-pronged through-the-scope endoscopic clip (TTSC) underwent limited prospective study since comme…
View article: A111 EVALUATION OF REFERRAL COMPLETENESS FOR LARGE NON-PEDUNCULATED POLYPS IN LIGHT OF RECENT INTERNATIONAL CONSENSUS: A SINGLE-CENTER STUDY
A111 EVALUATION OF REFERRAL COMPLETENESS FOR LARGE NON-PEDUNCULATED POLYPS IN LIGHT OF RECENT INTERNATIONAL CONSENSUS: A SINGLE-CENTER STUDY Open
Background Endoscopic mucosal resection (EMR) is standard-of-care for treating large non-pedunculated colorectal polyps yet often requires referral to expert centers. Hence, inclusion of important information to the therapeutic endoscopist…
View article: A240 SOCIOECONOMIC STATUS AS A RISK FACTOR FOR ERCP OUTCOMES: A RETROSPECTIVE COHORT STUDY
A240 SOCIOECONOMIC STATUS AS A RISK FACTOR FOR ERCP OUTCOMES: A RETROSPECTIVE COHORT STUDY Open
Background Endoscopic Retrograde Cholangiopancreatography (ERCP) has one of the highest adverse event rates among endoscopic procedures, close to 10%, including pancreatitis, bleeding, and perforation. To minimize complications and improve…
View article: On-site ERCP availability and cholangitis outcomes: Retrospective cohort study
On-site ERCP availability and cholangitis outcomes: Retrospective cohort study Open
Endoscopic retrograde cholangiopancreatography (ERCP) is important in acute cholangitis (AC) management but is not available at all hospitals. The association between on-site ERCP availability and cholangitis outcomes is unknown. We includ…
View article: Validity evidence for endoscopic ultrasound competency assessment tools: Systematic review
Validity evidence for endoscopic ultrasound competency assessment tools: Systematic review Open
Background and study aims Competent endoscopic ultrasound (EUS) performance requires a combination of technical, cognitive, and non-technical skills. Direct observation assessment tools can be employed to enhance learning and ascertain cli…
View article: Defining Standards for Fluoroscopy in Gastrointestinal Endoscopy using a Delphi Methodology
Defining Standards for Fluoroscopy in Gastrointestinal Endoscopy using a Delphi Methodology Open
Background and Study Aims The use of fluoroscopy in gastrointestinal endoscopy is an essential aid in advanced endoscopic interventions. However, it also raises concerns about radiation exposure. This study aimed to develop consensus-based…
View article: Defining standards for fluoroscopy in gastrointestinal endoscopy using Delphi methodology
Defining standards for fluoroscopy in gastrointestinal endoscopy using Delphi methodology Open
Background and study aims Use of fluoroscopy in gastrointestinal endoscopy is an essential aid in advanced endoscopic interventions. However, it also raises concerns about radiation exposure. This study aimed to develop consensus-based sta…
View article: Recurrence following successful eradication of neoplasia with endoscopic mucosal resection compared with endoscopic submucosal dissection in Barrett’s esophagus: a retrospective comparison
Recurrence following successful eradication of neoplasia with endoscopic mucosal resection compared with endoscopic submucosal dissection in Barrett’s esophagus: a retrospective comparison Open
Background Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) are effective treatments for Barrett’s neoplasia. However, little is known about recurrence rates following these techniques. We compared long-term ne…
View article: Outcomes of endoscopic retrograde cholangiopancreatography performed in the AM versus PM: does procedural timing matter?
Outcomes of endoscopic retrograde cholangiopancreatography performed in the AM versus PM: does procedural timing matter? Open
Background ERCP is a technically demanding procedure that carries a high cumulative adverse event (AE) rate of >10%. Identifying risk factors for adverse events is paramount. Procedure timing, as a surrogate for endoscopist fatigue, has…
View article: Can optical evaluation distinguish between T1a and T1b esophageal adenocarcinoma: an international expert interobserver agreement study
Can optical evaluation distinguish between T1a and T1b esophageal adenocarcinoma: an international expert interobserver agreement study Open
Background Piecemeal endoscopic mucosal resection (EMR) is an acceptable technique for T1a esophageal adenocarcinoma, but en bloc R0 excision is advocated for T1b disease as it may offer a potential cure and mitigate recurrence. Thus, dist…
View article: Dual-sided closure of an iatrogenic gastrocolonic fistula with over-the-scope clips
Dual-sided closure of an iatrogenic gastrocolonic fistula with over-the-scope clips Open
An 86-year-old man with walled-off pancreatic necrosis (WON) was initially managed with a percutaneous drain. He was referred to our service because of a persistent collection. After fluid had been instilled via the drain to expand the col…
View article: Salvage circumferential endoscopic submucosal dissection of multifocal Barrett’s adenocarcinoma at an esophagogastric anastomosis
Salvage circumferential endoscopic submucosal dissection of multifocal Barrett’s adenocarcinoma at an esophagogastric anastomosis Open
A 69-year-old man underwent neoadjuvant chemoradiotherapy and Ivor Lewis esophagectomy with proximal gastrectomy for T3N0M0 esophageal adenocarcinoma. After 6 years, a new positron emission tomography (PET)-avid thickening was detected at …
View article: A new through-the-scope clip with anchor prongs is safe and successful for a variety of endoscopic uses
A new through-the-scope clip with anchor prongs is safe and successful for a variety of endoscopic uses Open
Background and study aims Endoscopic through-the-scope clips (TTSC) are used for hemostasis and closure. We documented the performance of a new TTSC with anchor prongs. Patients and methods We conducted a prospective case series of the new…