EUS-guided gallbladder drainage using lumen-apposing metal stents (EUS-GBD-LAMS) is safer and associated with shorter hospital stays compared to percutaneous cholecystostomy tubes in nonsurgical candidates with acute cholecystitis. A systematic review and meta-analysis showed EUS-GBD-LAMS had lower rates of delayed and overall adverse events, making it a preferred option for high-risk surgical patients. Journal Article by […]
Category: Surgical Endoscopy
Which method is most effective in reducing polyp recurrence after EMR of large nonpedunculated colorectal polyps?
Researchers compared different methods of EMR for large nonpedunculated colorectal polyps and found that EMR combined with snare tip soft coagulation (stsc) had the highest reduction in polyp recurrence rates (82% reduced odds), followed by underwater EMR alone (77% reduced odds) and EMR combined with argon plasma coagulation (apc). These results suggest that EMR combined […]
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 […]
Early Endoscopy Safely Predicts Anastomotic Leakage After Esophagectomy
Early postoperative endoscopy after minimally invasive esophagectomy is safe and effective in predicting anastomotic leakage. A retrospective study with 436 patients showed that early endoscopy did not increase adverse events but significantly decreased the incidence of anastomotic leakage (9.8% vs 22.7%) and shortened hospital stays. Findings under early endoscopy also identified gastric graft ischemia as […]
Low-risk pedunculated polyps do not increase colorectal cancer risk compared to fit+/colonoscopy negative group
Colorectal cancer (CRC) risk after resection of low- and high-risk adenomas was investigated in a fit-based CRC screening program. The study included 87,248 post-fit+ colonoscopies and found that patients with low-risk adenomas did not have an increased CRC incidence compared to the fit+/colonoscopy negative group. However, patients with high-risk adenomas had a significantly higher CRC […]
Study Finds Adverse Events Associated with Single Operator Cholangioscopy System
Analysis of the MAUDE database reveals that the single operator cholangioscopy (SOC) system, specifically the SpyGlass DS and DS II devices, carries additional risks compared to standard endoscopic retrograde cholangiopancreatography. The study identifies 2,331 device problems reported between January 2016 and August 2023, with optical issues being the most prevalent. Patient-related events were found in […]
Endoscopic ultrasound-guided gallbladder drainage is a safe and effective option for patients with unsuccessful biliary drainage
This narrative review highlights the use of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) as a salvage approach for patients with unsuccessful conventional management. EUS-GBD is a minimally invasive technique with high technical and clinical success rates, low adverse event rates, and serves as a rescue option for patients who did not respond to other drainage methods. […]
Comparison of Endoscopic Submucosal Dissection and Laparoscopic and Endoscopic Cooperative Surgery for Duodenal Tumors
Endoscopic submucosal dissection (ESD) and laparoscopic and endoscopic cooperative surgery (LECS) were compared in patients with superficial non-ampullary duodenal epithelial tumors. The study found that both ESD and LECS achieved high rates of en bloc and curative resection, with no significant difference between the two techniques. ESD had shorter resection and suturing times. There were […]
Individualized Age Cessation in IPMN Surveillance: A Cost-Effectiveness Analysis
Researchers conducted a simulation study to determine the optimal age to discontinue long-term surveillance of low-risk intraductal papillary mucinous neoplasms (IPMNs). Using a markov model and clinical cohort data, they calculated the cost-effectiveness of continued versus discontinued surveillance at different ages. They found that the optimal age to stop surveillance varied based on sex and […]
Nonradiation-guided and Digital Cholangioscopy-assisted Endoscopic Intervention for Cholelithiasis Shows High Efficacy and Safety
This study evaluated the feasibility, efficacy, and safety of a digital cholangioscopy-assisted endoscopic intervention for cholelithiasis. The procedure achieved biliary access in 285 patients with a 100% success rate for exploring the common bile duct, cystic stump, hilar ducts, and secondary radicals. Stone clearance was successful for the majority of patients, including those with difficult-to-treat […]