Endoscopic cuffitis occurred in approximately 60% of patients who underwent restorative proctocolectomy with stapled ileal pouch–anal anastomosis, and was significantly associated with extensive disease and exposure to multiple biologics before colectomy. Older age, extensive disease, exposure to biologics before colectomy, and exposure to at least 2 or more biologics before colectomy were all significantly associated […]
Category: Surgical Endoscopy
Enhanced Overall Survival and Tumor Reduction in EUS-RFA for Unresectable Pancreatic Adenocarcinoma
Researchers assessed EUS-RFA in 26 patients with unresectable pancreatic ductal adenocarcinoma, showing technical success in all cases and no major adverse events. Six months post-EUS-RFA, 42.3% of patients had improved overall survival and significant performance status enhancement. Tumor reduction and post-treatment necrotic areas were observed, while metastatic disease negatively impacted survival. EUS-RFA proved safe and […]
Complications and Risk Factors of Abdominal Organ Injuries during Colonoscopy
Abdominal organ injuries during colonoscopy, though rare, can be serious and life-threatening. Splenic and hepatic injuries are the most common, requiring intervention. Conservative management is possible for pancreatitis. Risk factors include difficult colonoscopy, intra-abdominal adhesions, and excessive force during the procedure. Clinicians should be vigilant for symptoms such as abdominal pain and distension post-colonoscopy. Proper […]
Post-ERCP Cholecystitis: Incidence, Characteristics, and Outcomes
The study describes 17 cases of post-ERCP cholecystitis out of 4428 patients undergoing ERCP (incidence 0.38%). Cover metal stenting resulted in a higher incidence of cholecystitis (1.50%). Symptoms appeared at a median of 5 days post-ERCP. Management strategies included cholecystectomy and endoscopic stent removal. These findings can help in understanding procedural risks and guiding treatment […]
High Success Rate of Colonic-Enteric Lumen-Apposing Metal Stents for Small-Bowel Obstruction
Colonic-enteric lumen-apposing metal stents (LAMS) showed high technical success (100%) and clinical success (92.3%) in managing small-bowel obstruction (SBO) in patients who are not surgical candidates due to malignancy. Adverse events occurred in 15.4% of patients, including bleeding, diarrhea, and postprocedure sepsis. Patients were able to resume enteral nutrition in 84.6% of cases. Further research […]
Stenting as a bridge to surgery increases peritoneal recurrence risk in non-metastatic obstructing left-sided colorectal cancer.
Stenting as a bridge to surgery for non-metastatic obstructing left-sided colorectal cancer increases the risk of peritoneal recurrence, especially in cases of T4 tumors, diabetes, and nodal positivity. However, no significant differences were found in overall survival, cancer-specific survival, or recurrence-free survival between stenting and upfront emergency surgery. Journal Article by Lin W, Chok AY, […]
Low Rates of Metastases in Mucosal Esophageal Adenocarcinoma with Poor Differentiation
Patients with mucosal esophageal adenocarcinoma and poor differentiation had low rates of metastases after endoscopic resection, even when additional risk factors were present. Metastasis rates were 4.0% for single risk factor patients and 20.0% for those with additional risk factors. Overall death rates were 28.0% and 20.0% for the respective groups. A conservative approach may […]
Increased Odds of Post-Operative Endoscopic Retrograde Cholangiography in Subtotal Cholecystectomy Patients
Researchers conducted a retrospective review of laparoscopic cholecystectomies at a large center. Among 1222 cases, 7% were subtotal cholecystectomies (SC). SC patients were more likely to be male, older, have higher ASA class, and experience longer hospital stays. SC increased the odds of requiring endoscopic retrograde cholangiography (ERC) postoperatively. Reconstituting SC lowered the odds of […]
Validation of a Quantitative Method for Precise Polyp Size and Location Measurement in Upper Gastrointestinal Endoscopy
Researchers validated a quantitative method for precise polyp size and location measurement in upper gastrointestinal endoscopy, critical for malignancy prediction and intervention planning. Using an electromagnetic tracking sensor, the method showed high accuracy in a simulated endoscopy setting, with an average polyp size of 12mm and reliable test-retest results. Comparisons with caliper measurements revealed non-significant […]
Capsule-Based pH Testing Shows Limited Association with GERD Symptom Scores in Bariatric Surgery Patients
Researchers compared capsule-based pH testing and GERD symptom scoring in bariatric surgery patients. They found no significant difference in GERD symptom scores between patients with and without a diagnosis based on pH testing. Objective pH testing may aid in procedure selection and informed consent, potentially reducing risks for future GERD-related complications. Journal Article by Scott […]