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 […]
Category: Surgical Endoscopy
Beyond Laparoscopy: Gravity’s Role in Optimal Patient Positioning for Endoscopic Procedures
In the world of surgery, positioning isn’t just a laparoscopy thing—endoscopic procedures need it too. This study dives into patient positioning’s impact on endoscopy. It’s not just about turning patients around; it’s about tilting surgical beds and considering gravity’s role. From lesion exposure to avoiding sample mishaps, gravity plays a crucial part. Surgeons, take note: […]
Insights from Percutaneous Transesophageal Gastro-Tubing in Japan
In a comprehensive study of 3,684 patients undergoing percutaneous transesophageal gastro-tubing (PTEG) in Japan, researchers found a mere 1.3% complication rate. PTEG served diverse purposes, with 1,455 cases for decompression and 2,193 for feeding. Notably, complications led to minimal invasive treatments, predominantly red blood cell transfusions and tube replacements. This real-world analysis not only sheds […]
Unmasking Esophageal Cancer: V’ and U’ Variables Shine Bright
Researchers unveil a tech-savvy twist to esophageal cancer diagnosis, sidelining the subjective pink-color sign’s (PCS) hiccups. Testing the V’ variable solo, results hit 73.91% sensitivity, lagging behind human eyes. But, combining V’ and U’ variables steps up the game, matching seasoned endoscopists with 86.30% accuracy. The modified V’ + U’ method proves a reliable diagnostic ally, hinting […]
Missed Opportunities: Esophageal Adenocarcinoma Patients with Prior Colonoscopies Lack Timely Esophagogastroduodenoscopy
In the era of widespread colonoscopy, many patients later diagnosed with esophageal adenocarcinoma (EA) had prior screening colonoscopies, presenting missed opportunities for earlier detection. Among 221 referred patients, 49% had prior colonoscopies, yet only 18% had an esophagogastroduodenoscopy (EGD) before EA diagnosis. Most displayed gastroesophageal reflux disease symptoms or acid medication use during screening colonoscopy. […]
Endoscopic Management Prevails Over Surgery in Infected Necrotizing Pancreatitis: Meta-Analysis Findings
For severe infected necrotizing pancreatitis, researchers compared endoscopic and minimally invasive surgical (MIS) treatments in a meta-analysis. Analyzing five randomized controlled trials with 284 patients, endoscopic procedures (145 patients) outperformed MIS (139 patients), demonstrating significantly lower complication rates and better patient quality of life. Journal Article by Tang P, Ali K (…) Zhang W et […]
Navigating Colon Polyps: Evolving Insights in Classification and Care
In the fight against colorectal cancer, understanding and managing colon polyps are pivotal. This review delves into their epidemiology, emphasizing the significance of recognizing sessile serrated lesions for effective colonoscopy screening. Established endoscopic systems remain key in identifying malignant polyps, guiding decisions during procedures. Advances, including artificial intelligence, promise to revolutionize polyp classification, enhancing patient […]
Screening Saves: Total Colonoscopy’s Crucial Role in Gastric Cancer Patients
In a study of 796 preoperative gastric cancer patients, 5.4% had synchronous colorectal cancer (SCRC). Endoscopic treatments were successful, and all SCRC patients underwent curative treatment, with no attributed deaths. Cumulative mortality rates showed 12.6% for gastric cancer-related deaths but none for SCRC. Screening total colonoscopy proved effective, suggesting its vital role. Cost-effectiveness analysis revealed […]
Anastomosis Matters: Kono-S Offers Edge in Reducing Recurrence in Crohn’s Disease
Delving into Crohn’s disease post-ileocolic resection, this meta-analysis (17 studies, 2087 patients) compares anastomotic techniques. Endoscopic postoperative recurrence (epor) risk at ≥6 months was 37.2%. Kono-S anastomosis (17.7% cases) outshone conventional methods (81% cases), showing a lower epor incidence (24.7% vs. 42.6%). Results suggest Kono-S reduces epor risk, emphasizing its potential for challenging cases. While […]
Cracking the Code: Gastrojejunal Anastomosis Holds Clues to Weight Regain in Gastric Bypass Graduates
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 […]