Endoscopic ultrasonography (EUS) with novel scopes and ultrasound systems proves effective for diagnosing pancreaticobiliary diseases, evidenced by a 100% success rate in interventional procedures. Although shear wave velocity (SWV) showed no significant differences among various pancreatic conditions, variations in effective SWV were noted. The advanced imaging techniques, including detective flow imaging (DFI) and shear wave […]
Category: Surgical Endoscopy
Optimal platelet count threshold established for colonoscopic polypectomy
A large-scale analysis identified a minimum platelet count of 90,000/μl as crucial for safe colonoscopic polypectomy, indicating that patients below this threshold face significantly heightened risks of both immediate and delayed postpolypectomy bleeding (ppb). Specifically, odds ratios indicated a 2.67-fold increase in immediate ppb and a 9.66-fold increase in delayed ppb among those with insufficient […]
EUS-TA significantly enhances diagnostic accuracy for biliary lesions
Endoscopic ultrasound-guided tissue acquisition (EUS-TA) demonstrated high diagnostic yields in biliary lesions, achieving 96.3% sensitivity and 100% specificity. Of 71 cases, 54 were diagnosed as malignant, marking a 76.1% malignancy rate. When combined with endoscopic retrograde cholangiography (ERC), EUS-TA increased overall diagnostic accuracy from 82.5% to 94.2%, identifying 30 additional malignant cases. The procedure’s adverse […]
EUS-guided drainage proves effective for complicated diverticulitis
EUS-guided pelvic abscess drainage (EUS-PAD) using lumen-apposing metal stents demonstrates high efficacy and safety in managing complicated acute diverticulitis. In a study involving 53 patients, the procedure achieved a technical success rate of 92.5% and a clinical success rate of 88.7%. Adverse events were minimal, occurring in 3.8% of cases, with no procedure-related mortalities. EUS-PAD […]
Faecal immunochemical test screening matches colonoscopy in safety
A pragmatic trial involving 57,404 individuals revealed that faecal immunochemical test (FIT) screening is non-inferior to colonoscopy in reducing colorectal cancer mortality over 10 years. Participation rates were higher for FIT at 39.9% compared to colonoscopy’s 31.8%. The colorectal cancer mortality risk was nearly identical between the two groups, suggesting that a FIT-based screening program […]
Adverse events during colorectal ESD increase with age.
A nationwide study in Japan reveals that the risk of adverse events (AEs) during colorectal endoscopic submucosal dissection (ESD) escalates significantly in older adults, particularly those aged 85 and above. Among 143,925 patients, AEs were recorded at 5.3% for ages 60-64, rising to 9.2% for those over 90. The analysis highlighted significant post-operative bleeding as […]
Rendezvous treatment effectively resolves external pancreatic fistulas
Long-term follow-up of 40 patients treated for external pancreatic fistulas revealed a 100% closure rate after rendezvous internalization treatment, with an average closure time of 20 days. Complication rates were modest, including post-procedural acute pancreatitis (12.5%) and minor bleeding (7.5%). During a median follow-up of 53.5 months, 7.5% experienced fistula recurrence. Notably, new-onset diabetes mellitus […]
Spray coagulation mode enhances endoscopic dissection success
A multicenter trial revealed that spray coagulation mode endoscopic submucosal dissection (scm-esd) significantly improved completion rates for treating early gastric neoplasms without the use of hemostatic forceps, achieving 83.1% versus 13.8% for conventional forced coagulation mode (fcm-esd). Procedure time and adverse event rates were comparable between the two techniques. These findings suggest that scm-esd can […]
Standardized approach established for Endoscopic Sleeve Gastroplasty
A global expert consensus defined standardized practices for Endoscopic Sleeve Gastroplasty (ESG) utilizing a modified Delphi method. Six experts, after three survey rounds, achieved 100% agreement on six cognitive skill statements and high consensus on 21 technical skill statements. Key procedural elements emphasized were starting at the incisura, using at least six sutures, and avoiding […]
Higher OLGA and OLGIM stages increase gastric cancer risk.
Higher stages of the OLGA and OLGIM staging systems significantly correlate with an elevated risk of developing high-grade dysplasia (HGD) and gastric cancer (GC). A systematic review and meta-analysis of eight prospective cohort studies found that moving from OLGA/OLGIM categories 0-II to III-IV notably increases the likelihood of these outcomes. This validates the use of […]