Follow-up colonoscopies post colorectal cancer resection found 2.7% cancer and 13.2% advanced adenomas in initial procedures. Timely surveillance detected 4.4% cancer progression. Older age, stage IV cancer, and synchronous cancers increased the odds of finding advanced neoplasia. Subsequent colonoscopies revealed 1.8% cancer and 11.4% advanced adenomas. Advanced adenomas during prior exams predicted advanced neoplasia in […]
Category: Surgical Endoscopy
Cold Snare Resection Reduces Adverse Events but Increases Residual Adenomas
Cold resection of large nonpedunculated colorectal polyps showed significantly lower major adverse events compared to hot resection, with lower rates of perforation and post-endoscopic bleeding. However, cold resection led to a higher residual adenoma rate. Individualized approaches based on polyp size and histology require further investigation to optimize patient outcomes. Journal Article by Steinbrück I, […]
Appendicoscopy as a novel alternative for acute obstructive appendicitis
Appendicoscopy using a single-operator cholangioscope demonstrated a technical success rate of 96.4% and a clinical success rate of 91.8% in managing acute obstructive appendicitis. The procedure was effective, with 99.1% of patients experiencing pain relief within 6 hours and an average postoperative hospital stay of 3.5 days. No adverse events were reported, suggesting it is […]
Changes in J-Pouch Phenotypes Over Time
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 outperforms endoscopic mucosal resection for rectal lesions involving the dentate line
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. […]
High Success and Safety of EUS-Guided Gallbladder Drainage
Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) shows high technical and clinical success rates (96.55% and 82.75%, respectively) with low adverse events (27.59%) in acute cholecystitis and malignant distal biliary obstruction. This multicenter study in India highlights the safety and effectiveness of EUS-GBD, offering a minimally invasive alternative for high-risk patients and serving as a rescue biliary […]
High Success Rate and Safety of Through-the-Needle ESD Knife
Retrospective study found a newly developed through-the-needle injection-capable electrosurgical knife achieved successful en-bloc resection in 82.1% of gastrointestinal lesions. Good safety profile and curative resection rates were observed, with a median ESD time of 1.0 hour. Notably, success rates were lower in patients with submucosal fibrosis. The study highlights the effectiveness of the new knife […]
Endoscopic Resection Techniques
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 […]
Comparable Recurrence Rates After Endoscopic and Surgical Resection in High-Risk T1 Colon Cancer
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 […]
Endoscopic vs. Surgical Gastroenterostomy Shows Similar Success for Gastric Outlet Obstruction
Retrospective multicentric study comparing surgical and endoscopic gastroenterostomy for gastric outlet obstruction (GOO) revealed similar technical and clinical success rates, post-procedure outcomes, and mortality between the two procedures. Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) showed advantages such as shorter procedure duration, lower complications, and shorter hospital stay. Findings suggest EUS-GE as an effective alternative to surgical gastroenterostomy […]