A systematic review of endoscopic stenting for Boerhaave’s syndrome highlights its effectiveness, achieving a closure success rate of 72.4% and a leak occlusion rate of 93%. Despite the advantages of this minimally invasive approach, researchers noted significant methodological and patient diversity contributing to high heterogeneity in the findings. This analysis emphasizes the need for improved […]
Category: Surgical Endoscopy
AI system enhances polyp detection in colonoscopy
The developed AI-assisted system significantly improves the detection and localization of colorectal polyps during colonoscopy. Out of five CNN models tested, EfficientNetV2 excelled, achieving an accuracy of 93.3% and a specificity of 94.6% on the test set. The system’s performance metrics, including a high AUC of 0.983, suggest its potential for clinical applications, as illustrated […]
Indeterminate bile duct cytology carries significant malignancy risks
A systematic review revealed that among 8,458 bile duct samples with indeterminate cytology, the overall risk of malignancy was 60.1%. Specifically, atypical cytology had a malignancy risk of 50.4%, while suspicious cytology exhibited a higher risk at 80.2%. Furthermore, suspicious cytology significantly correlated with a 1.59-fold increased risk of malignancy compared to atypical results. These […]
Incomplete resections lead to high rates of residual tumors
A significant 48.4% of patients undergoing salvage local resection (SLR) for incompletely resected rectal neuroendocrine tumors (r-NETs) had residual tumors. Rates varied by resection method: 70% for cold forceps polypectomy, 41.7% for conventional polypectomy/endoscopic mucosal resection, and 0% for modified techniques. Multivariate analysis indicated that suspected remnant tumors and the use of cold forceps were […]
ERAS interventions enhance recovery in gastrointestinal tumor patients
A study found that enhanced recovery after surgery (ERAS) nursing interventions significantly improved postoperative outcomes for patients undergoing endoscopic resection of early gastrointestinal tumors. Compared to conventional care, patients in the ERAS group experienced lower complication rates, shorter hospital stays (4.8 vs. 6.3 days), and higher satisfaction and quality of life at three months. The […]
Advanced EUS imaging enhances diagnosis and treatment success rates
Endoscopic ultrasonography (EUS) with novel scopes and ultrasound systems proves effective for diagnosing pancreaticobiliary diseases, evidenced by a 100% success rate in interventional procedures. Although shear wave velocity (SWV) showed no significant differences among various pancreatic conditions, variations in effective SWV were noted. The advanced imaging techniques, including detective flow imaging (DFI) and shear wave […]
Optimal platelet count threshold established for colonoscopic polypectomy
A large-scale analysis identified a minimum platelet count of 90,000/μl as crucial for safe colonoscopic polypectomy, indicating that patients below this threshold face significantly heightened risks of both immediate and delayed postpolypectomy bleeding (ppb). Specifically, odds ratios indicated a 2.67-fold increase in immediate ppb and a 9.66-fold increase in delayed ppb among those with insufficient […]
EUS-TA significantly enhances diagnostic accuracy for biliary lesions
Endoscopic ultrasound-guided tissue acquisition (EUS-TA) demonstrated high diagnostic yields in biliary lesions, achieving 96.3% sensitivity and 100% specificity. Of 71 cases, 54 were diagnosed as malignant, marking a 76.1% malignancy rate. When combined with endoscopic retrograde cholangiography (ERC), EUS-TA increased overall diagnostic accuracy from 82.5% to 94.2%, identifying 30 additional malignant cases. The procedure’s adverse […]
EUS-guided drainage proves effective for complicated diverticulitis
EUS-guided pelvic abscess drainage (EUS-PAD) using lumen-apposing metal stents demonstrates high efficacy and safety in managing complicated acute diverticulitis. In a study involving 53 patients, the procedure achieved a technical success rate of 92.5% and a clinical success rate of 88.7%. Adverse events were minimal, occurring in 3.8% of cases, with no procedure-related mortalities. EUS-PAD […]
Faecal immunochemical test screening matches colonoscopy in safety
A pragmatic trial involving 57,404 individuals revealed that faecal immunochemical test (FIT) screening is non-inferior to colonoscopy in reducing colorectal cancer mortality over 10 years. Participation rates were higher for FIT at 39.9% compared to colonoscopy’s 31.8%. The colorectal cancer mortality risk was nearly identical between the two groups, suggesting that a FIT-based screening program […]