Researchers found that a hybrid “2M+1H” model—combining two independently trained machine-learning systems with limited gastroenterologist adjudication—matched the accuracy of traditional expert central reading while cutting human review workload by more than 80%. In an analysis of 150 full-length endoscopy videos, the AI-led approach achieved strong agreement with expert reference standards and showed comparable performance for key trial endpoints such as endoscopic improvement and remission. Just as striking, the study exposed a vulnerability in current practice: nearly one in six videos received different final scores depending on which human readers were assigned. By using AI as a first-pass scorer and reserving…
Author: Abhay Panchal
Bariatric care is entering a new era. As endoscopic weight-loss procedures become safer, less invasive, and more durable, experts say demand for bariatric interventions is set to rise—even as GLP-1 medications surge. In a recent episode of The Scope, gastroenterologists David Robbins, MD, and Steven Shamah, MD, discuss advances in endoscopic bariatrics, the relatively modest training needed to offer these procedures, reimbursement realities, and why physicians will play an even bigger role as obesity continues to grow.
A new blood-based test may change how we screen young adults for colorectal cancer. In the largest early-onset colorectal cancer (EOCRC) study to date, researchers showed that a liquid biopsy powered by machine learning detected cancer in patients under 50 with striking accuracy — even among those as young as 20 to 35. The international ENCODER study found the test identified EOCRC with over 95% accuracy, capturing nearly all stage I–III cancers and showing biomarker levels drop rapidly after surgery — a signal it could also track treatment response. With EOCRC now the leading cause of cancer-related death in young…
Gastroenterology remains one of medicine’s highest-paid specialties, ranking 13th in Doximity’s 2025 Physician Compensation Report, with an average annual income of $537,870 based on 2024 data from more than 37,000 full-time physicians. GI compensation sits above otolaryngology and below urology, reflecting continued financial strength despite growing clinical and operational pressures. However, headline salary figures may mask wide variation across practice settings, according to Shazia Siddique, MD, spokesperson for the American Gastroenterological Association and assistant professor at the University of Pennsylvania. She noted that gastroenterology has shifted rapidly from independent practice models to consolidated academic and private equity–backed groups, where physicians…
Liquid biopsy developer Freenome is heading to the public markets via a $330M SPAC merger with Perceptive Capital Solutions, securing fresh capital as it prepares for a potential 2026 FDA decision on its blood-based colorectal cancer screening test, SimpleScreen. If approved, SimpleScreen would compete directly with Guardant Health’s Shield — the first FDA-cleared liquid biopsy for CRC detection. Early data shared with investors show 75% sensitivity for Stage I CRC and notable improvements over its prior version, though analysts caution that pivotal data ultimately submitted to the FDA will determine competitiveness. Freenome is pairing this CRC test with a broader…
AGA President Dr. Lawrence Kim has been named board chair-elect of the Accreditation Association for Ambulatory Health Care (AAAHC) — a key organization shaping quality standards across 6,800+ outpatient centers nationwide. Dr. Kim has spent two decades helping elevate the safety and performance of ambulatory care as an AAAHC surveyor and most recently as secretary/treasurer. Now, he moves into a role that will influence how ASCs — including many high-volume GI centers — are evaluated and supported over the full 1,095-day accreditation cycle.
For many physicians, employment contracts include a base salary plus a production bonus based on relative value units (RVUs). Employers can reward physicians for exceeding RVU targets — but also penalize them for falling short. Understanding how RVUs work can help you avoid common contract RVU traps that can compromise your salary and even your employment. To shed light on these traps, Medscape Medical News spoke to Dennis Hursh, JD, MLT, veteran employment attorney who represents physicians. He’s the author of the book The Final Hurdle: A Physician’s Guide to Negotiating a Fair Employment Agreement.
(ICI)–related diarrhea and colitis face a substantially higher risk of colon adenomas, raising concerns about potential future colorectal cancer risk. Lead investigator Tanvi Gupta, MD (UT Health Houston) reported that nearly 30% of patients developed adenomas on follow-up colonoscopy — many within just 7.5 months of symptom onset. Importantly, even patients without prior polyps saw elevated risk compared with ICI-treated controls.Senior author Yinghong Wang, MD, PhD (MD Anderson) said her team now routinely performs surveillance colonoscopy within 1 year of ICI-mediated diarrhea/colitis. Session discussants Danny Issa, MD (UCLA) and Sita Chokhavatia, MD, AGAF (Valley Medical Group) agreed more evidence is…
Smart toilets — once a novelty — are emerging as a new front in digestive health monitoring. Major brands Toto and Kohler have introduced toilets and add-on sensors that automatically analyze stool for shape, volume, color and even signs of bleeding — sending results to a smartphone app within seconds. Gastroenterologists say the potential is real.Anish Sheth, MD, chief of gastroenterology at Penn Medicine Princeton Health and advisor to smart-toilet startup Toi Labs, believes these devices could detect gut issues long before they become emergencies: “We can intervene sooner, manage it quicker, and prevent days off work or hospitalization.” These…
Gastroenterology has experienced a complex mix of momentum and headwinds throughout 2025. Demand for GI services remains high, procedure volumes continue to shift into lower-cost outpatient settings and new partnerships are reshaping practice economics. But rising operating expenses, reimbursement pressure and staffing shortages present significant challenges ahead for 2026.