The novel self-help inflatable balloon (SHIB) showed high efficacy and safety in treating refractory benign esophageal strictures, with a clinical success rate of 51.2%. Patients experienced significant improvements in dysphagia scores, decreased stricture length, and prolonged intervention-free intervals. Endoscopic resection was particularly effective, with stricture etiology and wearing time identified as predictors of recurrent stricture. […]
Category: Surgical Endoscopy
Recommendations for Colorectal Polypectomy and Endoscopic Mucosal Resection
ESGE recommends cold snare polypectomy for diminutive and small polyps, and hot snare polypectomy for larger adenomatous polyps. For large nonpedunculated polyps, conventional endoscopic mucosal resection (EMR) is preferred, with underwater EMR as an alternative. After piecemeal EMR, thermal ablation of resection margins is advised to prevent adenoma recurrence. Prophylactic clip closure is recommended after […]
Strategy-Focused Training in Colorectal Endoscopic Submucosal Dissection
Colorectal ESD training with a focus on strategic preoperative techniques, including gravity traction, led to favorable outcomes with high en bloc and curative resection rates. Proficiency growth was evident after about 50 cases, with challenges varying across early and late phases. Traction-assisted ESD, particularly planned traction, proved beneficial in lesion management. “Strategy-focused” training consistently adapted […]
Advancements in Endoscopic Cryotherapy in Gastrointestinal Diseases
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 […]
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 […]