Endoscopic cryotherapy has shown safety and efficacy in treating gastrointestinal conditions, including complete eradication of dysplasia and neoplasia in Barrett’s esophagus. It serves as a second-line treatment for refractory cases and an alternative to surgical resection for duodenal adenomas. Innovative applications for gastrointestinal bleeding and esophageal strictures have also been reported. Overall, endoscopic cryotherapy is […]
Category: Surgical Endoscopy
Effectiveness of Endoscopic Ultrasound in Predicting Colorectal Invasion of Pelvic Masses
The study evaluated the effectiveness of endoscopic ultrasound (EUS) in predicting colorectal invasion in patients with pelvic masses. EUS showed high diagnostic accuracy with sensitivity of 83.3% and specificity of 97.8%. It is recommended for preoperative diagnosis by gynecologists to determine suitable surgical methods and avoid unexpected situations during surgery. Journal Article by She Y, […]
Acupuncture Point Stimulation Improves Tolerance in Non-Sedated Upper GI Endoscopy
Researchers conducted a double-blinded, randomized controlled trial to examine the effects of transcutaneous electrical nerve stimulation of acupuncture points (acu-tens) during non-sedated oesophagogastroduodenoscopy (OGDS). The trial included 348 subjects undergoing elective diagnostic OGDS. The success rate of OGDS was significantly higher with acu-tens (77.8%) than with placebo (68.0%; OR 1.64, 95% CI 1.01-2.66, pā=ā0.043). Acu-tens […]
Standardized Key Procedural Steps for Endoscopic Sleeve Gastroplasty
Experts established 21 key steps for safe and effective endoscopic sleeve gastroplasty (ESG) through a modified Delphi method. Consensus was reached on the importance of full-thickness bites and the use of a helix device in tissue swirling, although opinions varied on minor details like fundus inclusion. This standardized protocol will enhance ESG training and adoption […]
Direct Percutaneous Endoscopic Jejunostomy Tube Placement: A Safer Alternative
Direct percutaneous endoscopic jejunostomy (DPEJ) is a safe and effective alternative to surgical jejunostomy, with lower rates of adverse events at 90 days. Procedural success rates were similar among DPEJ, laparoscopic jejunostomy, and open jejunostomy, but DPEJ had significantly lower rates of tube dysfunction. DPEJ may offer a cost-effective and less invasive option for enteral […]
Over-the-Scope Clips Show Higher Success Rates for Bariatric Surgery Leaks
A meta-analysis of five studies found that the pooled proportion of successful closure with over-the-scope clips (OTSC) for leaks and fistulae following bariatric surgery was 81.1% (95% CI 67.3 to 91.7). Observational reports suggest that patients managed with OTSC had higher rates of defect healing compared to those treated with endoscopic suturing. Larger controlled studies […]
Significant Variability in Managing Malignant Gastric Outlet Obstruction in Pancreatic Cancer, with Rising Use of EUS-Gastrojejunostomy
Survey of 290 pancreatologists revealed significant differences in managing malignant gastric outlet obstruction (MGOO) due to pancreatic cancer. Endoscopic stenting (ES) was most common, but EUS-Gastrojejunostomy (EUS-GJ) adoption is increasing. Decision drivers include life expectancy and patient frailty, with lack of standardized algorithms. Availability of EUS-GJ remains suboptimal, attributed to the steep learning curve. Journal […]
Magnetic Compression Anastomosis: A Sutureless Alternative for Superior Gastrointestinal Outcomes
Magnetic compression anastomosis (MCA) offers sutureless passage construction for tubular organs, showing promise due to low recurrence rates and improved clinical outcomes compared to conventional treatments. The review highlights MCA’s use in various gastrointestinal diseases, showcasing superior anastomotic results compared to surgical sutures. Although initial studies demonstrate safety and feasibility, larger prospective studies are needed […]
Endoscopic bariatric and metabolic therapies for obesity: ASGE-ESGE guideline
The joint American Society for Gastrointestinal Endoscopy-European Society of Gastrointestinal Endoscopy (ASGE-ESGE) guideline provides evidence-based recommendations for endoscopic bariatric and metabolic therapies (EBMTs) in treating obesity. Using the GRADE framework, the guideline evaluates the efficacy and safety of EBMT devices and procedures with CE Mark or FDA clearance/approval. It recommends EBMTs plus lifestyle modification for […]
Over-the-Scope Clips Show Higher Success Rates for Bariatric Surgery Leaks
A meta-analysis of five studies found that the pooled proportion of successful closure with over-the-scope clips (OTSC) for leaks and fistulae following bariatric surgery was 81.1% (95% CI 67.3 to 91.7). Observational reports suggest that patients managed with OTSC had higher rates of defect healing compared to those treated with endoscopic suturing. Larger controlled studies […]