A multicenter study involving 1,601 patients revealed a 13.5% incidence of lymph node metastasis (lnm) in early esophago-gastric adenocarcinoma. Factors such as tumor depth and lymphovascular invasion showed initial associations with lnm but lacked significance in multivariable analyses. Notably, surgery following endoscopic resection significantly improved survival rates, highlighting the potential need for reevaluation of predictive […]
Category: Surgical Endoscopy
CALLY index predicts surgical complications in obstructive colorectal cancer
The C-reactive protein-albumin-lymphocyte (CALLY) index effectively predicts postoperative complications for patients with obstructive colorectal cancer undergoing colonic stenting. In a study of 263 patients, those with a low CALLY index experienced significantly higher blood loss, poorer performance status, and increased complications compared to those with a high index. Multivariate analysis revealed prolonged operative time, greater […]
High neutrophil-lymphocyte ratio indicates increased mortality risk in UGIB patients
A study involving 726 patients with upper gastrointestinal bleeding (UGIB) revealed that a high neutrophil-lymphocyte ratio (NLR) on admission significantly predicts in-hospital mortality risk. Researchers found that while 6% of patients died, 23.9% required endoscopic intervention, and 46.4% needed blood transfusion. The integration of NLR with the Glasgow-Blatchford Score and Full Rockall Score enhanced risk […]
Endoscopic hand suturing significantly reduces postoperative bleeding risk.
A multicenter phase II study demonstrates that endoscopic hand suturing (EHS) effectively reduces the postoperative bleeding rate to 7% in patients undergoing gastric endoscopic submucosal dissection while on antithrombotic agents. Out of 43 patients analyzed, the EHS method achieved a 100% technical success rate and an 83% closure maintenance rate on day 3 post-operation, with […]
Advanced endoscopic techniques improve colorectal polyp treatment outcomes
Advanced endoscopic resection techniques significantly enhance treatment for colorectal polyps, achieving higher en bloc resection rates compared to traditional methods. En bloc resection rates for endoscopic mucosal resection (EMR) range from 44.5% to 63%, while endoscopic submucosal dissection (ESD) boasts rates between 87.9% and 96%. ESD is effective for larger polyps and certain carcinomas, with […]
Use of S-O Clips Reduces Procedure Time in Gastric ESD
S-O Clips Improve Gastric ESD Efficiency and Resection Rates In a retrospective analysis of 290 patients with early gastric neoplasms, the use of spring-and-loop clips (S-O clips) in endoscopic submucosal dissection (ESD) significantly reduced procedure time (44.4 vs 61.1 minutes, p
G-POEM shows efficacy across various gastroparesis etiologies.
A meta-analysis of 15 studies with 982 patients demonstrated that gastric peroral endoscopic myotomy (G-POEM) is effective and safe for refractory gastroparesis regardless of etiology. Clinical success rates were 65% for diabetes, 70% for post-surgical, and 60% for idiopathic causes. G-POEM also improved Gastrointestinal Symptom Rating Scale Index (GCSI) scores significantly, with notable enhancements seen […]
Collaborative approach improves outcomes for rare cancer research
The ISGACA initiative successfully united over 60 medical centers globally, gathering data from 4,309 patients to enhance treatment strategies for non-pancreatic periampullary cancers. By establishing a structured methodology, the group facilitated nine publications, secured research grants, and initiated a prospective multicenter clinical trial. The collaborative efforts of ISGACA resulted in uniform definitions and classifications, showcasing […]
Endoscopic therapy effectively diagnoses and treats acute appendicitis.
Direct visualization endoscopic retrograde appendicitis therapy effectively diagnosed acute uncomplicated appendicitis in 35 of 36 patients (97.2%). The mean procedure time was 13.1 minutes, with a low complication rate. One patient required a laparoscopic appendectomy after experiencing recurrent abdominal pain. The average length of hospital stay was 1.78 days, with a follow-up period of approximately […]
Transrectal drainage tubes effectively reduce postendoscopic submucosal dissection complications
A multicenter randomized controlled trial evaluated the efficacy of transrectal drainage tubes (TDTS) in preventing postendoscopic submucosal dissection (PECS) in 224 patients. The results showed a significantly lower incidence of PECS in the TDT group (6.25%) compared to the non-TDT group (17.86%), with a relative risk of 0.350 (p = 0.008). Subgroup analyses indicated that […]