Endoscopic submucosal dissection (ESD) offers better long-term survival than gastrectomy for older patients with early gastric cancer. 5-year overall survival was 85.9% with ESD vs. 80.9% for gastrectomy (p=0.140). In patients aged 80+, gastrectomy had a 3.29 times higher risk of death and a 7.18 times higher risk of gastric cancer-specific death than ESD. Consider […]
Category: Surgical Endoscopy
Biliary Stenting with Radioactive Seeds Enhances Survival in Cholangiocarcinoma
Combining biliary stenting with intraluminal 125 I seed brachytherapy significantly improves outcomes for advanced cholangiocarcinoma patients. Patients receiving the combination treatment had a longer overall survival and better stent patency (p < 0.001) compared to those with stenting alone. Complication rates were comparable between both groups, indicating safety (p > 0.85). Integrating this technique could […]
Cold Snare Biopsy Improves CRC Diagnosis Without Risks
Cold snare biopsy (CSB) significantly boosts diagnostic accuracy for suspected colorectal cancer compared to cold forceps biopsy (CFB), without increasing complication rates. CSB achieved 100% diagnostic consistency; CFB was 90.5%. Clinical outcomes were similar: bleeding rates were 3.9% for CSB vs. 4.6% for CFB. Surgeons should consider CSB as the preferred method for obtaining biopsies […]
Efficacy of Percutaneous Papillary Balloon Dilation for CBD Stones
Percutaneous papillary balloon dilation is a safe, effective option for treating common bile duct stones when endoscopy or surgery isn’t viable. Successful stone clearance rates were notable, supporting its efficacy. Complication rates remained low, indicating a favorable safety profile. Surgeons should consider this technique for patients unable to undergo standard procedures, enhancing treatment options. Systematic […]
New CAD System Rivals Endoscopist Techniques for CRC
A computer-aided diagnosis system is showing promise for predicting deeply invasive colorectal cancer but still lags behind established methods. The CAD system achieved an overall diagnostic accuracy of 61.3%, with high confidence cases showing 95.3% accuracy. Compared to magnifying narrow-band imaging (m-NBI) and magnifying chromoendoscopy (mCE), the CAD system’s performance was inferior (p = 0.011 and p = 0.014, […]
New findings on optimal method for CBD stone removal
Comparative study on endoscopic techniques reveals EPBD as superior for small common bile duct stones, impacting patient outcomes. All techniques (EST, EPBD, ESBD) achieved 100% overall stone removal success with first-session rates over 97%. Complications like pancreatitis were under 6%, with similar low rates across all methods. EPBD is recommended for its simplicity and lower […]
EUS-Guided Drainage Bleeding Managed with New Gel
A new peptide haemostatic gel shows promise for controlling bleeding during EUS-guided drainage and direct endoscopic necrosectomy of pancreatic fluid collections. In a study of 27 patients, purastat was applied with 100% success in controlling bleeding episodes. Haemostasis was achieved in 96.5% of cases, addressing a critical surgical complication. This gel offers a reliable option […]
Effective Surgery for GERD-Related Chronic Cough
A study confirms transoral endoscopic fundoplication (TIF) is effective in treating GERD patients with chronic cough. 177 patients showed a significant reduction in cough severity: median reflux symptom index (RSI) score dropped from 18 to 5 (p < 0.0001). 83% of patients normalized their cough scores, and 83% successfully reduced or stopped proton pump inhibitors. […]
Hybrid Techniques for Complex Colorectal Lesions Prove Effective
Hybrid laparo-endoscopic approaches offer a safe alternative for resecting challenging colorectal lesions that standard endoscopy can’t handle. Only 5% of patients required additional surgery after hybrid resection (95% CI 3-8%). The incidence of unexpected adenocarcinoma was 12%, highlighting the need for careful patient selection. These techniques can minimize patient morbidity while maintaining low complication rates, […]
Effective Method for Upper GI Bleeding Management
Endoscopic hemostatic forceps with high-frequency electrocoagulation shows high efficacy in treating upper gastrointestinal bleeding from peptic ulcers and Dieulafoy’s disease. 97.6% success rate in achieving hemostasis in 84 patients. Average time-to-hemostasis was just 1.5 minutes. No complications or recurrent bleeding reported within 12 months, making this a reliable option for surgeons. Patients’ mean age was […]