Category: Surgical Endoscopy

Additional Gastrectomy after Endoscopic Submucosal Dissection Does Not Worsen Prognosis in Early Gastric Cancer

Propensity score-matching analysis of 778 patients showed that additional gastrectomy after endoscopic submucosal dissection (ESD) for early gastric cancer did not significantly impact overall or disease-free survival rates compared to surgery alone. Postoperative complication rates were similar between groups. The findings suggest that additional gastrectomy after ESD is oncologically acceptable and does not worsen long-term […]

Scissor-Type Knives Show Similar Efficacy in Colorectal Endoscopic Submucosal Dissection

Scissor-type knives, clutch cutter (CC) and SB knife Jr2 (SB), demonstrated comparable efficacy in colorectal endoscopic submucosal dissection. Both groups exhibited high en bloc resection rates and low complication rates, with CC showing significantly less perioperative bleeding than SB. Risk factors for prolonged procedure time included antiplatelet use, larger lesion size, severe fibrosis, and higher […]

Endoscopic Treatments for Gastroesophageal Reflux Disease: EBL and TIF Show Superior Efficacy

Endoscopic band ligation (EBL) and transoral incisionless fundoplication (TIF) show comparable efficacy in improving health-related quality of life in patients with GERD, outperforming other endoscopic interventions like Stretta, EFTP, and Endocinch. EBL and TIF also significantly decrease esophagitis incidence compared to PPIs. While TIF increases lower esophageal sphincter pressure, it is less effective than PPIs […]

Early follow-up colonoscopy after colorectal cancer resection detects significant pathology

Follow-up colonoscopies post colorectal cancer resection found 2.7% cancer and 13.2% advanced adenomas in initial procedures. Timely surveillance detected 4.4% cancer progression. Older age, stage IV cancer, and synchronous cancers increased the odds of finding advanced neoplasia. Subsequent colonoscopies revealed 1.8% cancer and 11.4% advanced adenomas. Advanced adenomas during prior exams predicted advanced neoplasia in […]

Cold Snare Resection Reduces Adverse Events but Increases Residual Adenomas

Cold resection of large nonpedunculated colorectal polyps showed significantly lower major adverse events compared to hot resection, with lower rates of perforation and post-endoscopic bleeding. However, cold resection led to a higher residual adenoma rate. Individualized approaches based on polyp size and histology require further investigation to optimize patient outcomes. Journal Article by Steinbrück I, […]

Appendicoscopy as a novel alternative for acute obstructive appendicitis

Appendicoscopy using a single-operator cholangioscope demonstrated a technical success rate of 96.4% and a clinical success rate of 91.8% in managing acute obstructive appendicitis. The procedure was effective, with 99.1% of patients experiencing pain relief within 6 hours and an average postoperative hospital stay of 3.5 days. No adverse events were reported, suggesting it is […]

Changes in J-Pouch Phenotypes Over Time

Endoscopic pouch phenotypes in patients with inflammatory bowel disease can transition over time, with normalization of pouches associated with favorable outcomes. Subsequent development of diffuse inflammation, pouch-related fistulas, and afferent limb/inlet stenoses significantly worsen pouch outcomes. Patients with pouch inflammation who achieve subsequent normalization have lower pouch excision risks. Understanding these changes is crucial for […]

Endoscopic submucosal dissection outperforms endoscopic mucosal resection for rectal lesions involving the dentate line

Endoscopic submucosal dissection (ESD) demonstrated superior efficacy over endoscopic mucosal resection (EMR) in treating rectal lesions involving the dentate line. ESD had higher en bloc and complete resection rates, lower recurrence rates, and higher curative rates, especially for low-risk adenocarcinomas. ESD should be considered the preferred treatment for these lesions based on the study’s findings. […]

High Success and Safety of EUS-Guided Gallbladder Drainage

Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) shows high technical and clinical success rates (96.55% and 82.75%, respectively) with low adverse events (27.59%) in acute cholecystitis and malignant distal biliary obstruction. This multicenter study in India highlights the safety and effectiveness of EUS-GBD, offering a minimally invasive alternative for high-risk patients and serving as a rescue biliary […]