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This article discusses the effectiveness of endoscopic hand suturing (EHS) in preventing postoperative bleeding in patients undergoing gastric endoscopic submucosal dissection (ESD). Postoperative bleeding is a common complication of ESD, especially in patients taking antithrombotic agents (ATAs). The study found that EHS, which involves suturing the mucosal defect using a flexible needle holder and absorbable barbed suture, was successful in preventing bleeding in high-risk patients. Further studies are needed to confirm the efficacy of this technique. [Extracted from the article]

The article discusses the validation of the PEACE scale, which assesses cleanliness during esophagogastroduodenoscopy (EGD) to improve the quality of inspection during endoscopy. The study involved 16 international experts who were trained on the PEACE scale and then assessed videos of EGD procedures. The overall agreement on PEACE scores was good, indicating high concordance among the experts. The PEACE scale can be used as a simple and uniform method to assess and document cleanliness during EGD, and it has been validated among international experts. [Extracted from the article]