Researchers delved into the post-gastric bypass world, unraveling the mystery of weight regain (WR). Examining 34 Roux-en-Y gastric bypass alumni, they discovered a correlation between the gastojejunal anastomosis (GJA) diameter and WR. However, excluding outliers with GJA over 30 mm nullified the link. The study highlights the potential of visual GJA estimation and emphasizes that […]
Category: Surgical Endoscopy
Endoscopic Ultrasound-Guided Gallbladder Drainage Proves Secure with Prolonged Stent Residency
In a quest for safety insights, researchers embarked on a year-long journey exploring Endoscopic Ultrasound-Guided Gallbladder Drainage (EUS-GBD) with lumen-apposing metal stents (LAMS). Engaging 82 high surgical-risk patients, they achieved a staggering 96.3% technical success. During the 1-year indwell, only 14.6% faced adverse events (AEs), with 6.1% experiencing recurrent biliary events. The study’s star—long-term LAMS […]
Unsupervised Training Proves Effective for Esophago-Gastric Endoscopic Submucosal Dissection
Experienced endoscopists seeking competence in endoscopic submucosal dissection (ESD) faced a challenging learning curve. This study introduced an unsupervised training model. Endoscopists initially observed 30 ESD cases and performed 15 unsupervised ex-vivo ESDs. Afterward, they tackled five human distal gastric ESDs and 55 unselected esophago-gastric cases. Results were promising, with a 93.0% en-bloc resection rate, […]
Comparing Strategies for Crohn’s Disease Strictures: Endoscopy vs. Surgery
In the battle against Crohn’s disease-related strictures, researchers compared endotherapy (ET) and surgical therapy (ST) outcomes. The study, encompassing 59 patients with 12+ months of follow-up, showed a significantly higher re-intervention rate with ET. However, it also highlighted that re-operation could be avoided for most ET patients, with similar symptom-free survival at one year. This […]
Endoscopic Ultrasound-guided Nerve Block Shows Promise in Easing Pancreatic Cancer Pain
In a network meta-analysis of ten randomized controlled trials, researchers assessed the effectiveness of endoscopic ultrasound-guided celiac plexus neurolysis (EUS-CPN) in addition to medical management for abdominal pain in unresectable pancreatic cancer. Results favored EUS-CPN combined with medical management, showing significantly reduced pain intensity at 4 and 12 weeks compared to medical management alone or […]
Successful Laparoscopic Management of Iatrogenic Colon Perforation: A Promising Approach
Iatrogenic colon perforation, a rare but serious complication of colonoscopy, was studied to determine effective treatment approaches. Out of 51 cases, 84% required surgery. Notably, laparoscopic surgery was performed in 88% of cases, demonstrating its safety and feasibility. Laparoscopic primary suturing was successful in 80% of cases, with a high recovery rate of 96%. The […]
EUS-Guided Gallbladder Drainage Safer Than Percutaneous Cholecystostomy in High-Risk Patients
In high-risk surgical patients with acute cholecystitis, a systematic review and meta-analysis compared two alternative treatments: endoscopic ultrasound-guided gallbladder drainage using lumen-apposing metal stents (EUS-GBD-LAMS) and percutaneous cholecystostomy (PTGBD). The study found that while the two groups had similar early adverse events, EUS-GBD-LAMS was associated with significantly lower rates of delayed and overall adverse events. […]
Persistent NIR Fluorescent Tattoos Improve Tumor Localization in Minimally Invasive Colorectal Surgery
This innovative study tackles the challenge of precisely locating tumors during minimally invasive colorectal surgery. Traditionally, blue dye has been used for preoperative marking, but it can lead to complications when spilled inside the body. The researchers introduced a new method using a near-infrared (NIR) fluorescent marker called AFS81x. In experiments on pigs, they successfully […]
Conventional Hot-Snare Resection Preferred Over Hybrid Technique for Papillary Lesions
Researchers investigated a hybrid hot-snare plus cold-snare resection (HR) technique compared to conventional hot-snare resection (CR) for managing laterally spreading papillary adenomas (LSL-P) in the papilla. HR showed higher rates of recurrent or residual adenoma (RRA) compared to CR (58.8% vs. 29.8%), with an odds ratio of 3.6 times higher for recurrence. While both methods […]
Metal Stents Outshine Plastic Stents in Biliary Drainage for Perihilar Cholangiocarcinoma
A retrospective international study compared the effectiveness of self-expanding metal stents (SEMs) to plastic stents for preoperative biliary drainage in resectable perihilar cholangiocarcinoma (PCCA). Among 474 patients who received stents, SEMs showed significantly lower rates of stent failure and cholangitis. Both stenting methods led to comparable surgical outcomes, but SEMs excelled in preventing stent dysfunction. […]