Multi-Lumen Sphincterotomes in ERCP
Clinical Bottom Line Sphincterotome Feature Clinical Application Mechanical Advantage Triple Lumen Design Standard biliary cannulation. Simultaneous accommodation of the guidewire, […]
Over-The-Scope Clips (OTSC): Defect Closure Mechanisms
Clinical Bottom Line Closure Modality Mechanical Grip Ideal Clinical Application Standard TTS Hemoclip Jaws approximate the mucosal layer (superficial pinch).
Early Gastric Cancer: Paris Classification and Endoscopic Features
Clinical Bottom Line Paris Classification Morphological Feature Malignant Risk / Endoscopic Management Type 0-Ip (Protruded) Pedunculated or sessile exophytic masses.
The Boston Bowel Preparation Scale: Ensuring Adequate Visualization
Clinical Bottom Line BBPS Score (Per Segment) Endoscopic Appearance After Washing Clinical Implication Score 0 Solid feces obscuring the mucosa;
Los Angeles (LA) Classification of Erosive Esophagitis
Clinical Bottom Line LA Grade Endoscopic Definition of Mucosal Erosion Therapeutic Implication Grade A One or more mucosal breaks ≤
High-Definition Chromoendoscopy in Barrett’s Surveillance
Clinical Bottom Line Surveillance Modality Endoscopic Protocol Cancer Detection Efficacy Seattle Protocol (Standard) 4-quadrant random biopsies taken every 1 to
Gastric Atrophy and Intestinal Metaplasia in 2026: OLGA, OLGIM, Sydney Mapping, and Surveillance
A clinician update on gastric atrophy and intestinal metaplasia, including OLGA and OLGIM staging, Sydney mapping biopsies, H. pylori eradication, pathology reporting, and surveillance intervals.
Transoral Incisionless Fundoplication (TIF) for Refractory GERD
Clinical Bottom Line Anti-Reflux Intervention Procedural Approach Best Patient Candidate Nissen Fundoplication (Lap-Nissen) Surgical laparoscopy; massive 360-degree wrap of stomach
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Core Literature for the Advanced Endoscopy Fellow (2026)
Clinical Bottom Line Clinical Focus Standard Reference Text Utility for Fellows Diagnostic Principles & Guidelines Sleisenger and Fordtran’s Gastrointestinal and
Point-of-Use Pre-cleaning Protocols for Flexible Scopes
Clinical Bottom Line Reprocessing Phase Action Scientific Intent Point-of-Use (Bedside) Immediate flushing with enzymatic detergent and wiping the insertion tube.