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Long-segment BEA patients exhibit distinct clinicopathological features and worse treatment outcomes compared to short-segment BEA patients. Long-segment cases are associated with specific characteristics such as flat type morphology, left wall location, and higher rates of synchronous lesions. Additionally, long-segment BEA requires longer resection durations, has…
Upper gastrointestinal endoscopic submucosal dissection (ESD) using an ultrathin endoscope boasts high en bloc resection rates, particularly in challenging locations like the esophagus, stomach, and duodenum. This retrospective study of 13 patients with 14 lesions reveals a 100% en bloc resection rate and a 92.9%…
Effective local palliative treatment of intraductal papillary neoplasm of the bile duct using percutaneous transhepatic cholangioscopy-assisted biliary polypectomy. Feasible, safe, and successful in five patients, with technical and therapeutic success achieved. Patients with mucin-hypersecreting cast-like or polypoid type tumors benefited, with no serious adverse events.…
Colorectal cancer risk remains lower more than 15 years post-colonoscopy, challenging current screening guidelines. A population-based study in Ontario, Canada, with over 5 million participants showed reduced cancer incidence and mortality at all timepoints up to 15 years, even after the procedure. Individuals with negative…
Implementation of oesophageal cell collection device (OCCD) for Barrett's surveillance in Scotland showed promising results, with longer Barrett's segments correlating with abnormal OCCD tests. High-grade dysplasia or cancer was detected in 8.2% of patients who underwent endoscopy post-OCCD testing, prompting urgent investigation. 92.0% of high-risk…
Lumen-apposing metal stents (LAMS) show promising results for treating short benign biliary strictures, with a high technical success rate of 100% and a clinical success rate of 85.7%. Adverse events, including stent migration, were found in 17.1% of patients, and stricture recurrence occurred in 18.5%…
EndoRobotic Submucosal Dissection using the da Vinci SP platform showed a 100% en-bloc resection rate in 28 patients with colorectal neoplasms. There were no intraoperative complications or mortality, with only two minor postoperative complications. Pathology outcomes revealed a mix of benign and malignant lesions, indicating…
Notable risk factors for lymph node metastasis in T1b esophageal adenocarcinoma include tumor size ≥20mm and poor differentiation. Endoscopic therapy (ET) showed comparable cancer-specific survival outcomes to surgery for selected cases. Age ≥65 years, ET, and chemoradiation therapy were associated with poorer overall survival. However,…
1L-PEG regimen demonstrated superior bowel preparation quality compared to 2L-PEG and picosulphate, leading to higher adequacy rates, better Boston Bowel Preparation Scale scores, improved right-colon cleansing, and increased exam completion. Factors predicting inadequate bowel preparation included male sex, constipation history, active smoking, previous pelvic surgery,…
Painless gastroscopy significantly increases early gastric cancer detection rates compared to ordinary gastroscopy. It is safer, with shorter lesion lengths and more specific endoscopic characteristics for early detection. Painless gastroscopy is especially effective for identifying hard-to-see, small, superficial lesions. This study underscores the importance of…
