Implementation of oesophageal cell collection device (OCCD) for Barrett’s surveillance in Scotland showed promising results, with longer Barrett’s segments correlating with abnormal OCCD tests. High-grade dysplasia or cancer was detected in 8.2% of patients who underwent endoscopy post-OCCD testing, prompting urgent investigation. 92.0% of high-risk patients were correctly identified by OCCD testing, demonstrating its effectiveness […]
Category: Surgical Endoscopy
Effectiveness of Lumen-Apposing Metal Stents for Benign Biliary Strictures
Lumen-apposing metal stents (LAMS) show promising results for treating short benign biliary strictures, with a high technical success rate of 100% and a clinical success rate of 85.7%. Adverse events, including stent migration, were found in 17.1% of patients, and stricture recurrence occurred in 18.5% of cases. LAMS placement appears to be a safe and […]
EndoRobotic Submucosal Dissection for Colorectal Neoplasia
EndoRobotic Submucosal Dissection using the da Vinci SP platform showed a 100% en-bloc resection rate in 28 patients with colorectal neoplasms. There were no intraoperative complications or mortality, with only two minor postoperative complications. Pathology outcomes revealed a mix of benign and malignant lesions, indicating the procedure’s safety and feasibility. Further studies are needed to […]
Lymph Node Metastasis and Survival in T1b Esophageal Adenocarcinoma Patients
Notable risk factors for lymph node metastasis in T1b esophageal adenocarcinoma include tumor size ≥20mm and poor differentiation. Endoscopic therapy (ET) showed comparable cancer-specific survival outcomes to surgery for selected cases. Age ≥65 years, ET, and chemoradiation therapy were associated with poorer overall survival. However, further large-scale studies are needed to confirm the lack of […]
Effective Bowel Preparation Quality for Colonoscopy: Comparing 1L-PEG to 2L-PEG and Picosulphate
1L-PEG regimen demonstrated superior bowel preparation quality compared to 2L-PEG and picosulphate, leading to higher adequacy rates, better Boston Bowel Preparation Scale scores, improved right-colon cleansing, and increased exam completion. Factors predicting inadequate bowel preparation included male sex, constipation history, active smoking, previous pelvic surgery, and certain medical conditions. These findings offer valuable insights for […]
Comparison of Painless and Ordinary Gastroscopy for Early Gastric Cancer Detection
Painless gastroscopy significantly increases early gastric cancer detection rates compared to ordinary gastroscopy. It is safer, with shorter lesion lengths and more specific endoscopic characteristics for early detection. Painless gastroscopy is especially effective for identifying hard-to-see, small, superficial lesions. This study underscores the importance of painless gastroscopy in improving early gastric cancer screening and diagnostic […]
Endoscopic Resection for Intermediate- or High-Risk Gastric Gastrointestinal Stromal Tumors
Endoscopic resection is a safe and effective method for treating intermediate- or high-risk gastric small gastrointestinal stromal tumors, with a 5-year overall survival rate of 97.4%. Close follow-up is necessary for these patients, but there were no recurrences or metastases observed, even among those with R1 resections. This approach allows for a wait-and-see strategy before […]
Reducing Invasive Evaluations in Patients with Incidental Common Bile Duct Dilation
Endoscopic ultrasound (EUS) for incidental common bile duct (CBD) dilation revealed that only 8.3% of cases had significant findings. Researchers identified predictors including age ≥70, non-biliary-type abdominal pain, CBD diameter ≥15 mm, and prior ERCP. A novel clinical prediction model was created, scoring age, pain type, prior ERCP, and CBD dilation. A score
Impact of Repeated EGD at Specialized Center on Surgical Strategy for Gastroesophageal Cancer
A multicenter retrospective study evaluated the benefits of repeating esophagogastroduodenoscopy (EGD) at specialized esophagogastric cancer (EGC) centers in Denmark before gastric and esophageal cancer surgery. Among 953 patients who underwent both initial EGD and EGD at referral to a specialized center, 644 cases (68%) lacked sufficient preoperative tumor information from the initial EGD, and 113 […]
Development and Validation of Risk Score Model for Assessing Lymph Node Metastasis in Early Gastric Cancer
Endoscopic ultrasonography (EUS) offers 85.3% accuracy in detecting lymph node metastasis in early gastric cancer. A risk score model based on preoperative factors, such as tumor size, lymph nodes, and BMI, provides guidance for treatment selection, despite low sensitivity and PPV. This tool aids clinicians in predicting lymph node involvement and choosing optimal management strategies […]