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. […]
Category: Surgical Endoscopy
Endoscopic Resection Proves Effective for Giant Esophageal Lesions
Researchers examined the feasibility and safety of endoscopic resection (ER) for giant esophageal subepithelial lesions (G-SELs) in a large study. They achieved a remarkable 93.3% en bloc resection rate with a low recurrence rate. Some patients experienced adverse events (9.3% intraoperatively and 17.3% postoperatively). A predictive nomogram model was developed, indicating that age, tumor size, […]
Endoscopic Sleeve Gastroplasty Proves Effective for Overweight Patients in Halting Obesity Progression
Researchers conducted a multicenter international study on overweight patients, exploring the effectiveness and safety of Endoscopic Sleeve Gastroplasty (ESG) as an early intervention against obesity. The results, involving 189 patients, revealed that ESG is safe and effective in treating overweight individuals, with a significant rate of BMI normalization. ESG shows promise as a tool to […]
Endoscopic Quality Assurance in Greenland: Positive Results from Surgical Coastal Expeditions
Surgical coastal expeditions (SCEs) brought endoscopic services to small coastal hospitals in Greenland, aiming to increase patient accessibility and reduce transport costs. A review of 89 endoscopies during two SCEs revealed satisfactory cecal intubation rates, adenoma detection rates, and advanced adenoma detection rates. However, attention to bowel preparation was needed, considering Greenland’s specific eating habits. […]
Endoscopic Resection for Duodenal Tumors: What to Watch For
A study on 141 patients with duodenal submucosal tumors (SMTs) explored the outcomes of endoscopic resection (ER). Results showed that 78.7% achieved complete resection, but 6.4% faced complications. High-risk factors for complications included SMTs near the duodenal papilla and those with a diameter exceeding 15mm. Additionally, submucosal fibrosis, SMTs near the duodenal papilla, and irregular […]
ERCP Vital in Managing Post-COVID-19 Cholangiopathy with Dismal Prognosis
Endoscopic findings reveal that post-COVID-19 cholangiopathy resembles secondary sclerosing cholangitis, affecting critically ill patients. It emerges early during intensive care, causing significant and often irreversible damage to bile ducts. Typical cholangiographic features include a centripetal pattern of bile duct destruction, “vanishing bile ducts,” and intraductal biliary casts. This condition is associated with peribiliary liver abscesses. […]
Global Consensus Emerges on Obesity Management
Obesity is a worldwide concern, affecting 1.5 billion individuals, but management strategies vary widely. A survey involving 94 interdisciplinary global experts in obesity management was conducted in 2021. It revealed consensus on 158 out of 180 statements, addressing critical areas like the need for international collaboration, regular obesity monitoring, multidisciplinary approaches, the growing impact of […]
Circumferential ESD Shows Promise in Barrett’s Neoplasia Treatment
In North America, where esophageal cancers often stem from Barrett’s esophagus, researchers are exploring the effectiveness of endoscopic submucosal dissection (ESD) for treatment. This study analyzed eleven patients who underwent 100% circumferential esophageal ESD. Impressively, all procedures were technically successful with clear margins in most cases, indicating the potential for ESD as an alternative to […]
Endoscopic Retrograde Appendicitis Therapy vs. Surgery or Antibiotics: Balancing Act for Appendicitis Treatment
In the debate over how to treat appendicitis, a systematic review compared endoscopic retrograde appendicitis therapy (ERAT) with surgery and antibiotics. While ERAT resulted in shorter procedural times and hospital stays, it posed a higher risk of appendicitis recurrence at one year. The study found no significant differences in technical success during the initial admission. […]