Dispatches from the GUILD Conference, Series #72

Computer-Aided Detection in Colonoscopy: Promise, Performance, and Real-World Questions

Tasnim Ahmed,Stephen Le Breton,Tyler M. Berzin

Computer aided polyp detection (CADe) is one of the most heavily studied applications of artificial intelligence in clinical medicine and may serve as a valuable adjunct for gastrointestinal endoscopists. Randomized […]

INTRODUCTION: DISPATCHES FROM THE GUILD CONFERENCE

Introduction: Dispatches from the 10th Annual GUILD Conference 2026

Uma Mahadevan

Welcome to the tenth annual Dispatches from the GUILD Conference series. The Gastrointestinal Updates-IBD-Liver Disease (GUILD) Conference is an annual CME conference held in Maui, Hawaii every February (GUILD 2026: […]

Fellows’ Corner

by Archit Garg The patient, a 46-year-old woman, came to the emergency room with three blisters on her right leg, which had appeared a week prior and were getting bigger. […]

A Case Report

Chalk Pica Presenting as Hypercalcemia-Induced Pancreatitis

by Bhaavya Pinnala, Sindhu Naresh, Saleha Asghar Acute pancreatitis is most commonly associated with gallstone disease, chronic alcohol use or hypertriglyceridemia while metabolic abnormalities such as hypercalcemia are far less […]

Frontiers in Endoscopy, Series #103

Ergonomics in Endoscopy

Christina M. Minami,Douglas G. Adler

Introduction  Musculoskeletal injuries are prevalent among healthcare workers. Proceduralists, such as gastroenterology (GI) endoscopists, require repetitive and often unnatural movements while maneuvering endoscopes and colonoscopes. The frequent stress and forces […]

NUTRITION REVIEWS IN GASTROENTEROLOGY

Thank You to the 2025 Peer Reviewers of the Nutrition Reviews in Gastroenterology Series

Neha D. Shah,Elizabeth Wall

Thank you to the 2025 Peer Reviewers of the Nutrition Reviews in Gastroenterology SeriesWe extend our sincere appreciation to the reviewers of the 2025 Nutrition Reviews inGastroenterology series for their […]

Medical Bulletin Board

American Liver Foundation Celebrates 50 Years of Advancing Liver Health Nationwide

Honoring Five Decades of Progress, Commitment, and Support for Liver Patients (Fairfield, NJ – Jan. 5, 2026) – American Liver Foundation (ALF) proudly announces its 50th anniversary, marking five decades […]

From the Pediatric Literature

Congenital Hepatic Hemangiomas in Children

Most hepatic hemangiomas in infants are benign and are typically divided into two groups: 1) focal hepatic hemangiomas which are congenital and limited in size and 2) infantile hepatic hemangiomas […]

FRONTIERS IN ENDOSCOPY, SERIES #102

Electrohydraulic Lithotripsy for Biliary and Pancreatic Stones

Vatsal Khanna,Douglas G. Adler

Electrohydraulic lithotripsy (EHL) has emerged as a vital adjunct to endoscopic retrograde cholangiopancreatography (ERCP), providing an effective means of fragmenting large, impacted, or otherwise difficult-to-extract stones within the pancreatic and […]

A Case Report

A Rare Case of Cutaneous Metastasis from Colon Cancer

Colorectal cancer remains the third most common cancer and second most common cause of cancer deaths, often from metastatic disease.1-6 While liver metastases are most common, other sites of metastases […]

Nutrition Reviews in Gastroenterology, SERIES #29

Nutrition Management for Functional Dyspepsia

Sophia Scattaglia,Nancee Jaffe

Functional dyspepsia (FD) is a common disorder of the gut-brain interaction characterized by bothersome symptoms including postprandial fullness, early satiation, epigastric pain, and epigastric burning, without structural disease. Despite its […]

Frontiers in Endoscopy, Series #101

Topical Endoscopic Hemostatic Agents for Gastrointestinal Bleeding

Magnus Chun,Douglas G. Adler

Background Gastrointestinal bleeding (GIB) is associated with significant morbidity and mortality. Despite improved endoscopic practices for GIB, approximately 8-15% of patients fail primary endoscopic therapy, which includes injection, thermal, and […]

Liver Disorders, SERIES #20

Beyond Jaundice Part 2: Recognizing Dermatologic Findings in Chronic Liver Diseases

Olivia Babich,Alexandra Savage,Tavankit Singh

Chronic liver disease is often accompanied by cutaneous findings indicative of underlying pathology. However, in addition to the many widely-known and recognizable dermatologic manifestations, there exists a multitude of subtle, […]

Frontiers in Endoscopy, Series #100

Pancreaticobiliary Endoscopic Ultrasound: How We Do It

Jennifer L. Maranki,Douglas G. Adler

Introduction Endoscopic ultrasound (EUS) has evolved into an indispensable tool in the evaluation and management of pancreaticobiliary diseases. Over 40 years ago, EUS was developed as a radial scanner, providing […]

Nutrition Reviews in Gastroenterology, SERIES #28

The Role of the Mediterranean Diet Pattern in Treatment and Management of Metabolic Dysfunction-Associated Steatotic Liver Disease 

Alexander W. Worix,Jennifer C. Lai,Neha D. Shah

Metabolic dysfunction-associated steatotic liver disease (MASLD) is defined by excessive hepatic fat accumulation in individuals without significant alcohol intake. Previously termed non-alcoholic fatty liver disease (NAFLD), this condition included nonalcoholic […]

Special Article

Factors Predicting Patient Follow-Up in Clinic After Anorectal Manometry for Defecatory Disorders in a Community Hospital

Misha Gautam,Utkarsh Goel,Abbas Bader,Vinay Jahagirdar,Esmat Sadeddin,Hassan Ghoz

Anorectal manometry (ARM) diagnoses anorectal sensorimotor disorders, and biofeedback therapy (BT) is an evidence-based treatment. We conducted a retrospective study at a community hospital to assess factors predicting patient follow-up […]

Liver Disorders, SERIES #19

Beyond Jaundice Part 1: Identifying and Describing Cutaneous Manifestations of Hepatitis and Cirrhosis

Olivia Babich,Alexandra Savage,Tavankit Singh

Dermatologic findings are common in liver disease, and may represent the very earliest or most prominent signs of an underlying disorder. While most practitioners recognize jaundice as a sign of […]

From the Pediatric Literature

Eosinophilic Esophagitis in Pediatric Patients Receiving Infliximab

The treatment of pediatric inflammatory bowel disease (IBD) has improved markedly with the use of biologic therapy which includes such medications as infliximab. Although infliximab has been used for some […]

Frontiers in Endoscopy, Series #99

Post-Sphincterotomy Bleeding: Incidence, Risk Factors, and Management

Archit Garg,Douglas G. Adler

Introduction Endoscopic retrograde cholangiopancreaticography (ERCP) is a commonly used therapeutic procedure for diagnostic and therapeutic purposes for various pancreatic-biliary pathologies. Endoscopic sphincterotomy (ES) is a requirement for many biliary interventions. […]

Dispatches from the GUILD Conference, Series #71

Global Consensus Statement for the Management of Inflammatory Bowel Disease in Pregnancy: Implications for the Gastroenterologist

Arushi Kohli,Uma Mahadevan

The management of inflammatory bowel disease (IBD) during pregnancy presents unique challenges, requiring a balance between maternal health, disease control, and fetal well-being. A global consensus conference, led by a […]

Liver Disorders, SERIES #18

Understanding New Nomenclature in Advanced Chronic Liver Disease

Cierra Smith,Michael Babich

As understanding of disease processes in medicine evolves, terminology must often evolve too. Terminology related to cirrhosis has been changing to better capture the spectrum of liver disease and patients’ […]

Nutrition Reviews in Gastroenterology, SERIES #27

Gentler Solutions: Adapting the Low FODMAP Elimination Diet for Irritable Bowel Syndrome for Symptom Relief

Kate Scarlata

Irritable Bowel Syndrome (IBS) is a common gastrointestinal (GI) disorder marked by abdominal pain, bloating, and altered bowel habits. Dietary changes are key to managing symptoms, with the low-FODMAP diet […]

Frontiers in Endoscopy, Series #98

Endoscopic Ultrasound-Guided Therapy for Gastric Varices: Current Evidence and Emerging Perspectives

Khyati Bidani,Douglas G. Adler

1. Introduction Gastric varices (GV) are a serious complication of portal hypertension, present in about 20% of cirrhotic patients compared to up to 85% with esophageal varices (EV).1,2 Though less […]

DISPATCHES FROM THE GUILD CONFERENCE, SERIES #70

Use of Beta-blockers in Patients with Cirrhosis

Nicolas Chong Lugon,Guadalupe Garcia-Tsao

Non-selective beta-blockers improve outcomes in patients with cirrhosis and are recommended in(1) compensated cirrhosis and CSPH (to prevent decompensation), (2) decompensated cirrhosiswithout prior episodes of VH (to prevent first VH), […]

NUTRITION REVIEWS IN GASTROENTEROLOGY, SERIES #26

From Diagnosis to Treatment: Iron Management in Adults with Gastrointestinal Disorders

Sasathorn Thongkhao-On,Holly Estes-Doetsch,Kristen M. Roberts

Iron deficiency anemia (IDA) affects about one-third of the global population and has a significant impact on individuals with gastrointestinal (GI) disorders. Its multifactorial etiology includes chronic inflammation, impaired nutrient […]

Frontiers in Endoscopy, Series #97

ROSE Versus MOSE for Evaluationof EUS – Guided Tissue Samples

Magnus Chun,Douglas G. Adler

Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) with rapid on-site evaluation (ROSE) has been a subject of debate over the past few decades. With the development of new core needles, endoscopic ultrasound-guided […]

Nutrition Reviews in Gastroenterology, SERIES #25

Volume-Based Feeding’s Place in the Modern Intensive Care Unit

Janine Wong Berta

Underfeeding in the intensive care unit (ICU) is a well-documented issue affecting patient outcomes. Volume-based feeding (VBF) represents a feeding protocol designed to mitigate the effects of frequent enteral nutrition […]

SPECIAL ARTICLE

Malignant Tumors of the Small Intestine: A Case Series and Review of the Literature

Daniel Kurtz,Sharon Slomovich,Mahnoor Khan,Neal Shah,Frank G. Gress

Small bowel neoplasms are uncommon gastrointestinal malignancies, but their incidence has risen in recent years. The main subtypes include adenocarcinoma and neuroendocrine tumors, each accounting for approximately 40% of cases, […]

DISPATCHES FROM THE GUILD CONFERENCE, SERIES #69

Taking Care of the Whole Patient with IBD: A Focus on Prevention and Health Maintenance for Primary Care Providers

Nichole C. Henkes,Chasen H. Cottle,Jami A. Kinnucan

Inflammatory bowel disease (IBD) is a chronic, immune-mediated disease characterized by intestinal inflammation and extraintestinal symptoms. The chronic and fluctuating nature of the disease, as well as side effects and […]

NUTRITION REVIEWS IN GASTROENTEROLOGY, SERIES #24

Selenium: A Micronutrientwith a Macro-Impact

Sebastian Dobrow,Rangesh Modi

Selenium, a naturally occurring trace element, serves many bodily functions through its role in a family of proteins called selenoproteins. The average daily intake in the United States is about […]

Frontiers in Endoscopy, Series #96

Role of EUS and ERCP in Diagnosis and Management of Idiopathic Pancreatitis

Parth Patel,Douglas G. Adler

Introduction  Gallstones/choledocholithiasis and alcohol use/abuse are the most common causes of acute pancreatitis (AP).1 When the cause of acute pancreatitis remains unidentified despite a thorough history, physical examination, laboratory tests, review […]

FELLOWS’ CORNER

Superior Mesenteric Artery Syndrome

by Archit Garg, Lara Calegari A 35-year-old Hispanic woman, who had endometriosis surgery in 2018, experienced worsening epigastric pain, severe nausea, vomiting, and diarrhea for one day. The patient had […]