Cold EMR for large colon polyps

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This summary reviews Pohl H, Rex DK, Barber J, et al. Cold snare endoscopic resection for large colon polyps: A randomised trial. Gut Published Online First: 19 May 2025. doi: 10.1136/gutjnl-2025-335075.


Can Tacrolimus Tame Esophageal Lichen Planus?

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ELP is a rare and under-recognized condition that presents significant diagnostic and therapeutic challenges, especially for gastroenterologists who often encounter these patients first. There is no consensus on diagnostic criteria or standard treatment, and existing histologic scoring systems are often impractical for routine use due to variability and nonspecific findings. This study introduces a visually based severity score (ELPSS) tailored for endoscopic use—similar to scoring tools in eosinophilic esophagitis—and highlights the potential of low-dose oral tacrolimus as a safe and effective treatment option for patients with moderate to severe ELP. Addressing this unmet need may improve disease recognition and long-term management.


Sphincterotomy to prevent PEP after FCSEMS placement

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EBGI summary reviews the 2025 SPHINX study published in Gut on endoscopic sphincterotomy to prevent post-ERCP pancreatitis after self-expandable metal stent placement for distal malignant biliary obstruction.


IBD Surveillance Colonoscopy: to Spray or Not to Spray!

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EBGI summary discussed a RCT from the Netherlands that examines neoplasia detection rates in individuals with IBD without active inflammation who were scheduled for endoscopic surveillance randomized to HD white-light endoscopy with segmental reinspection, single-pass HD white-light endoscopy, or to HD chromoendoscopy.