In a study involving 262 Crohn’s disease patients, ileal and colonic mucosa-associated microbiota deviations were identified as predictors of disease recurrence after surgical remission. Of 97 patients in remission, those who later developed endoscopic recurrence exhibited reduced microbial diversity and specific microbial shifts, notably a depletion of genus Anaerostipes and increased gammoproteobacterial genera. The gut […]
Category: Surgical Endoscopy
Routine preoperative endoscopy reveals significant pathologies in obesity patients.
A study analyzed preoperative endoscopic findings in 405 patients undergoing bariatric surgery, revealing chronic superficial gastritis (80.5%) and reflux esophagitis (20.2%) as the most common conditions. Higher rates of reflux esophagitis were associated with older age, male gender, elevated BMI, smoking, and drinking. Risk factors differed by gender, with morbid obesity and H. pylori common […]
EUS and Surgery Enhance Treatment Options for Pancreatic Tumors
The review highlights the evolving role of endoscopic ultrasound (EUS) in managing pancreatic neuroendocrine tumors (PanNETs), addressing their increasing incidence and associated diagnostic and therapeutic challenges. EUS has advanced from solely a diagnostic tool to facilitating minimally invasive locoregional therapies. Surgical intervention remains paramount, especially for localized, low-grade PanNETs larger than 2 cm. Although not […]
Lymph node metastasis differs significantly between gastric carcinoma types.
A study of 891 Chinese patients revealed distinct risk factors for lymph node metastasis (LNM) and prognosis in submucosal early gastric cardiac (SEGCC) versus noncardiac (SEGNCC) carcinomas. Elderly patients and specific tumor characteristics were more prevalent in SEGCC, which correlated with poorer prognoses. Univariate and multivariate analyses identified female sex and lymphovascular invasion as key […]
Cold snare resection is safer than hot methods for polyps.
In a randomized controlled trial involving 363 patients with large nonpedunculated colorectal polyps, cold endoscopic mucosal resection (EMR) demonstrated a significantly lower rate of major adverse events (1.0%) compared to hot EMR (7.9%, p = .001). While cold resection did result in a higher rate of residual adenoma (23.7% vs 13.8%, p = .020), safety […]
EUS-FNA Biopsy Techniques for Pancreatic Lesions
Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) accurately diagnosed pancreatic masses in 64 patients, with 46 cases of adenocarcinoma and favorable outcomes for patients negative for malignancy. EUS-FNA showed superior results compared to CT scans, highlighting its effectiveness in tissue sampling for preoperative management of pancreatic masses. Journal Article by Altinkaya E, Akay E, Koc A and […]
Double Balloon Interventional Endoscopic Platform Reduces Procedure Time and Costs for Colorectal ESD
The Double Balloon Interventional Platform (DBIP) significantly reduced the mean procedure time for colorectal endoscopic submucosal dissection (ESD) by 36.5% compared to traditional methods (88.6 vs. 139.5 minutes, p
Additional Gastrectomy after Endoscopic Submucosal Dissection Does Not Worsen Prognosis in Early Gastric Cancer
Propensity score-matching analysis of 778 patients showed that additional gastrectomy after endoscopic submucosal dissection (ESD) for early gastric cancer did not significantly impact overall or disease-free survival rates compared to surgery alone. Postoperative complication rates were similar between groups. The findings suggest that additional gastrectomy after ESD is oncologically acceptable and does not worsen long-term […]
Scissor-Type Knives Show Similar Efficacy in Colorectal Endoscopic Submucosal Dissection
Scissor-type knives, clutch cutter (CC) and SB knife Jr2 (SB), demonstrated comparable efficacy in colorectal endoscopic submucosal dissection. Both groups exhibited high en bloc resection rates and low complication rates, with CC showing significantly less perioperative bleeding than SB. Risk factors for prolonged procedure time included antiplatelet use, larger lesion size, severe fibrosis, and higher […]
Endoscopic Treatments for Gastroesophageal Reflux Disease: EBL and TIF Show Superior Efficacy
Endoscopic band ligation (EBL) and transoral incisionless fundoplication (TIF) show comparable efficacy in improving health-related quality of life in patients with GERD, outperforming other endoscopic interventions like Stretta, EFTP, and Endocinch. EBL and TIF also significantly decrease esophagitis incidence compared to PPIs. While TIF increases lower esophageal sphincter pressure, it is less effective than PPIs […]