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Retrospective study found a newly developed through-the-needle injection-capable electrosurgical knife achieved successful en-bloc resection in 82.1% of gastrointestinal lesions. Good safety profile and curative resection rates were observed, with a median ESD time of 1.0 hour. Notably, success rates were lower in patients with submucosal…
Advancements in endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) have revolutionized the management of lower gastrointestinal malignancies. These techniques enable curative management of lesions with minimal morbidity, challenging traditional surgical approaches. The evolution from snare polypectomy to sophisticated ESD, along with technological innovations…
Study finds no significant difference in recurrence rates between endoscopic and surgical resection for high-risk T1 colon cancer. Lymphovascular invasion emerges as the sole independent risk factor for recurrence, highlighting its clinical relevance in treatment decisions. The findings suggest that both modalities can be equally…
Retrospective multicentric study comparing surgical and endoscopic gastroenterostomy for gastric outlet obstruction (GOO) revealed similar technical and clinical success rates, post-procedure outcomes, and mortality between the two procedures. Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) showed advantages such as shorter procedure duration, lower complications, and shorter hospital stay.…
CT findings of gross perforation and peritonitis are significant factors associated with surgery in delayed perforation after endoscopic tumor resection. These factors can guide patients towards an appropriate treatment plan, with a low rate of 0.50% experiencing delayed perforation. Clinical factors and pneumoperitoneum amount were…
Endoscopic submucosal dissection (ESD) yields superior en bloc resection, higher R0 resection, and curative resection rates compared to endoscopic mucosal resection (EMR) for Barrett's neoplasia and esophageal adenocarcinoma. ESD also shows lower local recurrence rates. Adverse events between the two techniques were similar. These findings…
Virtual Indigo Carmine Chromoendoscopy (VICI) converted from peroral cholangioscopy images using artificial intelligence technology demonstrated superior visualization of surface structures and lesion margins compared to white light imaging and narrow-band imaging. VICI, in combination with white light imaging, significantly improved diagnostic accuracy for biliary strictures,…
Malignancies in the upper gastrointestinal tract can be effectively treated through endoscopic resection at an early stage. Key factors influencing successful resection include thorough pre-resection assessment, precise delineation of margins, and selection of appropriate resection techniques. This review outlines clinical algorithms for the endoscopic resection…
Study shows laparoscopic exploration with a disposable bronchoscope is safe and effective for removing common bile duct stones in gastric bypass patients, achieving 100% stone clearance without conversions to open surgery. This cost-effective approach offers a practical alternative to traditional methods, demonstrating feasibility and safety…
Study comparing long-term outcomes of patients treated with additional surgery after endoscopic resection versus primary surgery for T1 colorectal cancer found no adverse effects on overall survival rates. The 5-year survival rates were 97.1% in the additional surgery group and 96.0% in the primary surgery…
