In a study involving 237 patients undergoing per oral endoscopic myotomy (POEM), researchers found that while achalasia type was not predictive of the need for further interventions or symptom relief, a higher integrated relaxation pressure (IRP) on preoperative manometry was associated with greater postoperative symptom improvement, indicated by reduced Eckardt scores (p=0.03). This suggests that […]
Category: Surgical Endoscopy
Flexible endoscopic treatment for Zenker’s diverticulum proves effective
A multicenter study involving 327 patients demonstrated that flexible endoscopic treatment for Zenker’s diverticulum exhibits high success rates, achieving technical success of 99.2% and clinical success of 97.4%. While the rates of adverse events and re-admissions were reported at 11.2% and 16.7%, respectively, the mortality rate remained low at 0.3%. Importantly, the study found no […]
EUS-CDS with LAMS shows superior success for DMBO treatment
A comparative network meta-analysis revealed that EUS-CDS with lumen-apposing metal stents (LAMS) outperformed other drainage techniques for distal malignant biliary obstruction (DMBO). This method yielded the highest technical and clinical success rates, particularly after comparing with ERCP and EUS-CDS with self-expandable metal stents. Notably, the study recommends discontinuing percutaneous transhepatic biliary drainage (PTBD) as a […]
New diagnostic system enhances early gastric cancer detection
An innovative diagnostic system combining color change patterns with vessel classification significantly improved early gastric cancer (EGC) detection. The pink microsurface microvascular (PSV) system outperformed the traditional vessel plus surface (VS) system, achieving 93% accuracy compared to 84.6% for VS. Additionally, the PSV system’s specificity reached 93.4%, surpassing the VS system’s 83.6%. While sensitivity remained […]
Endoscopic full-thickness resection proves effective for tumors
A study analyzing 232 patients undergoing endoscopic full-thickness resection (EFTR) demonstrates its feasibility, safety, and effectiveness for treating upper gastrointestinal submucosal tumors, including predominantly extraluminal lesions. The procedure achieved an en-bloc resection rate of 98.7%, with a negligible recurrence observed over a mean follow-up of 3.7 years. Notably, complications occurred in 9.1% of cases, with […]
Early endoscopic treatment reduces hospital stay in acute biliary pancreatitis
A meta-analysis of 8,801 patients indicated that early endoscopic retrograde cholangiopancreatography (ERCP) for acute biliary pancreatitis is as safe as delayed ERCP. Notably, early ERCP significantly reduces hospital stay without increasing complications or mortality rates. These findings suggest that early intervention could enhance patient outcomes and warrant wider clinical adoption, offering substantial relief from the […]
Identifying Risk Factors for Inadequate Bowel Preparation in Colonoscopy
A comprehensive meta-analysis of 154 studies revealed 48 unique risk factors linked to inadequate bowel preparation (IBP) in colonoscopy, involving over 258,000 participants. Key sociodemographic predictors included Medicaid insurance, obesity, and low educational levels. Comorbidities such as psychiatric diseases and diabetes also increased IBP risk. Regarding medications, antidepressants and opioids were significant. The findings aim […]
Stool-based surveillance reduces colonoscopies after polypectomy
Stool-based surveillance strategies may safely decrease colonoscopy demand by 15-41% following polypectomy, according to the MOCCAS study. Conducted on 3,453 individuals, the study demonstrated that multitarget stool DNA tests and fecal immunochemical tests (FIT) were effective alternatives, especially for those at lower risk. Long-term simulations indicated that while multitarget stool DNA testing incurred higher costs, […]
Endoscopic Vacuum Therapy effectively treats Boerhaave’s syndrome.
A multicenter analysis demonstrates that Endoscopic Vacuum Therapy (EVT) has a high success rate for treating Boerhaave’s syndrome, yielding an 80% treatment success in 25 patients. Mortality rates were significantly lower for EVT patients (8.0%) compared to those undergoing other methods (25.0%). Moreover, treatment success with EVT was statistically superior to non-EVT approaches (43.8%). These […]
Endoscopic submucosal dissection proves more effective than EMR
A systematic review and meta-analysis involving 9,352 patients reveals that endoscopic submucosal dissection (ESD) outperforms endoscopic mucosal resection (EMR) in effectively treating early Barrett’s neoplasia. ESD achieved significantly higher en-bloc resection rates (odds ratio 25.96) but was associated with greater incidence of adverse events. The findings highlight the need for careful consideration of the balance […]