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A retrospective study involving 629 patients evaluated rebleeding rates after endoscopic variceal ligation (EVL). Results revealed rebleeding in 34.8% and 80.1% of patients within 6 weeks and 6 months, respectively. Identified factors included esophageal variceal severity and platelet count, both independent risk predictors. Developed visual…
Salvage endoscopic submucosal dissection (ESD) for previously attempted colorectal lesions demonstrated an en bloc rate of 83.4% and curative resection in 73.5% of cases. Among 415 lesions treated, adverse events occurred in 11.8% of patients, with the most frequent being intraprocedural perforation. Notably, there were…
A multicenter study found that transoral septotomy (TS) and Z-POEM treatments for Zenker diverticulum yield similarly high success rates of 96.2%. While TS requires a shorter operative time and has fewer intraoperative complications, both methods resulted in favorable outcomes and significant symptom relief after a…
Management of choledocholithiasis has evolved towards single-stage techniques, which demonstrate significantly lower 30-day morbidity and shorter hospital stays compared to traditional two-stage laproendoscopic approaches. Intraoperative endoscopic rendezvous procedures show further enhanced patient outcomes by minimizing the risk of post-endoscopic pancreatitis. Additionally, laparoscopic common bile duct…
A systematic review indicates that the pocket-creation method of endoscopic submucosal dissection (pcm-esd) offers significant advantages over the conventional method (cm-esd) for treating early gastric cancer. The pcm-esd demonstrated a faster dissection speed (mean difference of 5.57 mm²/min) and resulted in fewer perforations without increasing…
The study identifies significant clinicopathological differences between esophageal gastrointestinal stromal tumors (e-gist) and gastric gastrointestinal stromal tumors (g-gist), noting e-gist's stronger male predominance, older median age, and increased tumor size and ulceration. Remarkably, endoscopic resection (ER) is found to be comparably effective to surgical resection…
Findings indicate that conventional endoscopic resection techniques can safely and effectively handle previously partially resected colorectal polyps. Out of 220 such lesions, all were successfully resected with similar recurrence rates (8.2%) compared to lesions without prior resection (7.8%). Notably, previously resected lesions required more advanced…
In a study analyzing 1,259 colorectal polyps from 1,025 patients, complete closure using titanium clips significantly reduced the incidence of delayed postpolypectomy bleeding (DPPB) to 3.6%. Factors influencing DPPB included male gender and polyp size, both immutable, while incomplete closure presented a higher risk. Logistic…
A review highlights a shift toward minimally invasive endoscopic interventions for managing symptomatic pancreatic fluid collections linked to acute pancreatitis. Endoscopic transmural drainage and necrosectomy show comparable effectiveness to traditional surgery but with fewer adverse effects. Early intervention may be warranted in cases of suspected…
In a retrospective multicenter study of 432 patients with surgically altered anatomy, endoscopic biliary drainage (BD) achieved technical and clinical success rates of 80.3% and 79.9%, respectively. Adverse events were more common in those with Billroth-II reconstruction (14.4%). Notably, the last two years showed increased…
