Patients with mucosal esophageal adenocarcinoma and poor differentiation had low rates of metastases after endoscopic resection, even when additional risk factors were present. Metastasis rates were 4.0% for single risk factor patients and 20.0% for those with additional risk factors. Overall death rates were 28.0% and 20.0% for the respective groups. A conservative approach may […]
Category: Surgical Endoscopy
Increased Odds of Post-Operative Endoscopic Retrograde Cholangiography in Subtotal Cholecystectomy Patients
Researchers conducted a retrospective review of laparoscopic cholecystectomies at a large center. Among 1222 cases, 7% were subtotal cholecystectomies (SC). SC patients were more likely to be male, older, have higher ASA class, and experience longer hospital stays. SC increased the odds of requiring endoscopic retrograde cholangiography (ERC) postoperatively. Reconstituting SC lowered the odds of […]
Validation of a Quantitative Method for Precise Polyp Size and Location Measurement in Upper Gastrointestinal Endoscopy
Researchers validated a quantitative method for precise polyp size and location measurement in upper gastrointestinal endoscopy, critical for malignancy prediction and intervention planning. Using an electromagnetic tracking sensor, the method showed high accuracy in a simulated endoscopy setting, with an average polyp size of 12mm and reliable test-retest results. Comparisons with caliper measurements revealed non-significant […]
Capsule-Based pH Testing Shows Limited Association with GERD Symptom Scores in Bariatric Surgery Patients
Researchers compared capsule-based pH testing and GERD symptom scoring in bariatric surgery patients. They found no significant difference in GERD symptom scores between patients with and without a diagnosis based on pH testing. Objective pH testing may aid in procedure selection and informed consent, potentially reducing risks for future GERD-related complications. Journal Article by Scott […]
Successful Surgical Management of Sigmoid Gallstone Ileus Resulting in Patient Discharge
Researchers report a successful case of a 90-year-old woman with a 6 cm gallstone causing sigmoid colon obstruction. Despite deferring colonoscopy due to gallstone size, urgent laparotomy for gallstone removal resulted in uneventful post-operative recovery and discharge on the 6th day. The study highlights the importance of multidisciplinary discussions between endoscopists and surgeons for optimal […]
Comparable Efficacy of Lumen Apposing Metal Stents vs. Balloon Dilation for Benign Colorectal Anastomotic Strictures
Lumen apposing metal stents (LAMS) appear to be as effective as endoscopic balloon dilation (EBD) for treating benign colorectal anastomotic strictures (BCAS), with a potential for requiring fewer procedures and being safer. Twenty-nine patients were involved, showing no significant differences in outcomes between LAMS and EBD, but a trend towards fewer procedures and adverse events […]
Impact of Endoscopic Surgical Skill Qualification on Conversion to Laparotomy in Rectal Cancer Patients
Participation of ESQS-certified physicians was associated with lower risk of both indicated and technical conversion to laparotomy for rectal cancer patients undergoing laparoscopic surgery. Other factors influencing conversion included tumor diameter, combined resection of adjacent organs, and institution type. Referral to specialized centers, especially for high-risk patients, may improve outcomes. Journal Article by Goto K, […]
Comparable Efficacy of Lumen-Apposing Metal Stents and Plastic Stents for Walled-Off Necrosis Drainage: PROMETHEUS Study
This multicenter, randomized trial compared lumen-apposing metal stents (LAMS) and double-pigtail plastic stents (DPS) for walled-off necrosis drainage. Results showed similar short and long-term clinical success rates between both groups. LAMS had a shorter procedure duration, similar hospital stay, and safety profile compared to DPS, with a lower incidence of de novo fever. Overall, the […]
Safe and Effective Robot-Assisted Gastric Resection: 5-Year Clinical Outcome
Robot-assisted endoscopic full-thickness gastric resection with regional lymph node dissection using a 3D near-infrared video system resulted in no metastasis or mortality in patients with early gastric cancer over a 5-year follow-up period. This approach may be a safe and effective method for radical gastrectomy in such patients, highlighting the potential benefits of this technique […]
Establishment of Patient-Derived Organoids from Pancreatic Cancer Biopsies for Personalized Medicine
A patient-derived organoid platform was successfully established from endoscopic ultrasound-guided fine needle biopsies of pancreatic ductal adenocarcinoma, with a high success rate and fast turnaround time. The organoids showed high concordance with the original tumor tissues, revealed more genetic alterations, and accurately predicted drug sensitivity in clinical correlation. This approach enables timely personalized medicine by […]