Patients who underwent surgical repair for colonoscopy-related perforations had similar short-term morbidity and mortality rates compared to those undergoing elective or emergency colorectal surgeries. Mortality rate was 4.1%, with no significant difference among open colectomy, suturing, and laparoscopic colectomy. Laparoscopic colectomy had significantly lower morbidity rates. Patients with iatrogenic colonic perforation had better outcomes than […]
Category: Surgical Endoscopy
Increased Risk of Colorectal Neoplasia After Polyp Removal
High-risk adenomas and serrated polyps significantly increase the risk of colorectal cancer within 3 years post-polypectomy. Surveillance colonoscopy is vital for preventing subsequent cancer, especially for patients with high-risk polyps. The study highlights the importance of early surveillance within 3 years for patients with high-risk polyps, suggesting that incomplete resection and missed lesions contribute to […]
Antegrade Balloon Dilatation: Superior Approach for Choledocholithiasis
Antegrade balloon dilatation during laparoscopic cholecystectomy showed significantly fewer interventions and reduced treatment time compared to endoscopic retrograde cholangiography in patients with acute obstructive common bile duct stones. The ‘abd-during-che’ technique had a lower overall complication index and fewer major complications, highlighting its potential as an alternative one-stop-shop treatment option for this patient population. Journal […]
Comparable Long-Term Survival Prognoses in Gastrointestinal Neuroendocrine Neoplasms
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. […]
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 […]