A meta-analysis of 15 studies with 982 patients demonstrated that gastric peroral endoscopic myotomy (G-POEM) is effective and safe for refractory gastroparesis regardless of etiology. Clinical success rates were 65% for diabetes, 70% for post-surgical, and 60% for idiopathic causes. G-POEM also improved Gastrointestinal Symptom Rating Scale Index (GCSI) scores significantly, with notable enhancements seen […]
Category: Surgical Endoscopy
Collaborative approach improves outcomes for rare cancer research
The ISGACA initiative successfully united over 60 medical centers globally, gathering data from 4,309 patients to enhance treatment strategies for non-pancreatic periampullary cancers. By establishing a structured methodology, the group facilitated nine publications, secured research grants, and initiated a prospective multicenter clinical trial. The collaborative efforts of ISGACA resulted in uniform definitions and classifications, showcasing […]
Endoscopic therapy effectively diagnoses and treats acute appendicitis.
Direct visualization endoscopic retrograde appendicitis therapy effectively diagnosed acute uncomplicated appendicitis in 35 of 36 patients (97.2%). The mean procedure time was 13.1 minutes, with a low complication rate. One patient required a laparoscopic appendectomy after experiencing recurrent abdominal pain. The average length of hospital stay was 1.78 days, with a follow-up period of approximately […]
Transrectal drainage tubes effectively reduce postendoscopic submucosal dissection complications
A multicenter randomized controlled trial evaluated the efficacy of transrectal drainage tubes (TDTS) in preventing postendoscopic submucosal dissection (PECS) in 224 patients. The results showed a significantly lower incidence of PECS in the TDT group (6.25%) compared to the non-TDT group (17.86%), with a relative risk of 0.350 (p = 0.008). Subgroup analyses indicated that […]
Microbiota deviations can predict Crohn’s disease recurrence.
In a study involving 262 Crohn’s disease patients, ileal and colonic mucosa-associated microbiota deviations were identified as predictors of disease recurrence after surgical remission. Of 97 patients in remission, those who later developed endoscopic recurrence exhibited reduced microbial diversity and specific microbial shifts, notably a depletion of genus Anaerostipes and increased gammoproteobacterial genera. The gut […]
Routine preoperative endoscopy reveals significant pathologies in obesity patients.
A study analyzed preoperative endoscopic findings in 405 patients undergoing bariatric surgery, revealing chronic superficial gastritis (80.5%) and reflux esophagitis (20.2%) as the most common conditions. Higher rates of reflux esophagitis were associated with older age, male gender, elevated BMI, smoking, and drinking. Risk factors differed by gender, with morbid obesity and H. pylori common […]
EUS and Surgery Enhance Treatment Options for Pancreatic Tumors
The review highlights the evolving role of endoscopic ultrasound (EUS) in managing pancreatic neuroendocrine tumors (PanNETs), addressing their increasing incidence and associated diagnostic and therapeutic challenges. EUS has advanced from solely a diagnostic tool to facilitating minimally invasive locoregional therapies. Surgical intervention remains paramount, especially for localized, low-grade PanNETs larger than 2 cm. Although not […]
Lymph node metastasis differs significantly between gastric carcinoma types.
A study of 891 Chinese patients revealed distinct risk factors for lymph node metastasis (LNM) and prognosis in submucosal early gastric cardiac (SEGCC) versus noncardiac (SEGNCC) carcinomas. Elderly patients and specific tumor characteristics were more prevalent in SEGCC, which correlated with poorer prognoses. Univariate and multivariate analyses identified female sex and lymphovascular invasion as key […]
Cold snare resection is safer than hot methods for polyps.
In a randomized controlled trial involving 363 patients with large nonpedunculated colorectal polyps, cold endoscopic mucosal resection (EMR) demonstrated a significantly lower rate of major adverse events (1.0%) compared to hot EMR (7.9%, p = .001). While cold resection did result in a higher rate of residual adenoma (23.7% vs 13.8%, p = .020), safety […]
EUS-FNA Biopsy Techniques for Pancreatic Lesions
Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) accurately diagnosed pancreatic masses in 64 patients, with 46 cases of adenocarcinoma and favorable outcomes for patients negative for malignancy. EUS-FNA showed superior results compared to CT scans, highlighting its effectiveness in tissue sampling for preoperative management of pancreatic masses. Journal Article by Altinkaya E, Akay E, Koc A and […]