The American Society for Gastrointestinal Endoscopy has published updated guidelines, emphasizing evidence-based diagnosis and management strategies for gastroesophageal reflux disease (GERD). Key recommendations include endoscopic evaluation for patients with alarm symptoms and lifestyle modifications. For those with confirmed GERD, proton pump inhibitors are advised at the lowest effective dose, while transoral incisionless fundoplication is suggested […]
Category: Surgical Endoscopy
Fusion model predicts KRAS mutations in rectal cancer effectively
A study evaluated deep learning, radiomics, and fusion models to predict KRAS mutations in rectal cancer using endorectal ultrasound images from 304 patients. Among the models, the feature-based fusion model (dlrexpand10_fb) achieved the highest area under the receiver operating characteristic curve (AUC) of 0.896, indicating superior predictive performance. Additionally, incorporating peritumoral regions significantly improved the […]
AI Model Achieves High Accuracy in Panendoscopic Lesion Detection
An AI model was developed for the automatic detection of pleomorphic lesions during capsule endoscopy, achieving notable results across various gastrointestinal sites. The binary esophagus CNN attained 83.6% accuracy, while the gastric CNN reached 96.6%. The small bowel CNN excelled with 97.6% accuracy in identifying lesions with different hemorrhagic potentials. Additionally, the colonic CNN demonstrated […]
Nomogram predicts delayed bleeding risk after colorectal ESD
A nomogram has been developed to predict delayed bleeding risks following endoscopic submucosal dissection (ESD) for colorectal tumors. Analysis of 587 patients revealed an 8.98% incidence of delayed bleeding, influenced by lesion location in the rectum, size, and surgical duration. The model’s c-index was 0.89, indicating strong predictive accuracy. Implementing this nomogram can enhance surgical […]
Surgical options enhance treatment for achalasia patients
A review of recent literature highlights effective surgical interventions for achalasia, including laparoscopic/robotic heller myotomy (LHM/RHM) and fundoplication methods. Both approaches exhibit low morbidity and mortality rates, with RHM offering advantages like improved procedural visibility and reduced risk of mucosal laceration. The findings suggest surgery is particularly beneficial for patients under 40 or those with […]
Visual Endoscopic Therapy Reduces Appendicitis Recurrence Risks
In a study comparing visual endoscopic retrograde appendicitis therapy (v-erat) with antibiotic therapy for uncomplicated appendicitis, no significant difference was found in treatment success rates (93.6% vs 90.5%). However, v-erat notably lowered appendicitis recurrence risk and appendectomy rates during initial hospitalization (4.3% vs 9.5%). Additionally, patients undergoing v-erat experienced a shorter hospital stay (3 days […]
Hemospray is a more effective and cost-saving treatment.
The analysis indicates that using Hemospray (TC-325) as a first-line treatment for malignant upper gastrointestinal bleeding is both more effective and cost-saving than standard endoscopic therapy (SET). It demonstrated a cost reduction of £245.88, with a slight increase in quality-adjusted life years (0.001 QALYs). In probabilistic simulations, TC-325 proved more effective and economically favorable in […]
EUS-guided biliary drainage techniques show high success rates
In a study of 191 endoscopic ultrasonography (EUS)-guided biliary drainage procedures, researchers achieved a technical success rate of 97.38% and a clinical success rate of 89.01%. Among the 191 patients, 16.75% experienced complications, including six fatal cases. These advanced techniques offer effective alternatives to traditional methods like ERCP for treating benign and malignant biliary strictures, […]
Hybrid ESD proves efficient for specific colorectal tumors
A multicenter study involving 890 patients evaluated hybrid endoscopic submucosal dissection (ESD) against conventional ESD for treating laterally spreading tumors (LSTs). Hybrid ESD demonstrated significantly reduced procedure times and hospitalization costs, particularly for lesions sized 10-30 mm. However, it yielded lower R0 resection rates and lifting sign positivity. For larger lesions, conventional ESD maintained better […]
Primary needle-knife fistulotomy is safer for biliary access.
A randomized clinical trial involving 260 patients revealed that primary needle-knife fistulotomy (PNKF) significantly outperforms standard transpapillary (STP) techniques for cannulating long-size papilla. PNKF achieved a biliary cannulation success rate of 96.2% compared to STP’s 87.7% (p = 0.01). Moreover, post-endoscopic retrograde cholangiopancreatography pancreatitis was markedly lower in the PNKF group (2.4%) versus STP (9.6%, […]