Complete circumferential endoscopic submucosal dissection (ESD) was performed on 11 patients with early Barrett’s neoplasia in a Canadian referral center. All procedures were technically successful with en-bloc resection. Nine patients achieved clear margins, while two required esophagectomy due to positive deep margins. The final pathology revealed adenocarcinoma in seven patients, with six cases showing upstaging […]
Category: Surgical Endoscopy
Endoscopic Intervention Highly Effective and Safe for Gastric Band Erosion
Researchers conducted a systematic review and meta-analysis to evaluate the role of endoscopic removal in treating eroded gastric bands. The analysis included ten studies with a total of 282 patients. The results showed that endoscopic intervention was highly effective and safe for managing gastric band erosion. The average patient age was 40.68 years with an […]
Endoscopic Ultrasound Identifies Malignant Lymph Nodes in LT Work-up for Unresectable Perihilar Cholangiocarcinoma
The study investigated the impact of endoscopic ultrasound (EUS) in the liver transplantation (LT) work-up for patients with unresectable perihilar cholangiocarcinoma (PCCA). EUS screenings were performed on a selected group of patients, and the primary outcome was the number of patients precluded from further screening due to malignant lymph nodes (LN). The study found that […]
Endoscopic Resection Shows Promising Results in Treating Gastric Gastrointestinal Stromal Tumors
Endoscopic resection (ER) has shown to be an effective and safe method for treating gastric gastrointestinal stromal tumors (GISTs), as suggested by a retrospective study in a large tertiary hospital in China. With a sample size of over 300 patients and a follow-up period longer than 45 months, the study found an en bloc resection […]
ERCP in Palestine: Comparable to international standards with low complication rates
The study evaluated the utilization and outcomes of endoscopic retrograde cholangiopancreatography (ERCP) procedures in the first advanced endoscopy center in Palestine. A total of 1909 procedures on 1303 patients were included, with an overall complication rate of 5%. The primary adverse events were post-ERCP pancreatitis (2.3%), infection/cholangitis (1%), bleeding (0.5%), and perforation (0.4%). Risk factors […]
Effect of Procedural Volume on Adverse Outcomes in Gastric Endoscopic Submucosal Dissection
A nationwide population-based study investigated the influence of procedural volume on the outcome of gastric endoscopic submucosal dissection (ESD) for gastric cancer or adenoma. The study included 88,687 patients who underwent 94,246 procedures between November 2011 and December 2017. The results showed that high- and medium-volume centers had a significantly lower risk of adverse outcomes […]
Superior vertical resectability of underwater endoscopic mucosal resection (UEMR) compared to cold snare polypectomy (CSP) for small duodenal tumors.
Underwater endoscopic mucosal resection (UEMR) demonstrated higher rates of vertical resectability compared to cold snare polypectomy (CSP) for small duodenal tumors. However, CSP had shorter procedure times and fewer bleeding events. UEMR should be chosen for lesions that cannot be definitively diagnosed as mucosal low-grade neoplasias. Journal Article by Miyazaki K, Nakayama A (…) Kato […]
Safety and Efficacy of Percutaneous Jejunostomy Tube Placement Outperforms Surgical Methods
A retrospective analysis comparing direct percutaneous endoscopic jejunostomy (DPEJ) tube placement with laparoscopic (Lap-J) and open laparotomy (Open-J) surgical methods revealed similar procedural success rates and complication rates in all three approaches. However, patients who underwent DPEJ experienced significantly lower rates of tube dysfunction within 90 days compared to surgical groups, primarily due to reduced […]
Fibrin Sealant Effectively Closes Mucosal Penetrations during Gastrointestinal Submucosal Tumor Resection
The study aimed to assess the efficacy and safety of using a fibrin sealant for closing mucosal penetrations at the esophagus or cardia during submucosal tunnelling endoscopic resection (STER) for gastrointestinal submucosal tumors. A total of 31 mucosal penetrations were identified in 30 patients who received the fibrin sealant. The results showed that the fibrin […]
Post-ERCP Cholecystitis: Incidence and Outcomes from Multi-center Registry
The study aimed to describe the incidence, risk factors, and outcomes of post-ERCP cholecystitis using data from a multi-center registry. Among 4,428 patients, 17 cases of post-ERCP cholecystitis were identified, with an incidence of 0.38%. When using covered metal stenting, the incidence increased to 1.50%. Symptoms typically occurred around 5 days after ERCP. Management strategies […]