A systematic review and meta-analysis of endoscopic ultrasound-guided pancreatic duct drainage (EUS-PD) revealed significant effectiveness, with technical success at 89% and clinical success at 88%. Examining 27 trials involving 902 patients, the study also noted a 17% rate of adverse events, primarily post-EUS-PD acute pancreatitis at 3%. Other complications like bleeding, perforation, pancreatic leak, and […]
Category: Surgical Endoscopy
EUS-guided gallbladder drainage proves effective for acute cholecystitis
EUS-guided gallbladder drainage (EUS-GBD) is emerging as a safe, effective solution for managing acute cholecystitis in patients unfit for surgery. Recent findings indicate improved technical and clinical outcomes, especially with the use of lumen-apposing metal stents, which facilitate direct gallbladder inspection. The study emphasizes the necessity of standardized techniques and precise patient selection, while highlighting […]
Endoscopic techniques may enhance palliative care for pancreatic cancer
Significant advancements in endoscopic techniques for managing malignant biliary and gastric outlet obstruction in pancreatic cancer patients provide promising alternatives to traditional surgical bypass. Emerging evidence suggests that endoscopic ultrasound-guided methods, including biliary drainage and gastroenterostomy, may outperform conventional approaches, addressing symptom relief more effectively. These developments highlight the necessity for improved palliative strategies as […]
Radiation-emitting metallic stents improve survival in cholangiocarcinoma
A multicenter trial demonstrated that radiation-emitting metallic stents (REMS) combined with hepatic arterial infusion chemotherapy (HAIC) significantly outperformed self-expandable metallic stents (SEMS) in patients with unresectable Bismuth type III or IV perihilar cholangiocarcinoma. The median overall survival was 10.2 months for REMS compared to 6.7 months for SEMS (p=0.002). Additionally, median time to symptomatic progression […]
EUS-FNB significantly enhances diagnosis of autoimmune pancreatitis
A prospective multicenter study evaluated the effectiveness of endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) in diagnosing autoimmune pancreatitis (AIP) using the International Consensus Diagnostic Criteria (ICDC). Results showed that EUS-FNB improved diagnostic levels in 92.3% of suspected AIP patients, with a diagnostic accuracy of 94.2%. The histological analysis differentiated subtype AIP, achieving a compatibility rate of […]
Updated guidelines enhance GERD diagnosis and management strategies
The American Society for Gastrointestinal Endoscopy’s updated guidelines provide an evidence-based framework for diagnosing and managing gastroesophageal reflux disease (GERD). The recommendations cover endoscopic evaluations, lifestyle modifications, and treatment options, including proton pump inhibitors and innovative endoscopic therapies. Key changes include guidelines for patients with prior surgical procedures and emphasis on detailed endoscopic assessments. Additionally, […]
EUS-CDS reduces major complications in pancreatic surgery.
A study analyzing 937 patients undergoing pancreatoduodenectomy after biliary drainage revealed significant findings regarding endoscopic ultrasound-guided choledochoduodenostomy (EUS-CDS) versus conventional techniques. Major postoperative complications were lower in the EUS-CDS group (19%) compared to the ERCP group (33%). The overall complication rates were similar across methods. Furthermore, surgeons indicated that EUS-CDS rarely complicated surgical procedures, with […]
EUS-guided drainage proves effective for postoperative fluid collections
First-intention endoscopic ultrasound-guided drainage (EUS-pcd) using lumen-apposing metal stents (LAMS) demonstrated a technical success rate of 97.0% and a clinical success rate of 95.2% in managing postoperative collections (PCs) from various surgeries. The median size of collections was 7.6 cm, occurring about 19 days post-surgery. Only 9.1% experienced adverse events, with just one severe case […]
Endoscopic localization of distal colorectal cancers may be unreliable
A retrospective cohort analysis of 212 patients revealed significant discrepancies in the endoscopic localization of distal colorectal tumors. Of those diagnosed with distal sigmoid tumors, 30.7% were found to have rectal cancer during surgery, despite prior endoscopic assessments. Additionally, 25.1% of lesions were invisible on CT scans, highlighting the limitations of imaging modalities. The findings […]
Transabdominal ultrasonography effectively detects bile duct obstructions
Transabdominal ultrasonography (TAUS) shows high compatibility with endoscopic retrograde cholangiopancreatography (ERCP) in diagnosing bile duct obstructive lesions. A retrospective study analyzed patient data and found substantial agreement in identifying conditions such as cholangiocarcinoma, bile duct stricture, and pancreatic cancer, with compatibility rates between 71.4% and 100%. TAUS offers a reliable, non-invasive, and radiation-free imaging option […]