Appendicoscopy had a technical success rate of 96.4% and a clinical success rate of 91.8% in diagnosing and treating acute obstructive appendicitis. The procedure time was brief at 20.9±10 minutes, with most patients experiencing pain relief within 6 hours. Hospital stays averaged 3.5±1.5 days, and there were no adverse events, demonstrating the feasibility and effectiveness […]
Category: Surgical Endoscopy
High En-bloc and R0 Resection Rates in Esophageal Cancer
Esophageal cancer patients who underwent endoscopic submucosal dissection (ESD) for T1B tumors showed high en-bloc (100%) and R0 (82.3%) resection rates. Only 23.5% experienced tumor recurrence post-ESD, with safer outcomes in patients receiving additional therapies. Larger studies are necessary to confirm the long-term efficacy of ESD in T1B esophageal cancer. Journal Article by Youssef M, […]
Tissue Sources for Pancreatic Cancer Organoids
Establishing patient-derived tumor organoids (PDTOs) from endoscopic ultrasound-guided biopsies yields success rates comparable to surgical specimens, offering viable options for personalized medicine in pancreatic cancer. In a meta-analysis of 24 studies, overall success rate was 63%. Pooled success rates for PDTO establishment from endoscopic ultrasound-guided biopsies, percutaneous biopsies, and surgical specimens were 60%, 36%, and […]
Endoscopic Ultrasound-Guided Ablation Outperforms Surgery for Pancreatic Cystic Tumors
Endoscopic ultrasound-guided pancreatic cyst ablation (EUS-PCA) demonstrated superior long-term safety and pancreatic function preservation compared to surgery in selected patients with pancreatic cystic tumors. EUS-PCA group had lower rates of morbidities, adverse events, readmission, and diabetes development, with shorter hospital stay. However, surgery group showed higher complete resolution rate and lower relapse rate. EUS-PCA is […]
Optimizing Treatment and Expanding Indications in Non-Curative Endoscopic Submucosal Dissection
The study highlights the importance of assessing the quality of endoscopic submucosal dissection (ESD) not only for curative cases but also for non-curative ones. With unclear management strategies for Ecurac-1 tumors, research primarily focuses on additional surgical procedures for high-risk patients. Exploring management strategies and follow-up outcomes for non-curative cases and the use of molecular […]
Effectiveness of Double-Nylon Purse-String Suture in Closing Postoperative Wounds after Gastric Submucosal Tumor Resection
Double-nylon purse-string sutures effectively close wounds post-endoscopic full-thickness resection (EFTR) of large (≥ 3 cm) gastric submucosal tumors (SMTs). In a retrospective analysis of 85 patients, all tumors were completely resected using EFTR, with no serious adverse events reported. This technique is valuable, especially for large EFTR wounds in SMTs, ensuring successful closure without laparoscopic […]
Addressing Health Disparities in Clinical Guidelines Development
SAGES implements updates to its guidelines development process to address health equity issues, aiming to minimize downstream health disparities. These updates ensure an evidence-based, standardized approach that considers health equity throughout the guideline development process, facilitating better patient counseling and research recommendations to mitigate disparities. By intentionally addressing disparities, SAGES aims to prevent the widening […]
Risk Factors for Perforation in Gastric Endoscopic Submucosal Dissection
Study identified risk factors for intraoperative and delayed perforations in gastric endoscopic submucosal dissection for early gastric cancer. Intraoperative perforation occurred in 2.2% of patients, necessitating emergency surgery in 0.04% of cases, while delayed perforation occurred in 0.4% of patients, with emergency surgery required in 0.12% of cases. Factors like location in upper or middle […]
Expert Tips for Successful Direct Percutaneous Endoscopic Jejunostomy (DPEJ) Tube Placement
Direct percutaneous endoscopic jejunostomy (DPEJ) offers stable enteral access, especially for patients intolerant to gastric feeding. This article identifies risk factors for complications and provides top tips for successful DPEJ placement. Despite being less commonly taught, DPEJ demonstrates advantages over other feeding tube methods, including greater stability, reduced risk of clogging, and improved nutrient delivery. […]
Successful Robotic Ultrasound-Guided Central Pancreatectomy for Intraductal Papillary Mucinous Neoplasm
A parenchymal-sparing central pancreatectomy was performed with robotic assistance and intraoperative endoscopic evaluation of the main pancreatic duct. The procedure had a relatively short operative time of 290 minutes and minimal blood loss. Despite a postoperative complication requiring angioembolization and drainage, the patient was discharged on day 22 with good long-term outcomes, demonstrating the effectiveness […]