A nomogram has been developed to predict delayed bleeding risks following endoscopic submucosal dissection (ESD) for colorectal tumors. Analysis of 587 patients revealed an 8.98% incidence of delayed bleeding, influenced by lesion location in the rectum, size, and surgical duration. The model’s c-index was 0.89, indicating strong predictive accuracy. Implementing this nomogram can enhance surgical […]
Category: Surgical Endoscopy
Surgical options enhance treatment for achalasia patients
A review of recent literature highlights effective surgical interventions for achalasia, including laparoscopic/robotic heller myotomy (LHM/RHM) and fundoplication methods. Both approaches exhibit low morbidity and mortality rates, with RHM offering advantages like improved procedural visibility and reduced risk of mucosal laceration. The findings suggest surgery is particularly beneficial for patients under 40 or those with […]
Visual Endoscopic Therapy Reduces Appendicitis Recurrence Risks
In a study comparing visual endoscopic retrograde appendicitis therapy (v-erat) with antibiotic therapy for uncomplicated appendicitis, no significant difference was found in treatment success rates (93.6% vs 90.5%). However, v-erat notably lowered appendicitis recurrence risk and appendectomy rates during initial hospitalization (4.3% vs 9.5%). Additionally, patients undergoing v-erat experienced a shorter hospital stay (3 days […]
Hemospray is a more effective and cost-saving treatment.
The analysis indicates that using Hemospray (TC-325) as a first-line treatment for malignant upper gastrointestinal bleeding is both more effective and cost-saving than standard endoscopic therapy (SET). It demonstrated a cost reduction of £245.88, with a slight increase in quality-adjusted life years (0.001 QALYs). In probabilistic simulations, TC-325 proved more effective and economically favorable in […]
EUS-guided biliary drainage techniques show high success rates
In a study of 191 endoscopic ultrasonography (EUS)-guided biliary drainage procedures, researchers achieved a technical success rate of 97.38% and a clinical success rate of 89.01%. Among the 191 patients, 16.75% experienced complications, including six fatal cases. These advanced techniques offer effective alternatives to traditional methods like ERCP for treating benign and malignant biliary strictures, […]
Hybrid ESD proves efficient for specific colorectal tumors
A multicenter study involving 890 patients evaluated hybrid endoscopic submucosal dissection (ESD) against conventional ESD for treating laterally spreading tumors (LSTs). Hybrid ESD demonstrated significantly reduced procedure times and hospitalization costs, particularly for lesions sized 10-30 mm. However, it yielded lower R0 resection rates and lifting sign positivity. For larger lesions, conventional ESD maintained better […]
Primary needle-knife fistulotomy is safer for biliary access.
A randomized clinical trial involving 260 patients revealed that primary needle-knife fistulotomy (PNKF) significantly outperforms standard transpapillary (STP) techniques for cannulating long-size papilla. PNKF achieved a biliary cannulation success rate of 96.2% compared to STP’s 87.7% (p = 0.01). Moreover, post-endoscopic retrograde cholangiopancreatography pancreatitis was markedly lower in the PNKF group (2.4%) versus STP (9.6%, […]
Modified apprenticeship models could enhance esophageal ESD training.
Endoscopic resection techniques, like ESD, offer safer alternatives to esophagectomy for esophageal cancer. While ESD provides complete histopathological assessment, a consensus on training models remains elusive. The effectiveness of Japan’s apprenticeship model contrasts with the West’s comprehensive methods that combine various training approaches. Researchers suggest adapting a modified apprenticeship model to optimize ESD training outcomes. […]
Endoscopic Submucosal Tunneling Techniques outperform Flexible Endoscopic Septotomy
A systematic review and meta-analysis involving 759 patients revealed that endoscopic submucosal tunneling techniques (ESTT) provide a higher probability of clinical success for treating Zenker’s diverticulum compared to flexible endoscopic septotomy (FES). While both methods showed similar rates of technical success, operative time, and hospital stay, ESTT had a tendency toward lower recurrence rates. These […]
AI surpasses human endoscopists in detecting colorectal lesions
A deep learning algorithm based on the yolov7 model demonstrated exceptional performance in identifying laterally spreading tumors (LSTs) with an accuracy of 99.34%. Sensitivity was recorded at 96.88%, while specificity reached 99.8%. This algorithm outperformed both novice and senior endoscopists, achieving diagnostic capabilities comparable to expert professionals. The study utilized a substantial dataset of 7985 […]