Endoscopic resection (ER) has shown to be an effective and safe method for treating gastric gastrointestinal stromal tumors (GISTs), as suggested by a retrospective study in a large tertiary hospital in China. With a sample size of over 300 patients and a follow-up period longer than 45 months, the study found an en bloc resection […]
Category: Surgical Endoscopy
ERCP in Palestine: Comparable to international standards with low complication rates
The study evaluated the utilization and outcomes of endoscopic retrograde cholangiopancreatography (ERCP) procedures in the first advanced endoscopy center in Palestine. A total of 1909 procedures on 1303 patients were included, with an overall complication rate of 5%. The primary adverse events were post-ERCP pancreatitis (2.3%), infection/cholangitis (1%), bleeding (0.5%), and perforation (0.4%). Risk factors […]
Effect of Procedural Volume on Adverse Outcomes in Gastric Endoscopic Submucosal Dissection
A nationwide population-based study investigated the influence of procedural volume on the outcome of gastric endoscopic submucosal dissection (ESD) for gastric cancer or adenoma. The study included 88,687 patients who underwent 94,246 procedures between November 2011 and December 2017. The results showed that high- and medium-volume centers had a significantly lower risk of adverse outcomes […]
Superior vertical resectability of underwater endoscopic mucosal resection (UEMR) compared to cold snare polypectomy (CSP) for small duodenal tumors.
Underwater endoscopic mucosal resection (UEMR) demonstrated higher rates of vertical resectability compared to cold snare polypectomy (CSP) for small duodenal tumors. However, CSP had shorter procedure times and fewer bleeding events. UEMR should be chosen for lesions that cannot be definitively diagnosed as mucosal low-grade neoplasias. Journal Article by Miyazaki K, Nakayama A (…) Kato […]
Safety and Efficacy of Percutaneous Jejunostomy Tube Placement Outperforms Surgical Methods
A retrospective analysis comparing direct percutaneous endoscopic jejunostomy (DPEJ) tube placement with laparoscopic (Lap-J) and open laparotomy (Open-J) surgical methods revealed similar procedural success rates and complication rates in all three approaches. However, patients who underwent DPEJ experienced significantly lower rates of tube dysfunction within 90 days compared to surgical groups, primarily due to reduced […]
Fibrin Sealant Effectively Closes Mucosal Penetrations during Gastrointestinal Submucosal Tumor Resection
The study aimed to assess the efficacy and safety of using a fibrin sealant for closing mucosal penetrations at the esophagus or cardia during submucosal tunnelling endoscopic resection (STER) for gastrointestinal submucosal tumors. A total of 31 mucosal penetrations were identified in 30 patients who received the fibrin sealant. The results showed that the fibrin […]
Post-ERCP Cholecystitis: Incidence and Outcomes from Multi-center Registry
The study aimed to describe the incidence, risk factors, and outcomes of post-ERCP cholecystitis using data from a multi-center registry. Among 4,428 patients, 17 cases of post-ERCP cholecystitis were identified, with an incidence of 0.38%. When using covered metal stenting, the incidence increased to 1.50%. Symptoms typically occurred around 5 days after ERCP. Management strategies […]
Safety and Efficacy of Percutaneous Jejunostomy Tube Placement Outperforms Surgical Methods
A retrospective analysis comparing direct percutaneous endoscopic jejunostomy (DPEJ) tube placement with laparoscopic (Lap-J) and open laparotomy (Open-J) surgical methods revealed similar procedural success rates and complication rates in all three approaches. However, patients who underwent DPEJ experienced significantly lower rates of tube dysfunction within 90 days compared to surgical groups, primarily due to reduced […]
Smoking status predicts treatment failure in anti-reflux mucosectomy for gastroesophageal reflux disease
The study evaluated the outcomes and predictors of treatment failure in patients undergoing anti-reflux mucosectomy for gastroesophageal reflux disease. The results showed that the procedure significantly improved quality of life, with symptom improvement and resolution in a majority of patients. However, symptom resolution did not always correlate with objective reflux control. Current smoking status was […]
Internal Traction-Assisted Suspended Closure: A Simple and Reliable Technique for Large GI Defect Closure
Researchers evaluated a new endoscopic closure technique, “internal traction-assisted suspended closure,” for large full-thickness defects after endoscopic resection. The pilot study included eight patients, all of whom were successfully treated with the technique without serious adverse events. The median length and width of the defects were 3.25 cm and 2.8 cm, respectively. The median closing […]