The study evaluated the safety and cost of outpatient laparoendoscopy for treating cholecystocholedocholithiasis. Data from patients treated between January 2015 and January 2019 were collected, and two groups were compared. The study found that outpatient treatment by laparoendoscopy was safe and viable for most cases, with lower costs. It also supports the reorientation of training […]
Category: Surgical Endoscopy
Endoscopy Training Trends Among General Surgery Residents in the United States
The study analyzed operative case logs of general surgery residents in the United States from 2010 to 2023. It found that the mean overall endoscopy procedures per resident remained stable during this period, with the majority performed by surgeon juniors. Colonoscopy and esophagogastroduodenoscopy were the most common procedures, with a stable volume for colonoscopy and […]
Long-term outcomes of endoscopic or surgical resection in T1 colorectal cancer patients
A retrospective cohort study compared the long-term outcomes of T1 colorectal cancer (CRC) patients after endoscopic resection (ER) and surgery. The study found that ER can be a comparable treatment option to surgery for T1 CRC patients with deep submucosal invasion (DSI) when other high-risk factors are absent. The most important long-term prognostic factors for […]
Study Finds Over Half of ESG Patients Require Opioids in the Perioperative Setting
A retrospective study on endoscopic sleeve gastroplasty (ESG) evaluated the need for peri- and postoperative opioid therapy. Of the 67 patients included, 58.2% required opioids in the perioperative setting, with a mean dose of 12.3 mg morphine milligram equivalents (MMEs). Furthermore, 17.9% of patients required home opioid prescriptions postoperatively, while more than a third reported […]
Higher Rate of Recurrence with Hybrid Resection for Laterally Spreading Lesions of the Papilla
Hybrid resection (HR) for laterally spreading lesions of the papilla, involving hot snare papillectomy and cold snare resection, was compared to conventional hot snare resection (CR) in a study. HR was associated with a significantly higher recurrence rate of recurrent or residual adenoma (RRAs) compared to CR. The odds of recurrence were 3.6 times higher […]
Prophylactic Clipping Does Not Prevent Delayed Bleeding After Colorectal Cold Snare Polypectomy in Patients on Antithrombotic Agents
Prophylactic clipping may not be necessary to prevent delayed bleeding after colorectal cold snare polypectomy in patients on antithrombotic agents, according to a retrospective study. The rates of delayed bleeding and hematochezia did not significantly differ between patients with and without prophylactic clipping. These findings suggest that prophylactic clipping may not be effective in preventing […]
Recurrence Risk in Ampullary Adenomas: FAP vs. Sporadic Cases After Endoscopic Papillectomy
Recurrence rates of ampullary adenomas (AA) after endoscopic papillectomy (EP) were compared between patients with familial adenomatous polyposis (FAP) and sporadic AA. The study included 257 patients from 10 tertiary hospitals. Recurrence occurred in 48% of patients with FAP and 36.9% of patients with sporadic AA. The risk of recurrence was higher in FAP patients […]
Successful Endoscopic Submucosal Dissection for Barrett’s Neoplasia
Complete circumferential endoscopic submucosal dissection (ESD) was performed on 11 patients with early Barrett’s neoplasia in a Canadian referral center. All procedures were technically successful with en-bloc resection. Nine patients achieved clear margins, while two required esophagectomy due to positive deep margins. The final pathology revealed adenocarcinoma in seven patients, with six cases showing upstaging […]
Endoscopic Intervention Highly Effective and Safe for Gastric Band Erosion
Researchers conducted a systematic review and meta-analysis to evaluate the role of endoscopic removal in treating eroded gastric bands. The analysis included ten studies with a total of 282 patients. The results showed that endoscopic intervention was highly effective and safe for managing gastric band erosion. The average patient age was 40.68 years with an […]
Endoscopic Ultrasound Identifies Malignant Lymph Nodes in LT Work-up for Unresectable Perihilar Cholangiocarcinoma
The study investigated the impact of endoscopic ultrasound (EUS) in the liver transplantation (LT) work-up for patients with unresectable perihilar cholangiocarcinoma (PCCA). EUS screenings were performed on a selected group of patients, and the primary outcome was the number of patients precluded from further screening due to malignant lymph nodes (LN). The study found that […]