New Advances and Challenges in Gastroenterology and Endoscopy

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Methodology, Drug and Device Discovery".

Deadline for manuscript submissions: closed (23 March 2024) | Viewed by 4662

Special Issue Editors


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Guest Editor
1. Adjunct Clinical Professor, School of Medicine, Swansea University, Swansea SA2 8PP, UK
2. Healthpoint Hospital, Abu Dhabi P.O. Box 112308, United Arab Emirates
Interests: gastroenterology; endoscopy; patients-reported outcomes research
Special Issues, Collections and Topics in MDPI journals

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Guest Editor
Healthpoint Hospital, Abu Dhabi P.O. Box 112308, United Arab Emirates
Interests: interventional endoscopy; gastroenterology; inflammatory bowel disease

Special Issue Information

Dear Colleagues,

Gastroenterology and endoscopy clinical services have significantly improved because of research advancements in recent decades. There has been a significant investment in research aimed at better diagnosis and treatment of many conditions. This has helped toward better surveillance and understanding of the diseases’ progression, with potential direct clinical benefits in prevention and early treatment, especially in cancer screening programs. At the same time, there are several challenges that face full implementation of endoscopy screening programs and technology in countries with limited resources, leading to inequality of care provided to patients.

This Special Issue of the Journal of Personalized Medicine aims to highlight the current state of endoscopy practice and showcase some of the most cutting-edge technologies and advancements in the field with a focus on the application of artificial intelligence and the use of patient-reported outcomes measures to enhance healthcare provided to patients. It will also cover the challenges of properly implementing endoscopy practice in resource-constrained settings.

Prof. Dr. Laith Alrubaiy
Dr. Ahmad Sultan
Guest Editors

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Keywords

  • endoscopy
  • gastroenterology
  • health service research
  • endoscopy surveillance
  • artificial intelligence in endoscopy
  • endoscopy in countries with limited resources

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Published Papers (2 papers)

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17 pages, 473 KiB  
Systematic Review
Applications of Artificial Intelligence-Based Systems in the Management of Esophageal Varices
by Vlad Dumitru Brata, Victor Incze, Abdulrahman Ismaiel, Daria Claudia Turtoi, Simona Grad, Raluca Popovici, Traian Adrian Duse, Teodora Surdea-Blaga, Alexandru Marius Padureanu, Liliana David, Miruna Oana Dita, Corina Alexandrina Baldea and Stefan Lucian Popa
J. Pers. Med. 2024, 14(9), 1012; https://doi.org/10.3390/jpm14091012 - 23 Sep 2024
Cited by 2 | Viewed by 1538
Abstract
Background: Esophageal varices, dilated submucosal veins in the lower esophagus, are commonly associated with portal hypertension, particularly due to liver cirrhosis. The high morbidity and mortality linked to variceal hemorrhage underscore the need for accurate diagnosis and effective management. The traditional method of [...] Read more.
Background: Esophageal varices, dilated submucosal veins in the lower esophagus, are commonly associated with portal hypertension, particularly due to liver cirrhosis. The high morbidity and mortality linked to variceal hemorrhage underscore the need for accurate diagnosis and effective management. The traditional method of assessing esophageal varices is esophagogastroduodenoscopy (EGD), which, despite its diagnostic and therapeutic capabilities, presents limitations such as interobserver variability and invasiveness. This review aims to explore the role of artificial intelligence (AI) in enhancing the management of esophageal varices, focusing on its applications in diagnosis, risk stratification, and treatment optimization. Methods: This systematic review focuses on the capabilities of AI algorithms to analyze clinical scores, laboratory data, endoscopic images, and imaging modalities like CT scans. Results: AI-based systems, particularly machine learning (ML) and deep learning (DL) algorithms, have demonstrated the ability to improve risk stratification and diagnosis of esophageal varices, analyzing vast amounts of data, identifying patterns, and providing individualized recommendations. However, despite these advancements, clinical scores based on laboratory data still show low specificity for esophageal varices, often requiring confirmatory endoscopic or imaging studies. Conclusions: AI integration in managing esophageal varices offers significant potential for advancing diagnosis, risk assessment, and treatment strategies. While promising, AI systems should complement rather than replace traditional methods, ensuring comprehensive patient evaluation. Further research is needed to refine these technologies and validate their efficacy in clinical practice. Full article
(This article belongs to the Special Issue New Advances and Challenges in Gastroenterology and Endoscopy)
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8 pages, 214 KiB  
Brief Report
Colonoscopy Colorectal Cancer Screening Programme in Southern Iraq: Challenges, Knowledge Gaps and Future Potential
by Laith Alrubaiy, Ali Al-Rubaye, Wisam Alrudainy, Mazen H. Al-Hawaz, Raja A. Mahmoud and Brian P. Saunders
J. Pers. Med. 2023, 13(2), 173; https://doi.org/10.3390/jpm13020173 - 19 Jan 2023
Viewed by 2493
Abstract
Data on current colorectal cancer screening practices in Iraq are limited. This study aimed to better understand the current colorectal cancer screening practice and perceived barriers. The project also aimed to use UK expertise to introduce Bowel Cancer Screening Programme (BCSP) in Basra, [...] Read more.
Data on current colorectal cancer screening practices in Iraq are limited. This study aimed to better understand the current colorectal cancer screening practice and perceived barriers. The project also aimed to use UK expertise to introduce Bowel Cancer Screening Programme (BCSP) in Basra, Iraq. The study consisted of two parts: A pre-visit online survey of clinicians to test the project’s feasibility. A public survey was conducted to understand and gauge the general knowledge and perceived barriers to having colorectal cancer screening. The second phase included a short visit to Basra and the delivery of a multidisciplinary meeting for bowel screening colonoscopists. Fifty healthcare providers completed the survey. Basra has no established bowel cancer screening programme, let alone the country. Opportunistic colonoscopy surveillance is done on an ad hoc base. A total of 350 individuals completed the public survey. The survey showed that more than 50% of participants were not familiar with the concept of a BCSP and less than 25% were aware of “red flag” symptoms of bowel cancer. The short visit to Basra included a roundtable discussion and delivered a training workshop for screening colonoscopists using UK training materials in conjunction with the Iraqi Medical Association. Feedback from the course was extremely positive. Several potential barriers were identified to participate in BCSP. The study highlighted potential barriers, including a lack of public awareness and insufficient training resources to be addressed in future screening programmes. The study has identified several potential areas for future collaboration to support the development of a BCSP centre in Basra. Full article
(This article belongs to the Special Issue New Advances and Challenges in Gastroenterology and Endoscopy)
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