Findings indicate that endoscopic gastrojejunostomy (EGJ) is associated with fewer peri-procedural complications compared to surgical gastrojejunostomy (SGJ) for patients with malignant gastric outlet obstruction. Data from over 20,000 hospitalizations from 2016 to 2020 revealed that EGJ resulted in lower rates of respiratory failure, blood transfusions, and peritonitis, alongside reduced hospitalization costs and shorter stays. The […]
Category: Surgical Endoscopy
Eight interventions proved effective in preventing post-operative stenosis
A systematic review and network meta-analysis identified eight effective interventions for preventing postoperative esophageal stenosis following endoscopic resection of superficial cancer. Notable approaches included the combination of polyglycolic acid with a steroid and botulinum toxin. These interventions also led to significant reductions in the number of endoscopic balloon dilatation sessions needed. Importantly, none of the […]
Necrosis extent and QNI classification predict step-up needs.
A study of seventy patients undergoing EUS-guided drainage revealed that 35.7% required step-up procedures, mainly endoscopic necrosectomy. Independent predictors included necrosis ≥60% and classification in the high-risk Quadrant Necrosis Infection (QNI) group. Clinical success was high, at 92.9%, with those in the high-risk group experiencing longer hospital stays. EUS evaluations showed a tendency to overestimate […]
Predictive model identifies factors for ERCP post-cholecystectomy
A machine learning-based predictive model has been developed to estimate the incidence of endoscopic retrograde cholangiopancreatography (ERCP) after emergency laparoscopic cholecystectomy. Analyzing data from 8,854 patients, the model revealed a postoperative ERCP incidence of 5.7% in training and 6.4% in testing datasets. The gradient-boosting decision tree model excelled, with common bile duct dilatation, serum albumin, […]
Nomogram effectively predicts postoperative pneumonia post-esophageal ESD
A novel nomogram has been developed to predict postoperative pneumonia risk after esophageal endoscopic submucosal dissection (ESD). In a cohort of 492 patients, the incidence of pneumonia was 18.6%. Key predictive factors included female sex, older age, low serum albumin levels, prolonged operative duration, muscular layer damage, and comorbid pulmonary diseases. The nomogram exhibited robust […]
EUS-directed approach resolves jaundice in patients with obstructions
A novel EUS-guided technique utilizing lumen-apposing metal stents effectively treated patients with concomitant gastric outlet and biliary obstructions. In a study involving nine severely ill individuals, complete resolution of jaundice was achieved in all cases, attributed to successful transduodenal ERCP via gastroduodenal stenting. Post-procedure evaluations showed significant improvements in gastric outlet obstruction scores across all […]
DCNN Model Enhances Early Gastric Cancer Diagnosis
A study established a deep convolutional neural network (DCNN) system that significantly improved diagnostic accuracy for early gastric cancer (EGC). In independent tests, the model achieved an area under the curve (AUC) of 0.917 and sensitivity of 93.38% for image datasets, while video tests showed an AUC of 0.930 and 96.92% sensitivity. Novice endoscopists reached […]
New Techniques Enhance Endoscopic Treatment for Gastric Tumors
Recent advancements in peroral flexible endoscopy improve approaches to managing gastric subepithelial tumors (SETs) with malignant potential. Resection techniques depend on tumor size, with options like endoscopic mucosal resection for superficial lesions and endoscopic enucleation for small tumors. When full-thickness resection is complex, laparoscopic and endoscopic cooperative surgery provides a viable alternative. High caution is […]
Endoscopic characterization outperforms biopsies in treatment planning
Effective endoscopic characterization for colorectal lesions >2 cm leads to better treatment outcomes compared to non-targeted and targeted biopsies. In a study of 84 patients, endoscopic methods proposed adequate treatment in 52.3 to 70.5% of cases, while biopsies resulted in 72.7% and 69.3% respectively. However, biopsy strategies risk under-treatment in nearly a third of cases, […]
Revised predictive model shows improved accuracy for post-ERCP pancreatitis
A new predictive model for post-endoscopic retrograde cholangiopancreatography (ERCP) pancreatitis has been developed, highlighting procedural factors such as total procedure time, unintended pancreatic duct cannulation, and pancreatic opacification as significant risks. Among 1,112 patients, the model stratified participants into low, intermediate, and high-risk groups, revealing pancreatitis incidences of 2.6%, 7.1%, and 12.6%, respectively. This revised […]