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HPB & Spleen7 Jul 2025

Endoscopic techniques improve outcomes for biliary leak management

Endoscopic management has emerged as a key strategy for treating biliary leakages resulting from surgery or trauma. Researchers emphasize the importance of accurately classifying leaks to choose appropriate treatments, which range from conservative care to surgical intervention. Notably, endoscopic techniques, especially endoscopic retrograde cholangiopancreatography with…

Surg Endosc3 Jul 2025

AI-assisted system improves biliopancreatic disease detection

A novel AI-assisted endoscopic ultrasound (EUS) system demonstrated superior performance in recognizing biliopancreatic stations and segmenting anatomical structures. Testing with 45,737 EUS images revealed the mean teacher algorithm achieved 95.60% accuracy in internal tests and 92.72% in external validation for station recognition. Additionally, U-Net v2…

J Clin Med30 Jun 2025

Glucose assessment outperforms traditional biomarkers in pancreatic cyst differentiation

Mucinous pancreatic cystic lesions (PCLs) significantly increase cancer risk but can be difficult to identify. A study indicates that endoscopic ultrasound-guided intracystic glucose measurement effectively distinguishes mucinous from non-mucinous PCLs, boosting sensitivity to 88-95% and specificity to 76-91%, surpassing traditional carcinoembryonic antigen (CEA) tests. By…

Surg Endosc29 Jun 2025

AI Model Matches Senior Endoscopists in Esophageal Cancer Treatment

An artificial intelligence model developed for marking detection and incision guidance during esophageal endoscopic submucosal dissection (ESD) demonstrated promising performance. Compared to junior endoscopists, the AI achieved a notable accuracy of 63.21%, precision rates of up to 85.76%, and an average distance error of 0.096,…

Appendix, Gallbladder and Surgical Emergencies29 Jun 2025

ERCP shows high success in managing traumatic pancreatic injuries

A systematic review revealed that endoscopic retrograde cholangiopancreatography (ERCP) achieves an impressive 89% success rate in treating traumatic pancreatic injuries (TPI). The procedure notably enhanced pancreatic duct integrity and led to lower complication rates (4-17%), primarily pancreatitis and bleeding. Mortality remained low at 3-5%, and…

Surgical Endoscopy28 Jun 2025

Advances in Third-Space Endoscopy Improve GI Tumor Management

A review highlighted significant advancements in third-space endoscopy techniques for gastrointestinal tumors. Submucosal tunneling endoscopic resection (STER) was found to be safe and effective, achieving high en bloc resection rates and reduced recovery times. Tunneling endoscopic submucosal dissection (ESD) variants also enhance outcomes for early…

Int J Surg28 Jun 2025

AI-assisted system effectively aids esophageal lesion resections

The implementation of an artificial intelligence (AI) lesion-labeling system significantly improved the complete resection rate during endoscopic submucosal dissection (ESD) in low-volume centers. In a study involving 174 patients, 90% achieved negative lateral margins, while the en bloc resection rate stood at 98.5%. Comparatively, no…

Endoscopy25 Jun 2025

Digital cholangioscopy is safer than surgery for Mirizzi syndrome

A multicenter study comparing digital single-operator cholangioscopy (DSOC) and surgery for Mirizzi syndrome reveals that despite lower technical success rates, DSOC significantly reduces overall and severe adverse events. Among 290 patients, those undergoing DSOC exhibited fewer complications and lower rates of conversion to open surgery…

Intestine and Lower Gastrointestinal Tract24 Jun 2025

Endoscopic techniques improve outcomes for rectal precancerous lesions.

Innovative endoscopic procedures, including endoscopic submucosal dissection (ESD) and full-thickness resection, significantly enhance treatment for widespread precancerous lesions and early rectal cancers. ESD achieves over 90% R0 resection rates and offers a low recurrence risk of 3%. Notably, lesions up to 20 cm can be…

HPB & Spleen23 Jun 2025

New strategies identified to prevent complications from ERCP

In the past five years, research highlights advancements in avoiding complications from endoscopic retrograde cholangiopancreatography (ERCP), particularly post-ERCP pancreatitis (PEP). Key findings include identifying pancreatic steatosis as a novel risk factor and employing machine learning models for PEP prediction. Prophylactic measures have expanded to encompass…