A modified double-layered suturing method, known as the origami method, demonstrated a 96% success rate in achieving complete closure of large mucosal defects following duodenal endoscopic submucosal dissection (ESD). In a review of 28 cases, closure was completed with a median time of 16 minutes, and no complications such as perforations or bleeding were observed. […]
Category: Surgical Endoscopy
Key predictors identified for successful outcomes in gastroparesis treatment
A systematic review of 1,899 articles identified 30 relevant studies on gastric peroral endoscopic myotomy (GPOEM) for refractory gastroparesis. Findings revealed a GPOEM response rate of 63.1%. Key predictors for a positive response included older age, shorter gastroparesis duration, nondiabetic etiology, lower body mass index, and previous improvement with intrapyloric botulinum toxin. However, variability in […]
Cold snare polypectomy shows superior safety for small polyps
A comparison of polypectomy techniques reveals that cold snare polypectomy (CSP) offers a significantly safer alternative to hot snare polypectomy (HSP) for polyps under 10 mm. While both methods have similar efficacy, CSP reduces risks of adverse events like bleeding and perforation. With most colorectal polyps being less than this size, adopting CSP could notably […]
Orthodontic rubber bands enhance colorectal ESD training efficiency
Orthodontic rubber band-assisted colorectal endoscopic submucosal dissection (ORB-ESD) significantly improved trainees’ procedure times, matching expert levels. The study found that ORB-ESD shortened colorectal ESD procedure duration (28.0 min) compared to conventional methods (41.0 min). Furthermore, resection speed, visual field exposure, and muscle injury rates were better in the ORB-ESD group compared to conventional trainees, suggesting […]
Endoscopic submucosal dissection is safe for selected colorectal cancer patients.
In a review of 1,398 patients undergoing endoscopic submucosal dissection for early-stage colorectal cancer, findings indicated that 14% exhibited lymph node metastasis post-oncologic colon resection. Significant predictors for metastasis included a submucosal invasion depth of ≥2.00 mm, correlating with an 18.7 odds ratio. Conversely, lesions exceeding 20 mm in diameter had a lower likelihood of […]
Cholangioscopy guided biopsy outperforms ERCP brushings in malignancy detection
A study evaluating biopsy methods for malignant biliary strictures revealed that the SpyGlass™ Discover cholangioscopy guided biopsies significantly outperformed ERCP guided brushings. SpyGlass™ Discover identified 82% of malignancies compared to just 47% for brushings. Conducted on 46 patients, with 87% undergoing both procedures, the findings suggest that cholangioscopy guided biopsies may serve as a superior […]
Simulation training enhances medical students’ endoscopic skills and knowledge
Simulation training significantly improved medical students’ knowledge and confidence regarding endoscopic procedures. After engaging with a simulator for gastroscopy and endoscopic retrograde cholangiopancreatography (ERCP), participants reported enhanced understanding of gastrointestinal and biliary system anatomy. Self-perceived knowledge regarding the purpose and steps of endoscopy increased notably (p
Updated Guidelines Enhance GERD Diagnosis and Management
The American Society for Gastrointestinal Endoscopy has published updated guidelines, emphasizing evidence-based diagnosis and management strategies for gastroesophageal reflux disease (GERD). Key recommendations include endoscopic evaluation for patients with alarm symptoms and lifestyle modifications. For those with confirmed GERD, proton pump inhibitors are advised at the lowest effective dose, while transoral incisionless fundoplication is suggested […]
Fusion model predicts KRAS mutations in rectal cancer effectively
A study evaluated deep learning, radiomics, and fusion models to predict KRAS mutations in rectal cancer using endorectal ultrasound images from 304 patients. Among the models, the feature-based fusion model (dlrexpand10_fb) achieved the highest area under the receiver operating characteristic curve (AUC) of 0.896, indicating superior predictive performance. Additionally, incorporating peritumoral regions significantly improved the […]
AI Model Achieves High Accuracy in Panendoscopic Lesion Detection
An AI model was developed for the automatic detection of pleomorphic lesions during capsule endoscopy, achieving notable results across various gastrointestinal sites. The binary esophagus CNN attained 83.6% accuracy, while the gastric CNN reached 96.6%. The small bowel CNN excelled with 97.6% accuracy in identifying lesions with different hemorrhagic potentials. Additionally, the colonic CNN demonstrated […]