{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T01:16:52Z","timestamp":1778894212735,"version":"3.51.4"},"reference-count":17,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","giejournal.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Gastrointestinal Endoscopy"],"published-print":{"date-parts":[[2026,6]]},"DOI":"10.1016\/j.gie.2025.10.038","type":"journal-article","created":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T15:58:48Z","timestamp":1762012728000},"page":"1165-1172","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":0,"title":["Economic impact and utilization trends of peroral endoscopic myotomy and endoscopic submucosal dissection"],"prefix":"10.1016","volume":"103","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-8076-2737","authenticated-orcid":false,"given":"Julietta","family":"Gervase","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joria","family":"Le","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcel","family":"Robles","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alana","family":"Persaud","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Walli","family":"Ansari","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Domenic","family":"Carrelli","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhi Jun","family":"Liao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kelly","family":"Moore","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hope","family":"Curran","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David","family":"Kastenberg","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Faisal","family":"Kamal","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Kowalski","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anand","family":"Kumar","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasi","family":"Xiao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Schlachterman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.gie.2025.10.038_bib1","doi-asserted-by":"crossref","first-page":"853","DOI":"10.1016\/j.gie.2020.07.037","article-title":"Safety and feasibility of same-day discharge after esophageal endoscopic submucosal dissection","volume":"93","author":"Hanada","year":"2021","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.gie.2025.10.038_bib2","doi-asserted-by":"crossref","first-page":"1045","DOI":"10.1016\/j.gie.2023.01.042","article-title":"Safety and feasibility of same-day discharge after endoscopic submucosal dissection: a Western multicenter prospective cohort study","volume":"97","author":"King","year":"2023","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.gie.2025.10.038_bib3","doi-asserted-by":"crossref","first-page":"3925","DOI":"10.3748\/wjg.v27.i25.3925","article-title":"Endoscopic submucosal dissection vs endoscopic mucosal resection for colorectal polyps: a meta-analysis and meta-regression with single arm analysis","volume":"27","author":"Lim","year":"2021","journal-title":"World J Gastroenterol"},{"key":"10.1016\/j.gie.2025.10.038_bib4","doi-asserted-by":"crossref","first-page":"540","DOI":"10.1016\/j.gie.2017.09.027","article-title":"Efficacy and safety of endoscopic submucosal dissection for submucosal tumors of the colon and rectum","volume":"87","author":"Qi","year":"2018","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.gie.2025.10.038_bib5","doi-asserted-by":"crossref","first-page":"553","DOI":"10.1111\/den.14058","article-title":"Cost-effectiveness analysis of endoscopic resection for colorectal laterally spreading tumors: endoscopic submucosal dissection versus piecemeal endoscopic mucosal resection","volume":"34","author":"Sekiguchi","year":"2021","journal-title":"Dig Endosc"},{"key":"10.1016\/j.gie.2025.10.038_bib6","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1016\/j.tige.2021.12.003","article-title":"Physician reimbursement for endoscopic submucosal dissection: a single center analysis","volume":"24","author":"Gajula","year":"2021","journal-title":"Tech Innov Gastrointest Endosc"},{"key":"10.1016\/j.gie.2025.10.038_bib7","doi-asserted-by":"crossref","first-page":"49","DOI":"10.4253\/wjge.v12.i1.49","article-title":"Lack of proper reimbursement is hampering adoption of minimally invasive gastrointestinal endoscopy in North America","volume":"12","author":"Iqbal","year":"2020","journal-title":"World J Gastrointest Endosc"},{"key":"10.1016\/j.gie.2025.10.038_bib8","doi-asserted-by":"crossref","first-page":"AB427","DOI":"10.1016\/j.gie.2024.04.1379","article-title":"Current Procedural Terminology (CPT) code does not improve time to Peroral Endoscopic Myotomy (POEM) procedure [abstract]","volume":"99","author":"Le","year":"2024","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.gie.2025.10.038_bib9","first-page":"1","article-title":"Cost analysis of endoscopic submucosal dissection for the treatment of colorectal lesions in China","volume":"2019","author":"Cui","year":"2019","journal-title":"Biomed Res Int"},{"key":"10.1016\/j.gie.2025.10.038_bib10","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/j.dld.2018.09.023","article-title":"Cost analysis and outcome of endoscopic submucosal dissection for colorectal lesions in an outpatient setting","volume":"51","author":"Maselli","year":"2018","journal-title":"Dig Liver Dis"},{"key":"10.1016\/j.gie.2025.10.038_bib11","doi-asserted-by":"crossref","first-page":"202","DOI":"10.4174\/astr.2015.89.4.202","article-title":"Cost comparison between endoscopic submucosal dissection and transanal endoscopic microsurgery for the treatment of rectal tumors","volume":"89","author":"Nam","year":"2015","journal-title":"Ann Surg Treat Res"},{"key":"10.1016\/j.gie.2025.10.038_bib12","doi-asserted-by":"crossref","first-page":"1127","DOI":"10.14309\/ajg.0000000000003131","article-title":"Resurgent inflation and its impact on Medicare reimbursements for outpatient gastroenterology procedures","volume":"120","author":"Patel","year":"2024","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.gie.2025.10.038_bib13","doi-asserted-by":"crossref","first-page":"2079","DOI":"10.14309\/ajg.0000000000002010","article-title":"Changes in Medicare reimbursement for common gastroenterology services over 15 years: 2007\u20132022","volume":"117","author":"Mihir","year":"2022","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.gie.2025.10.038_bib14","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1016\/j.athoracsur.2023.06.023","article-title":"Two decades of declining Medicare reimbursement in cardiac surgery","volume":"116","author":"Treffalls","year":"2023","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.gie.2025.10.038_bib15","doi-asserted-by":"crossref","first-page":"891","DOI":"10.1097\/SLA.0000000000006423","article-title":"A dwindling matter","volume":"281","author":"Saxton","year":"2024","journal-title":"Ann Surg"},{"key":"10.1016\/j.gie.2025.10.038_bib16","doi-asserted-by":"crossref","first-page":"860","DOI":"10.3171\/2024.6.JNS24515","article-title":"Regional differences in reimbursement rates from Medicare, Medicaid, and FAIR health across common procedures for neurological surgeons","volume":"142","author":"McGuire","year":"2024","journal-title":"J Neurosurg"},{"key":"10.1016\/j.gie.2025.10.038_bib17","doi-asserted-by":"crossref","first-page":"345","DOI":"10.1097\/BSD.0000000000001834","article-title":"Race, region, and reimbursement","volume":"38","author":"Schneider","year":"2025","journal-title":"Clin Spine Surg"}],"container-title":["Gastrointestinal Endoscopy"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0016510725021340?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0016510725021340?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T00:58:32Z","timestamp":1778893112000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0016510725021340"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6]]},"references-count":17,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2026,6]]}},"alternative-id":["S0016510725021340"],"URL":"https:\/\/doi.org\/10.1016\/j.gie.2025.10.038","relation":{},"ISSN":["0016-5107"],"issn-type":[{"value":"0016-5107","type":"print"}],"subject":[],"published":{"date-parts":[[2026,6]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Economic impact and utilization trends of peroral endoscopic myotomy and endoscopic submucosal dissection","name":"articletitle","label":"Article Title"},{"value":"Gastrointestinal Endoscopy","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.gie.2025.10.038","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 by the American Society for Gastrointestinal Endoscopy","name":"copyright","label":"Copyright"}]}}