Category: Surgical Endoscopy

Optimizing Treatment and Expanding Indications in Non-Curative Endoscopic Submucosal Dissection

The study highlights the importance of assessing the quality of endoscopic submucosal dissection (ESD) not only for curative cases but also for non-curative ones. With unclear management strategies for Ecurac-1 tumors, research primarily focuses on additional surgical procedures for high-risk patients. Exploring management strategies and follow-up outcomes for non-curative cases and the use of molecular […]

Effectiveness of Double-Nylon Purse-String Suture in Closing Postoperative Wounds after Gastric Submucosal Tumor Resection

Double-nylon purse-string sutures effectively close wounds post-endoscopic full-thickness resection (EFTR) of large (≥ 3 cm) gastric submucosal tumors (SMTs). In a retrospective analysis of 85 patients, all tumors were completely resected using EFTR, with no serious adverse events reported. This technique is valuable, especially for large EFTR wounds in SMTs, ensuring successful closure without laparoscopic […]

Addressing Health Disparities in Clinical Guidelines Development

SAGES implements updates to its guidelines development process to address health equity issues, aiming to minimize downstream health disparities. These updates ensure an evidence-based, standardized approach that considers health equity throughout the guideline development process, facilitating better patient counseling and research recommendations to mitigate disparities. By intentionally addressing disparities, SAGES aims to prevent the widening […]

Risk Factors for Perforation in Gastric Endoscopic Submucosal Dissection

Study identified risk factors for intraoperative and delayed perforations in gastric endoscopic submucosal dissection for early gastric cancer. Intraoperative perforation occurred in 2.2% of patients, necessitating emergency surgery in 0.04% of cases, while delayed perforation occurred in 0.4% of patients, with emergency surgery required in 0.12% of cases. Factors like location in upper or middle […]

Expert Tips for Successful Direct Percutaneous Endoscopic Jejunostomy (DPEJ) Tube Placement

Direct percutaneous endoscopic jejunostomy (DPEJ) offers stable enteral access, especially for patients intolerant to gastric feeding. This article identifies risk factors for complications and provides top tips for successful DPEJ placement. Despite being less commonly taught, DPEJ demonstrates advantages over other feeding tube methods, including greater stability, reduced risk of clogging, and improved nutrient delivery. […]

Successful Robotic Ultrasound-Guided Central Pancreatectomy for Intraductal Papillary Mucinous Neoplasm

A parenchymal-sparing central pancreatectomy was performed with robotic assistance and intraoperative endoscopic evaluation of the main pancreatic duct. The procedure had a relatively short operative time of 290 minutes and minimal blood loss. Despite a postoperative complication requiring angioembolization and drainage, the patient was discharged on day 22 with good long-term outcomes, demonstrating the effectiveness […]

Self-Expanding Metallic Stenting Emerges as Safe Alternative for Left-Sided Colonic Obstruction

Emergency colonic resection has long been the standard treatment for left-sided malignant colonic obstruction, but self-expanding metallic stenting and decompressing stomas are emerging as viable alternatives. A systematic review and network meta-analysis of randomized controlled trials and propensity score matching studies found that stenting and stomas both significantly reduced permanent stoma rates, with stenting also […]

Improved learning expectations and satisfaction with a novel dry simulator model for ERCP/EST training.

A novel dry simulator model was developed to train gastroenterology trainees in endoscopic retrograde cholangiopancreatography/endoscopic sphincterotomy procedures. The model, aligning with the components of a validated skill assessment tool, allowed for hands-on practice with real devices, resulting in improved learning expectations and increased satisfaction among participants. The simulator could provide a practical educational tool for […]

Comparable Long-Term Survival Rates of Endoscopic Therapy and Surgical Resection for 2-5 cm Gastrointestinal Stromal Tumors

In a comparative study of endoscopic therapy (ET) versus surgical resection for 2-5 cm gastrointestinal stromal tumors, long-term outcomes showed no significant difference in overall or cancer-specific survival rates. After propensity score matching, both groups had comparable survival rates, suggesting that ET may be a viable treatment option for these tumors. Further research is needed […]

Potent Nomogram Predicts Lymph Node Involvement in Early Gastric Cancer

A potent nomogram incorporating tumor budding accurately predicts lymph node involvement in early gastric cancer patients, providing exceptional discriminative power and precise predictive capabilities. Tumor budding, along with other clinicopathological factors, demonstrated a robust association with lymph node involvement, improving clinical decision-making by reducing the risk of overtreatment in endoscopic curability C-2. Journal Article by […]