Endoscopic submucosal dissection outperforms mucosal resection for early gastric cancer.
ESD achieved a fourfold increase in both en bloc and curative resection rates compared to EMR.
Favorable outcomes were particularly noted in differentiated lesions and during long-term follow-up.
Consider ESD as the preferred method for selected early gastric cancer patients, keeping in mind the need for advanced skills and longer procedure times.
The analysis included nine studies with 3,574 patients, providing robust evidence for this approach.
An enhanced-recovery pathway after endoscopic removal of small upper gastrointestinal lesions shortened hospital stays without increasing complications.
For cancer-related stomach blockage, endoscopic ultrasound-guided bypass was linked to fewer repeat procedures than stents or surgery, and a shorter hospital stay than surgery.
After EUS-guided drainage for infected necrotizing pancreatitis, immediate necrosectomy showed no clear clinical advantage over waiting to intervene as needed—and may expose more patients to the procedure.
