Top 20 high-impact clinical research articles of 2024 in Gastroenterology:Episode 11

FROM Techniques and Innovations in Gastrointestinal EndoscopyLimitations of the Location-Based and Polyp-Based Resect and Discard StrategiesVolume 26, Issue 3P237-2432024This study explored two new approaches, the Location-Based Resect and Discard (LBRD) and Polyp-Based Resect and Discard (PBRD) strategies, aimed at reducing the expense associated with colonoscopy screenings by minimizing the need for pathology. Researchers retrospectively analyzed thousands of colonoscopy procedures to compare how well these "resect and discard" recommendations aligned with established 2020 United States Multi-Society Task Forces (USMSTF) surveillance intervals. While the PBRD strategy showed strong agreement (94.2%) with the longer USMSTF guidelines, its concordance drastically failed (38.6%) when measured against the shorter, more commonly used surveillance intervals. The findings ultimately indicate that neither LBRD nor PBRD met the required 90% agreement threshold, suggesting these strategies are not yet concordant enough to replace the reliance on pathology for evaluating small polyps.