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Clinical Applications of Endoscopic Technology in Gastroenterology

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Gastroenterology & Hepatopancreatobiliary Medicine".

Deadline for manuscript submissions: 15 March 2026 | Viewed by 2473

Special Issue Editor


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Guest Editor
1. Institute of Gastroenterology and Hepatology, Soroka University Medical Center, Beer-Sheva, Israel
2. Assuta Medical Center, Gastroenterology Institute, Beer-Sheva, Israel
3. Faculty of Health Sciences, Ben Gurion University of the Negev, Beer-Sheva, Israel
Interests: endoscopy; colorectal cancer; Lynch syndrome; polyps; polyposis
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Special Issue Information

Dear Colleagues,

Endoscopic technology has revolutionized the field of gastroenterology, providing minimally invasive methods for the diagnosis, management, and treatment of gastrointestinal (GI) diseases. From advanced imaging techniques to therapeutic interventions, endoscopy has become a cornerstone in improving patient outcomes. This Special Issue focuses on the clinical applications of endoscopic technology, from simple findings of upper and lower endoscopy to innovations such as AI-assisted diagnostics. In this Special Issue, we will explore the diagnostic and therapeutic role of endoscopy in gastroenterolgy. The issue will address the role of endoscopy in oncology, emphasizing early cancer detection and minimally invasive treatments. By integrating emerging technologies, such as artificial intelligence and precision medicine, endoscopic applications continue to push the boundaries of gastroenterology. This Special Issue aims to provide insights into current practices, challenges, and future directions in endoscopy in gastroenterology.

Dr. Naim Abu-Freha
Guest Editor

Manuscript Submission Information

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Keywords

  • gastroscopy
  • colonoscopy
  • sedation
  • polyps
  • early detection
  • endoscopic submucosal dissection
  • mucosal resection
  • artificial intelligence in endoscopy

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Published Papers (2 papers)

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Review

12 pages, 245 KB  
Review
Role of Endoscopic Ultrasound in the Diagnosis and Management of Liver Diseases
by Mohamed Elnagar, Ira Upadhye, Madhur Varadpande, Martin W. James and Manu Nayar
J. Clin. Med. 2025, 14(24), 8700; https://doi.org/10.3390/jcm14248700 - 9 Dec 2025
Viewed by 129
Abstract
This review explores the evolving role of endoscopic ultrasound (EUS) in the diagnosis and management of liver diseases, with a particular focus on chronic liver disease, focal hepatic lesions, portal hypertension, and post-transplant anatomy. A comprehensive literature review of PubMed, MEDLINE, and Embase [...] Read more.
This review explores the evolving role of endoscopic ultrasound (EUS) in the diagnosis and management of liver diseases, with a particular focus on chronic liver disease, focal hepatic lesions, portal hypertension, and post-transplant anatomy. A comprehensive literature review of PubMed, MEDLINE, and Embase studies up to August 2025 was conducted to identify the latest evidence on EUS-guided procedures, comparing them with traditional techniques. In diagnostics, EUS-guided liver biopsy provides real-time visualisation and precise tissue sampling, achieving longer specimen lengths and better patient outcomes compared to traditional percutaneous and transjugular approaches. For portal hypertension assessment, EUS-guided portal pressure gradient measurement is a promising alternative to conventional methods, with validation studies demonstrating strong correlation with hepatic venous pressure gradient measurements. In therapeutic applications, EUS facilitates precise interventions including gastric variceal treatment through combined coil and glue injection, management of visceral arterial pseudoaneurysms, selective portal vein embolisation, and targeted tumour ablation. While some applications remain in developmental stages, studies support the safety and efficacy of EUS in improving diagnostic accuracy and expanding therapeutic options for liver diseases. Ongoing technological advances in needle design, imaging capabilities, and artificial intelligence integration are expected to further enhance the utility of EUS in hepatology. Full article
(This article belongs to the Special Issue Clinical Applications of Endoscopic Technology in Gastroenterology)
16 pages, 254 KB  
Review
Enhancing Patient Education for Colonoscopy Preparation: Strategies, Tools, and Best Practices
by Roba Ganayem, Osama Alamour, Daniel L. Cohen, Nour Ealiwa and Naim Abu-Freha
J. Clin. Med. 2025, 14(12), 4375; https://doi.org/10.3390/jcm14124375 - 19 Jun 2025
Viewed by 1926
Abstract
Background: Colonoscopy is an important and essential diagnostic and screening tool for colorectal cancer and other pathologies in the colon. High-quality bowel preparation (BP) is a key quality measure of colonoscopy and is critical for maximizing its effectiveness, including enhancing adenoma detection [...] Read more.
Background: Colonoscopy is an important and essential diagnostic and screening tool for colorectal cancer and other pathologies in the colon. High-quality bowel preparation (BP) is a key quality measure of colonoscopy and is critical for maximizing its effectiveness, including enhancing adenoma detection rates. However, inadequate bowel preparation (IBP) remains a frequent challenge and is influenced by multiple factors. This review aims to summarize and evaluate educational and technological interventions implemented before colonoscopy to improve BP quality. Methods: The methodology comprised a structured narrative review of studies published in English, including randomized controlled trials, prospective studies, observational cohorts, and meta-analyses. Interventions were categorized by their delivery mode and impact on BP adequacy. Interventions included written materials, internet-based education modules, short message service (SMS) reminders, visual aids, instructional videos, verbal communication, telephone support, smartphone applications, and virtual reality (VR) platforms. Results: Most studies reported significant improvements in BP quality with enhanced patient education, particularly with the use of instructional videos and smartphone applications. Verbal communication and telephone support also demonstrated positive outcomes but were limited by resource availability. VR represents a promising emerging technology, though its implementation remains costly and complex. Conclusions: Enhanced educational interventions are proven methods to optimize BP quality. The selection of an appropriate modality should consider patient characteristics, technological accessibility, and institutional resources. Personalized strategies targeting high-risk populations can further reduce IBP rates and improve overall colonoscopy outcomes. Full article
(This article belongs to the Special Issue Clinical Applications of Endoscopic Technology in Gastroenterology)
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