Comparing laparoscopic and open surgery in obstructive colorectal cancer patients following stent placement, a meta-analysis of 12 cohort studies found no difference in 30-day mortality rates. While laparoscopic surgery had less blood loss, longer operation time, and shorter hospital stay, open surgery had more complications. Although not statistically significant, some data suggest favorable long-term outcomes […]
Category: Surgical Endoscopy
Low Colorectal Cancer Risk After Resection of High-Risk Pedunculated Polyps
CRC incidence is significantly higher in patients with high-risk adenomas (HRAs) diagnosed at colonoscopy, with a 1.53-fold increase in risk. However, patients with only distal pedunculated polyps without high-grade dysplasia do not have an increased CRC risk. The presence of certain risk factors explains most of the excess CRC risk in the HRA group, indicating […]
Endoscopic Ultrasound-Guided Gastroenterostomy Superior to Enteral Stenting for Malignant Gastric Outlet Obstruction
Endoscopic ultrasound-guided gastroenterostomy was found to be superior to enteral stenting in reducing treatment failure and prolonging time until treatment failure in a propensity score-matched cohort study of patients with malignant gastric outlet obstruction. The study showed a significantly higher treatment failure rate in the enteral stenting group compared to the EUS-GE group, with longer […]
Direct Visual Control of Vacuum Sponges for Esophageal Anastomotic Leaks Treatment
Placing vacuum sponges in esophageal anastomotic leaks using a piggyback technique proved to be a fast and safe alternative to standard methods. In seven patients, 56 eso-sponges® were successfully inserted or replaced with minimal complications, except for one dislocation. All patients healed, except for one unrelated death, and three strictures were effectively treated. This technique […]
En-bloc resection of well-differentiated nonampullary duodenal neuroendocrine tumors is safe and effective
Endoscopic resection of well-differentiated nonampullary duodenal neuroendocrine tumors was safe and effective, with a high rate of en-bloc and R0 resections. Tumors located in the second part of the duodenum, ≥10mm in size, and with muscularis propria invasion were risk factors for non-curative resection. Adverse events were rare and successfully managed. Long-term outcomes showed low […]
Absence of a pancreatic microbiome in intraductal papillary mucinous neoplasm: a study on microbial presence and diversity
Researchers analysed 338 cyst fluid samples from 190 IPMN patients and found no significant difference in microbiome signatures compared to negative controls. In patients who recently had invasive procedures, a gut-associated microbe outlier signal was evident. The study concluded that IPMNs and pancreatic cystic neoplasms do not have a distinct microbiome, supporting the concept of […]
Low Colorectal Cancer Risk After Resection of High-Risk Pedunculated Polyps
CRC incidence is significantly higher in patients with high-risk adenomas (HRAs) diagnosed at colonoscopy, with a 1.53-fold increase in risk. However, patients with only distal pedunculated polyps without high-grade dysplasia do not have an increased CRC risk. The presence of certain risk factors explains most of the excess CRC risk in the HRA group, indicating […]
Antegrade stenting followed by EUS-guided hepaticogastrostomy extends time to recurrent biliary obstruction in patients with unresectable malignant distal biliary obstruction.
Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) is associated with higher rates of adverse events and recurrent biliary obstruction compared to antegrade stenting followed by EUS-HGS (EUS-HGAS) in patients with malignant distal biliary obstruction. However, EUS-HGAS significantly extends the time to recurrent biliary obstruction, potentially benefiting patients with longer life expectancy. Journal Article by Ishiwatari H, Ogura T […]
Endoscopic Treatment Outperforms Surgery in Necrotizing Pancreatitis
The study compared endoscopic and surgical treatment in acute necrotizing pancreatitis, showing that endoscopic treatment resulted in lower peri-interventional morbidity, shorter hospital stays, and lower mortality rates. Endoscopic treatment also led to better long-term outcomes with reduced renal insufficiency, ventilation dependency, and recurrence rates, along with improved exocrine functionality. These findings suggest a preference for […]
Endoscopic gallbladder stenting reduces recurrent cholecystitis in deferred cholecystectomy patients
Endoscopic gallbladder stenting (ETGS) significantly reduces recurrent cholecystitis in patients with deferred cholecystectomy, demonstrating 0% recurrence at 3 months compared to 18.3% in the non-ETGS group. Although not statistically significant, ETGS also shows a trend towards lower recurrence (0% vs. 10%) at 3-6 months. Technical and clinical success rates for ETGS are 90% and 100%, […]