Impact of hiatal hernia on periprocedural outcomes following peroral endoscopic myotomy: a nationwide retrospective study.

Background And Aims: The influence of hiatal hernia (HH) presence on peroral endoscopic myotomy (POEM) outcomes remains unclear. This study aimed to compare post-POEM outcomes between patients with and without HH.

Methods: Using the Nationwide Inpatient Sample from 2016 through 2022, we identified 6572 patients undergoing POEM for achalasia or non-achalasia spastic disorders.

Avoiding the complications of endoscopic retrograde cholangiopancreatography.

Purpose Of Review: To review the literature within the past 5 years on risk factors and prophylactic measures for avoiding the complications of endoscopic retrograde cholangiopancreatography (ERCP), including post-ERCP pancreatitis (PEP), post-ERCP cholangitis, bleeding, and perforation.

Recent Findings: Despite advances in endoscopic technique and numerous clinical trials, complications of ERCP still occur frequently, particularly PEP. Recent findings are concentrated in the PEP domain and include the following: the discovery of pancreatic steatosis as a potential novel risk factor, machine learning models to predict PEP, combination prophylactic strategies including rectal NSAIDs, aggressive intravenous fluid hydration and pancreatic duct stents, potential novel pharmacotherapies, and enhanced endoscopic techniques for difficult biliary cannulation.

Complications of Metabolic and Bariatric Surgery for the Gastroenterologist: A Comprehensive Review.

By 2035, more than one-half of the global population is expected to have overweight or obesity, amounting to a substantial $4 trillion toll on the global economy. The uptake of metabolic and bariatric surgery has increased worldwide, providing treatment for both obesity and associated disorders of metabolic function. Laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass are the most commonly performed metabolic and bariatric surgical procedures.

Advances in endoscopic management of colonic diverticular bleeding.

Purpose Of Review: This review is focused on diagnostic and management strategies for colonic diverticular bleeding (CDB). It aims to present the current state of the field, highlighting the available techniques, and emphasizing findings that influence the choice of therapy.

Recent Findings: Recent guidelines recommend nonurgent colonoscopy (>24 h) for CDB.

Endoscopic approaches to the management of hemorrhoids.

Purpose Of Review: To review the literature within the last 5 years on the current status and future perspectives of the endoscopic management of internal hemorrhoids.

Recent Findings: Despite the large burden of hemorrhoidal diseases, research in this area, particularly on endoscopic approaches for treatment, has been slow. Within the last 5 years, data has been published on the novel cap-assisted endoscopic sclerotherapy (CAES), which will continue to gain attention in the future.

Adaptation and psychometric testing of the end-of-life professional caregiver survey in Jamaica.

Background: Using a validated instrument to measure palliative care (PC) educational needs of health professionals is an important step in understanding how best to educate a well-versed PC workforce within a national health system. The End-of-life Professional Caregiver Survey (EPCS) was developed to measure U.S.

Severity and Outcomes of Dengue in Hospitalized Jamaican Children in 2018-2019 During an Epidemic Surge in the Americas.

Objective: In 2019, dengue was among the "top-ten threats to global health," with 3.1 million cases reported from the Americas, the highest ever. Simultaneously, Jamaica reported its largest dengue outbreak in 40 years, following Chikungunya and Zika virus epidemics, in 2014 and 2016-2017, respectively.