Newsletter
Every new paper in this field, in your inbox.
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,…
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…
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…
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…
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…
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…
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…
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…
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,…
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…
