Experts established 21 key steps for safe and effective endoscopic sleeve gastroplasty (ESG) through a modified Delphi method. Consensus was reached on the importance of full-thickness bites and the use of a helix device in tissue swirling, although opinions varied on minor details like fundus inclusion. This standardized protocol will enhance ESG training and adoption […]
Category: General Surgery
Effectiveness and Safety of Endoscopic Resection for Gastric Gastrointestinal Stromal Tumors
Researchers investigated the efficacy and safety of endoscopic resection (ER) for gastric gastrointestinal stromal tumors (GISTs) originating from the muscularis propria (MP). The study included 233 patients who underwent ER, with a median tumor size of 12 mm. The complete resection rate was 93.1%, with complications occurring in 4.7% of cases, including perioperative perforations (1.7%) […]
Remote Programming for Sacral Neuromodulation: Feasibility and Patient Satisfaction
Researchers conducted a multicenter prospective study to assess remote programming’s effectiveness and patient satisfaction in stage I sacral neuromodulation (SNM). A total of 63 participants from 6 centers were divided into remote programming (RP) and outpatient control (OC) groups. The RP group showed high usability (98%) and satisfaction (96.83%). It significantly improved patient scores on […]
Sleeve Gastrectomy Shows Promising Effects on Metabolic Dysfunction-Associated Fatty Liver Disease (MAFLD)
Researchers investigated the diagnostic accuracy of transient elastography (TE) for steatosis and liver fibrosis in patients with metabolic dysfunction-associated fatty liver disease (MAFLD) undergoing sleeve gastrectomy (SG). TE’s controlled attenuation parameter (CAP) and liver stiffness measurement (LSM) showed high accuracy in identifying liver steatosis and fibrosis. A nomogram was developed based on multivariate logistic regression […]
Global Trends in Early-Onset Pancreatic Cancer: A 30-Year Analysis
Early-onset pancreatic cancer (EOPC) is increasing globally, particularly in Asia, with high burden in central and eastern Europe. From 1990 to 2019, EOPC saw a rise in incidence, mortality, and disability-adjusted life-years (DALYs). Risk factors include smoking, high BMI, and high glucose levels. Prevention strategies targeted at high-risk populations are essential to curb this growing […]
Predicting Overall Survival in GEP-NETs Using a Treatment Data Nomogram
A nomogram incorporating treatment data proved better than the AJCC staging system in predicting overall survival for gastroenteropancreatic neuroendocrine tumors. Key factors include sex, age, race, tumor location, and treatment modalities. Internal and external validation showed superior performance, advocating for individual risk evaluation to enhance patient outcomes and quality of life. Journal Article by Wu […]
Improved Skill Transfer with 3D-Printed Model for Laparoscopic Biliary-Enteric Anastomosis Training
A randomized controlled trial found that training with a 3D-printed model for laparoscopic biliary-enteric anastomosis led to significantly shorter operation times, higher performance scores, and greater goal achievement compared to traditional training methods. This suggests improved skill acquisition and transferability to a clinical setting with the novel simulation model. Randomized Controlled Trial by Shen J, […]
Advancements in Minimally Invasive Surgical Techniques for Early Gastric Cancer
Minimally invasive surgical techniques, such as endoscopic mucosal resection and laparoscopic and endoscopic cooperative surgery, offer precise and effective options for treating early gastric cancer. These advanced procedures result in less trauma, blood loss, and quicker recovery for patients, providing unique value in the examination and treatment of this condition. Review by Li CY, Wang […]
Direct Percutaneous Endoscopic Jejunostomy Tube Placement: A Safer Alternative
Direct percutaneous endoscopic jejunostomy (DPEJ) is a safe and effective alternative to surgical jejunostomy, with lower rates of adverse events at 90 days. Procedural success rates were similar among DPEJ, laparoscopic jejunostomy, and open jejunostomy, but DPEJ had significantly lower rates of tube dysfunction. DPEJ may offer a cost-effective and less invasive option for enteral […]
Incisional Wound Irrigation with Antiseptic Solutions Reduces Surgical Site Infections
Researchers found that using antiseptic solutions for prophylactic intraoperative incisional wound irrigation significantly reduced surgical site infections (SSIs). In this systematic review and network meta-analysis involving 41 randomized clinical trials with 17,188 patients, antiseptic solutions showed a 40% relative risk reduction in SSIs compared to no irrigation. Antibiotic solutions also reduced SSIs but with lower […]