A single-center study evaluated 60 patients with chronic abdominal pain linked to the appendix, using cholangioscope-assisted endoscopic retrograde appendicitis therapy (ERAT). Findings revealed a 100% technical success rate and 90% clinical success. Post-procedure, 90% of patients reported an abdominal pain score of zero after an average follow-up of 6.6 months. Median procedure time was 5.4 […]
Category: Surgical Endoscopy
AQCS enhances adenoma detection rates in routine colonoscopy
A study involving 1,254 participants revealed that an automatic quality control system (AQCS) significantly improved adenoma detection rates during routine colonoscopy. The AQCS-assisted group achieved a detection rate of 32.7% compared to 22.6% in the standard group (relative risk 1.60, p
Innovative endoscopic techniques improve treatment for upper GI submucosal tumors
Advances in endoscopic techniques for treating upper gastrointestinal submucosal tumors (SMTs) are promising, with innovations enhancing diagnosis and therapeutic options. The study evaluates diverse endoscopic strategies and their efficacy, indicating they are minimally invasive and expedite recovery compared to traditional surgery. Despite these advancements, concerns regarding patient safety and comprehensive efficacy remain. By summarizing recent […]
Endoscopic gastrojejunostomy shows benefits over surgical options
Findings indicate that endoscopic gastrojejunostomy (EGJ) is associated with fewer peri-procedural complications compared to surgical gastrojejunostomy (SGJ) for patients with malignant gastric outlet obstruction. Data from over 20,000 hospitalizations from 2016 to 2020 revealed that EGJ resulted in lower rates of respiratory failure, blood transfusions, and peritonitis, alongside reduced hospitalization costs and shorter stays. The […]
Eight interventions proved effective in preventing post-operative stenosis
A systematic review and network meta-analysis identified eight effective interventions for preventing postoperative esophageal stenosis following endoscopic resection of superficial cancer. Notable approaches included the combination of polyglycolic acid with a steroid and botulinum toxin. These interventions also led to significant reductions in the number of endoscopic balloon dilatation sessions needed. Importantly, none of the […]
Necrosis extent and QNI classification predict step-up needs.
A study of seventy patients undergoing EUS-guided drainage revealed that 35.7% required step-up procedures, mainly endoscopic necrosectomy. Independent predictors included necrosis ≥60% and classification in the high-risk Quadrant Necrosis Infection (QNI) group. Clinical success was high, at 92.9%, with those in the high-risk group experiencing longer hospital stays. EUS evaluations showed a tendency to overestimate […]
Predictive model identifies factors for ERCP post-cholecystectomy
A machine learning-based predictive model has been developed to estimate the incidence of endoscopic retrograde cholangiopancreatography (ERCP) after emergency laparoscopic cholecystectomy. Analyzing data from 8,854 patients, the model revealed a postoperative ERCP incidence of 5.7% in training and 6.4% in testing datasets. The gradient-boosting decision tree model excelled, with common bile duct dilatation, serum albumin, […]
Nomogram effectively predicts postoperative pneumonia post-esophageal ESD
A novel nomogram has been developed to predict postoperative pneumonia risk after esophageal endoscopic submucosal dissection (ESD). In a cohort of 492 patients, the incidence of pneumonia was 18.6%. Key predictive factors included female sex, older age, low serum albumin levels, prolonged operative duration, muscular layer damage, and comorbid pulmonary diseases. The nomogram exhibited robust […]
EUS-directed approach resolves jaundice in patients with obstructions
A novel EUS-guided technique utilizing lumen-apposing metal stents effectively treated patients with concomitant gastric outlet and biliary obstructions. In a study involving nine severely ill individuals, complete resolution of jaundice was achieved in all cases, attributed to successful transduodenal ERCP via gastroduodenal stenting. Post-procedure evaluations showed significant improvements in gastric outlet obstruction scores across all […]
DCNN Model Enhances Early Gastric Cancer Diagnosis
A study established a deep convolutional neural network (DCNN) system that significantly improved diagnostic accuracy for early gastric cancer (EGC). In independent tests, the model achieved an area under the curve (AUC) of 0.917 and sensitivity of 93.38% for image datasets, while video tests showed an AUC of 0.930 and 96.92% sensitivity. Novice endoscopists reached […]