Current Issue - Silder
Current Issue: September 2021
This month's highlight articles
Endoscopic prediction of submucosal invasion in Barrett’s cancer with the use of artificial intelligence: a pilot study
In a pilot study, the role of artificial intelligence (AI) in predicting the presence of submucosal invasion in Barrett’srelated cancer was evaluated using white-light images. The performance of experts was also assessed. Although the ability of this AI-based platform to predict submucosal invasion was only equal to that of expert endoscopists, it lays the foundation for future studies using videos and real-time endoscopy.
Benchmarking definitions of false-positive alerts during computeraided polyp detection in colonoscopy
In this computer-aided colon polyp detection (CADe) study, different time thresholds were applied to define incorrect alerts as false-positive. The authors found that this notably affected the calculated values for diagnostic performance, and suggest a false-positive alert threshold of ≥2 seconds as a starting point for consensus definition.
Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines-update 2020
This collaborative Guideline on endoscopy in patients on antiplatelet or anticoagulant therapy updates the 2016 Guideline from the British Society of Gastroenterology (BSG) and the European Society of Gastrointestinal Endoscopy (ESGE). Evidence-based revisions have been made in the stratifications for the risk of hemorrhage associated with given endoscopic procedures and the risk of thrombosis associated with discontinuation of antithrombotics. A more detailed risk analysis for atrial fibrillation has been employed, and the recommendations for direct oral anticoagulants have been strengthened on the basis of recent trial data. There is a new section on the management of patients presenting with acute GI hemorrhage and important patient considerations are highlighted. The balance of risk between thrombosis and hemorrhage in given situations remained key!