Bowel Prep’s Importance, Cold EMR Drawbacks and AI-Stratified Bleeding Risk (GI & Endoscopy News)

Dr. Prateek Sharma highlights the importance of high-quality bowel preparation for effective colonoscopy, the growing use of cold snare polypectomy (with recurrence risks), and advancements in AI for risk stratification of gastrointestinal (GI) bleeding. Studies show that fair bowel prep leads to a lower adenoma detection rate and higher risk of post-colonoscopy colorectal cancer (PCCRC). While cold snare EMR is safer, it has a high polyp recurrence rate. AI models for GI bleeding risk surpass current scoring systems, identifying more low-risk patients for discharge.