A randomized controlled trial with 221 patients showed that the virtual scale endoscope (VSE) achieved superior accuracy in measuring smaller colorectal polyps compared to snare-based techniques. VSE demonstrated an accuracy rate of 80.0%, significantly higher than the 66.4% accuracy from snares, with notably lower misclassification rates for polyps greater than 2mm and 3mm. These results […]
Category: Surgical Endoscopy
Endoscopic submucosal dissection improves recovery in early gastric cancer patients
Endoscopic submucosal dissection (ESD) was found to enhance postoperative gastrointestinal function and nutritional status in patients with early gastric cancer (EGC). A study involving eighty patients demonstrated higher resection rates with ESD compared to endoscopic mucosal resection (EMR). Though the ESD group experienced increased operative bleeding and longer surgery times, they enjoyed quicker gastrointestinal recovery. […]
Stool-based strategies significantly reduce colonoscopies post-polypectomy.
Stool-based surveillance for individuals with post-polypectomy indications has been shown to safely decrease the need for colonoscopies by 15% to 41%. A study of 3,453 participants found that multitarget stool DNA tests were most effective (AUC 0.72), but also more costly than colonoscopy. In contrast, fecal immunochemical tests were cost-saving. Overall, these strategies could revolutionize […]
Preoperative CT features predict surgical outcomes in gastric tumors
Enhanced lesion size on contrast CT significantly correlates with increased operative duration, extended hospital stays, and higher postoperative antibiotic use. A critical finding highlights the intraoperative perforation rate being markedly higher for tumors exhibiting outgrowth compared to those confined to the lumen (96.88% vs 29.11%, p < 0.001). The study underscores CT's superior accuracy in […]
Trans-cystic stenting reduces hospital stay and improves ERCP efficiency
Implementing trans-cystic biliary stenting during acute cholecystectomy significantly reduced the median total hospital stay from six to five days for patients needing both endoscopic retrograde cholangiopancreatography (ERCP) and cholecystectomy. The stenting process was efficient, with 22 out of 23 attempts successful and a median insertion time of 14 minutes. Post-stenting, outpatient ERCP cases increased dramatically, […]
Endoscopic ultrasonography-guided ethanol injections demonstrate efficacy for small pancreatic tumors
A prospective multicenter study evaluated endoscopic ultrasonography-guided ethanol injections (EUS-EI) for treating small pancreatic neuroendocrine neoplasms (PNENs). Of the 25 patients treated, 76% achieved the primary endpoint compared to surgical outcomes, and 88% attained complete ablation at 1 and 6 months. Safety results were promising, with 96% experiencing no severe adverse events within one month. […]
Better IPMN risk stratification could optimize cancer surgery decisions.
Personalized Cancer Risk Thresholds Can Guide IPMN Surgery Decisions Clinicians found that optimal cancer risk thresholds (CRT) for surgery in patients with branch-duct intraductal papillary mucinous neoplasms (bd-IPMN) vary based on age, comorbidities, and tumor location. For a 60-year-old with mild comorbidities, surgery was favored at a 20% CRT for tumors in the pancreatic head […]
Small-sized capsule gastroscopy effectively screens gastrointestinal diseases
A retrospective analysis involving 2,163 asymptomatic individuals revealed that small-sized magnetically controlled capsule gastroscopy (mccg) successfully detected gastrointestinal issues such as submucosal tumors (1.57%), polyps (15.16%), and ulcers (1.25%). Detection rates for polyps were notably higher in females and increased with age. The procedure was well-tolerated, with no significant discomfort or adverse events reported, demonstrating […]
Prophylactic closure of mucosal defects lowers adverse event risks
Prophylactic closure of mucosal defects significantly reduces delayed bleeding and perforation risks following endoscopic resection, according to a systematic review and meta-analysis of 28 studies involving 11,383 patients. The closure group exhibited a 60% lower risk for delayed bleeding compared to non-closure (risk ratio: 0.40), although no significant reduction in postpolypectomy coagulation syndrome (PPCS) was […]
Double-balloon platform significantly reduces colorectal ESD procedure time
A randomized controlled trial demonstrated that the double-balloon interventional platform (DBIP) markedly reduced mean procedure time for colorectal endoscopic submucosal dissection (ESD) to 88.6 minutes, compared to 139.5 minutes for traditional ESD—a 36.5% reduction. Additionally, DBIP-assisted ESD improved en-bloc resection rates and sutured defect closures while saving $610.16 per patient, indicating its effectiveness and cost […]