A study compared different techniques for reducing recurrence rates after endoscopic mucosal resection (EMR) of large non-pedunculated colorectal polyps. The direct and indirect comparisons showed that EMR combined with submucosal tunneling endoscopic submucosal dissection (EMR+STSC) and underwater EMR (U-EMR) had significantly lower odds of polyp recurrence compared to EMR alone. The p-score ranking indicated that […]
Category: Surgical Endoscopy
Endoscopic Powered Resection Device Shows Safety and Effectiveness for Scarred Colorectal Lesions
The multicenter, prospective, international clinical study assessed the safety and effectiveness of an endoscopic powered resection (EPR) system for scarred adenomatous colorectal lesions. Among the 45 per-protocol patients with 48 lesions treated solely with the EPR device, technical success was achieved in 98% of patients. Adverse events were limited, including two delayed self-limited bleeds and […]
Timing of EUS-Guided Drainage for Postoperative Pancreatic Fluid Collections
Early endoscopic ultrasound (EUS)-guided drainage can effectively manage postoperative pancreatic fluid collections (POPFCs) without increasing adverse events. Six retrospective studies involving 128 and 107 patients were analyzed, with the threshold for early and delayed drainage ranging from 14 to 30 days. Distal pancreatectomy was the main cause of POPFCs. The pooled odds ratio for adverse […]
Low inter-rater reliability and variability in assessing laparoscopic fundoplication with endoscopy
This study evaluated the inter-rater reliability and variability in assessing laparoscopic fundoplication using endoscopy. A total of 101 participants, including upper gastrointestinal surgeons and gastroenterologists, analyzed ten static endoscopic images post-fundoplication. The study found that overall accuracy was 76% for upper gastrointestinal surgeons and 69.9% for gastroenterologists. Upper gastrointestinal surgeons performed significantly better in certain […]
Increased Incidence of Gastrostomy Tube Placement in Surgical Necrotizing Enterocolitis
Approximately 56.3% of infants with surgical necrotizing enterocolitis (NEC) required gastrostomy tube (GT) placement after ostomy reversal. GT placement may be safely performed concurrently with ostomy reversal, reducing the need for an additional procedure. Gestational age and birth weight did not significantly differ between patients who did and did not require GT placement. The hospital […]
Surgery in Acute Lower Gastrointestinal Bleeding
In a cohort study of 10,342 acute lower gastrointestinal bleeding (ALGIB) cases, surgery was performed in 1.3%. Colonoscopy (87.7%) and endoscopic hemostasis (26.7%) were common. Surgery indications included diverticular bleeding (24%) and colorectal cancer (22%). Sixty-four percent were for severe refractory bleeding. Postoperative rebleeding rates were 22% (presumptive/obscure source) and 12% (definitive identification). Thirty-day mortality […]
ERCP Shows High Effectiveness in Managing Malignant Biliary Obstruction: Real-world Analysis of 596 Cases
In a real-world study at Oslo University Hospital, ERCP was assessed as the initial management for malignant biliary obstruction (MBO). Of 596 patients, the primary outcome was achieved in 62%, with an 80% overall technical success rate. Distal extrahepatic MBO had an 85% success rate. Reinterventions were performed in 27%, and complications occurred in 15%, […]
Innovative Closure Strategy for Rectal Defects Post-Endoscopic Submucosal Dissection
Researchers introduced an endoscopic hand-suturing with clips strategy (EHS-clips) for closing rectal defects after endoscopic submucosal dissection (ESD) or ESD with myectomy. All 49 defects achieved complete closure, with 71.4% through EHS alone and 28.6% with additional clips. Zero cases experienced delayed bleeding. Sustained closure reached 73.5% on postoperative days 3-5, with a stitch margin […]
Decline in Pelvic Floor Integrity Linked to Escalating Grades of Rectal Intussusception: A Comprehensive Analysis of Contributing Factors.
Study Finds Decline in Pelvic Floor Integrity Associated with Increased Rectal Intussusception Grades, Independently of Obstetric and Surgical History. The analysis of 238 women revealed that factors like age, vaginal delivery, and pelvic surgery correlated with higher Oxford grades of rectal intussusception. Abnormal levator ani laxity and concurrent pelvic floor issues were independently linked to […]
Navigating the Landscape of Endoscopic Weight Loss Therapies
As the battle against obesity rages on, clinicians explore the endoscopic arena for weight loss interventions. The review dissects diverse endoscopic bariatric therapies, from intragastric balloons to endoluminal procedures. While these methods exhibit short-term effectiveness, concerns linger about weight rebound. Adverse events, including nausea and vomiting, pepper the landscape. Despite the challenges, the endoscopic toolkit […]