Endoscopic pouch phenotypes in patients with inflammatory bowel disease can transition over time, with normalization of pouches associated with favorable outcomes. Subsequent development of diffuse inflammation, pouch-related fistulas, and afferent limb/inlet stenoses significantly worsen pouch outcomes. Patients with pouch inflammation who achieve subsequent normalization have lower pouch excision risks. Understanding these changes is crucial for […]

Endoscopic submucosal dissection (ESD) demonstrated superior efficacy over endoscopic mucosal resection (EMR) in treating rectal lesions involving the dentate line. ESD had higher en bloc and complete resection rates, lower recurrence rates, and higher curative rates, especially for low-risk adenocarcinomas. ESD should be considered the preferred treatment for these lesions based on the study’s findings. […]

Advancements in endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) have revolutionized the management of lower gastrointestinal malignancies. These techniques enable curative management of lesions with minimal morbidity, challenging traditional surgical approaches. The evolution from snare polypectomy to sophisticated ESD, along with technological innovations like traction-assisted methods, has significantly improved outcomes by achieving R0 […]

Study finds no significant difference in recurrence rates between endoscopic and surgical resection for high-risk T1 colon cancer. Lymphovascular invasion emerges as the sole independent risk factor for recurrence, highlighting its clinical relevance in treatment decisions. The findings suggest that both modalities can be equally effective in managing high-risk T1 colon cancer, providing valuable insights […]