In a multicenter study, endoscopic ultrasound-guided biliary drainage (EUS-BD) demonstrated superior efficacy to balloon enteroscopy-assisted ERCP (BEA-ERCP) for patients with surgically altered anatomy and unresectable malignant biliary obstruction. EUS-BD achieved a significantly higher technical success rate and shorter procedure times, while maintaining similar clinical success and adverse event rates. BEA-ERCP was identified as an independent […]
Category: Surgical Endoscopy
Endoscopic Techniques Outperform Surgery for Necrotizing Pancreatitis
Infected necrotizing pancreatitis treatment benefits from endoscopic strategies, outperforming traditional surgical methods. The systematic review revealed that upfront endoscopic necrosectomy (uen) ranked highest, showing significantly lower mortality rates, fewer complications, and shorter hospital stays. Endoscopic step-up (esu) approaches also displayed favorable results. A cost-effectiveness analysis confirmed endoscopic methods as the most economical choice, with a […]
Enhanced Instructions Boost Bowel Prep in Hospitalized Patients
Enhanced instructions (EIs) significantly improve bowel preparation (BP) for hospitalized patients undergoing colonoscopy, achieving a Boston Bowel Preparation Scale (BBPS) ≥6 in 76% of cases compared to 60.5% with regular instructions (RIs). This systematic review and meta-analysis of 1,070 patients across six trials demonstrated that EIs, which incorporate clearer guidance and visual aids, lead to […]
Procedural interventions yield high success rates in Rwanda
A study of 158 patients with obstructive jaundice in Rwanda revealed endoscopic retrograde cholangiopancreatography (ERCP) as the predominant intervention, achieving a technical success rate of 79.44%. Overall, procedural success reached 82.61%, with percutaneous transhepatic biliary drainage (PTBD) at 91.67% and surgical procedures at 100%. The 30-day survival rate was 92.41%. Notably, weight loss and ICU […]
EUS-guided gallbladder drainage shows promising long-term effectiveness
In a comprehensive meta-analysis of 701 patients, endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) achieved an impressive 95.8% technical and clinical success rate for treating acute cholecystitis with over one year of follow-up. This method stands out as a safe and durable alternative, especially for high-risk surgical patients, showcasing a remarkably low rate of adverse events. The […]
Postcolonoscopy colorectal cancers show distinct serrated characteristics
A systematic review of 15 studies reveals postcolonoscopy colorectal cancers (PCCRCs) have notable molecular differences from sporadic colorectal cancers (SCRCs). PCCRCs are more often linked to the serrated pathway, showing higher rates of microsatellite instability (MSI), CPG island methylator phenotype (CIMP), and BRAF mutations, while exhibiting less frequent KRAS mutations. Although their five-year survival rate […]
Endoscopic submucosal dissection outperforms endoscopic mucosal resection
Researchers found that endoscopic submucosal dissection (ESD) offers superior clinical outcomes for early oesophageal cancer compared to endoscopic mucosal resection (EMR). ESD demonstrated a shorter hospitalization time (7.51 vs. 9.16 days) and a significantly better postoperative quality of life. Although ESD surgeries took longer, both techniques achieved comparable resection rates. Importantly, ESD resulted in fewer […]
Emerging endoscopic techniques improve diagnosis and treatment of pancreatic cysts
Accurate diagnosis of pancreatic cystic lesions (PCLs) is critical to avoiding unnecessary surgeries. Despite existing guidelines, many patients with benign cysts still undergo major resections. New endoscopic methods, including advanced imaging and minimally invasive treatments, show promise for enhancing diagnostic precision and offering organ-sparing options. Techniques like endoscopic ultrasound (EUS) and novel therapeutics are well-tolerated […]
New machine learning model predicts cholangitis risk after ERCP
A novel interpretable machine learning model has been developed to predict post-ERCP cholangitis (PEC) in patients with malignant biliary obstruction (MBO). The model, utilizing data from 2831 patients, identified key risk factors including radiofrequency ablation and white blood cell count. Among various machine learning methods, the XGBoost model outperformed others, predicting PEC risk with accuracy […]
New tool predicts perforation risks during endoscopic submucosal dissection
A novel predictive model for perforation risk during endoscopic submucosal dissection (ESD) has been developed and validated by researchers. In a study involving 1,051 patients, significant predictors included the first 100 procedures, lesion size over 35 mm, and extended operative time. The model demonstrated satisfactory validation performance with an area under the curve of 0.7078 […]