Endoscopic treatment and surgery show similar overall and cancer-specific survival rates in gastrointestinal neuroendocrine neoplasms. Endoscopic treatment may offer a better cancer-specific survival in certain cases such as stage I tumors and those smaller than 10mm. Both treatment options are viable for patients, with endoscopic treatment as a potential alternative for those hesitant about surgery. […]
Category: Surgical Endoscopy
High Rates of Colitis-Associated Post-Colonoscopy Colorectal Cancers
Analysis reveals 61% of inflammatory bowel disease-related colorectal cancers were post-colonoscopy, often due to delays in surveillance and missed lesions in areas of inflammation. Proactive strategies are needed to reduce endoscopic burden and improve surveillance adherence, as traditional methods show limitations in detecting aggressive cancer evolution. Molecular biomarkers may enhance risk assessment in future clinical […]
Factors influencing peroral endoscopic myotomy outcomes
Meta-analysis identifies that sigmoid esophagus, type of achalasia, and prior treatments impact the success of peroral endoscopic myotomy (POEM) for achalasia. Specifically, type I and III achalasia, sigmoid esophagus, and past heller myotomy or balloon dilation correlate with higher failure rates. Conversely, type II achalasia shows better response rates. This data can aid in treatment […]
Long-Segment Barrett’s Esophagus Adenocarcinoma Shows Worse Outcomes than Short-Segment
Long-segment BEA patients exhibit distinct clinicopathological features and worse treatment outcomes compared to short-segment BEA patients. Long-segment cases are associated with specific characteristics such as flat type morphology, left wall location, and higher rates of synchronous lesions. Additionally, long-segment BEA requires longer resection durations, has lower rates of submucosal invasion, negative margins, and complete resections, […]
Effectiveness of Upper Gastrointestinal ESD with Ultrathin Endoscope
Upper gastrointestinal endoscopic submucosal dissection (ESD) using an ultrathin endoscope boasts high en bloc resection rates, particularly in challenging locations like the esophagus, stomach, and duodenum. This retrospective study of 13 patients with 14 lesions reveals a 100% en bloc resection rate and a 92.9% en bloc complete resection rate. With minimal adverse events, ESD […]
Feasibility of Percutaneous Transhepatic Cholangioscopy-Assisted Biliary Polypectomy for Intraductal Papillary Neoplasm of the Bile Duct
Effective local palliative treatment of intraductal papillary neoplasm of the bile duct using percutaneous transhepatic cholangioscopy-assisted biliary polypectomy. Feasible, safe, and successful in five patients, with technical and therapeutic success achieved. Patients with mucin-hypersecreting cast-like or polypoid type tumors benefited, with no serious adverse events. Resulted in curative resection and clinical success for mucin-hypersecreting ipnb. […]
Long-term Risk Reduction After Colonoscopy for Colorectal Cancer
Colorectal cancer risk remains lower more than 15 years post-colonoscopy, challenging current screening guidelines. A population-based study in Ontario, Canada, with over 5 million participants showed reduced cancer incidence and mortality at all timepoints up to 15 years, even after the procedure. Individuals with negative colonoscopy results had significantly lower risk. The study suggests a […]
Effectiveness of Oesophageal Cell Collection Device in Identifying High-Risk Barrett’s Patients
Implementation of oesophageal cell collection device (OCCD) for Barrett’s surveillance in Scotland showed promising results, with longer Barrett’s segments correlating with abnormal OCCD tests. High-grade dysplasia or cancer was detected in 8.2% of patients who underwent endoscopy post-OCCD testing, prompting urgent investigation. 92.0% of high-risk patients were correctly identified by OCCD testing, demonstrating its effectiveness […]
Effectiveness of Lumen-Apposing Metal Stents for Benign Biliary Strictures
Lumen-apposing metal stents (LAMS) show promising results for treating short benign biliary strictures, with a high technical success rate of 100% and a clinical success rate of 85.7%. Adverse events, including stent migration, were found in 17.1% of patients, and stricture recurrence occurred in 18.5% of cases. LAMS placement appears to be a safe and […]
EndoRobotic Submucosal Dissection for Colorectal Neoplasia
EndoRobotic Submucosal Dissection using the da Vinci SP platform showed a 100% en-bloc resection rate in 28 patients with colorectal neoplasms. There were no intraoperative complications or mortality, with only two minor postoperative complications. Pathology outcomes revealed a mix of benign and malignant lesions, indicating the procedure’s safety and feasibility. Further studies are needed to […]