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 […]
Category: Surgical Endoscopy
Smoking status predicts treatment failure in anti-reflux mucosectomy for gastroesophageal reflux disease
The study evaluated the outcomes and predictors of treatment failure in patients undergoing anti-reflux mucosectomy for gastroesophageal reflux disease. The results showed that the procedure significantly improved quality of life, with symptom improvement and resolution in a majority of patients. However, symptom resolution did not always correlate with objective reflux control. Current smoking status was […]
Internal Traction-Assisted Suspended Closure: A Simple and Reliable Technique for Large GI Defect Closure
Researchers evaluated a new endoscopic closure technique, “internal traction-assisted suspended closure,” for large full-thickness defects after endoscopic resection. The pilot study included eight patients, all of whom were successfully treated with the technique without serious adverse events. The median length and width of the defects were 3.25 cm and 2.8 cm, respectively. The median closing […]
Optimizing Polyp Recurrence Prevention: Comparing Techniques in Colorectal EMR
A study compared different techniques for reducing recurrence rates after endoscopic mucosal resection (EMR) of large non-pedunculated colorectal polyps. The direct and indirect comparisons showed that EMR combined with submucosal tunneling endoscopic submucosal dissection (EMR+STSC) and underwater EMR (U-EMR) had significantly lower odds of polyp recurrence compared to EMR alone. The p-score ranking indicated that […]
Endoscopic Powered Resection Device Shows Safety and Effectiveness for Scarred Colorectal Lesions
The multicenter, prospective, international clinical study assessed the safety and effectiveness of an endoscopic powered resection (EPR) system for scarred adenomatous colorectal lesions. Among the 45 per-protocol patients with 48 lesions treated solely with the EPR device, technical success was achieved in 98% of patients. Adverse events were limited, including two delayed self-limited bleeds and […]
Timing of EUS-Guided Drainage for Postoperative Pancreatic Fluid Collections
Early endoscopic ultrasound (EUS)-guided drainage can effectively manage postoperative pancreatic fluid collections (POPFCs) without increasing adverse events. Six retrospective studies involving 128 and 107 patients were analyzed, with the threshold for early and delayed drainage ranging from 14 to 30 days. Distal pancreatectomy was the main cause of POPFCs. The pooled odds ratio for adverse […]
Low inter-rater reliability and variability in assessing laparoscopic fundoplication with endoscopy
This study evaluated the inter-rater reliability and variability in assessing laparoscopic fundoplication using endoscopy. A total of 101 participants, including upper gastrointestinal surgeons and gastroenterologists, analyzed ten static endoscopic images post-fundoplication. The study found that overall accuracy was 76% for upper gastrointestinal surgeons and 69.9% for gastroenterologists. Upper gastrointestinal surgeons performed significantly better in certain […]
Increased Incidence of Gastrostomy Tube Placement in Surgical Necrotizing Enterocolitis
Approximately 56.3% of infants with surgical necrotizing enterocolitis (NEC) required gastrostomy tube (GT) placement after ostomy reversal. GT placement may be safely performed concurrently with ostomy reversal, reducing the need for an additional procedure. Gestational age and birth weight did not significantly differ between patients who did and did not require GT placement. The hospital […]
Surgery in Acute Lower Gastrointestinal Bleeding
In a cohort study of 10,342 acute lower gastrointestinal bleeding (ALGIB) cases, surgery was performed in 1.3%. Colonoscopy (87.7%) and endoscopic hemostasis (26.7%) were common. Surgery indications included diverticular bleeding (24%) and colorectal cancer (22%). Sixty-four percent were for severe refractory bleeding. Postoperative rebleeding rates were 22% (presumptive/obscure source) and 12% (definitive identification). Thirty-day mortality […]
ERCP Shows High Effectiveness in Managing Malignant Biliary Obstruction: Real-world Analysis of 596 Cases
In a real-world study at Oslo University Hospital, ERCP was assessed as the initial management for malignant biliary obstruction (MBO). Of 596 patients, the primary outcome was achieved in 62%, with an 80% overall technical success rate. Distal extrahepatic MBO had an 85% success rate. Reinterventions were performed in 27%, and complications occurred in 15%, […]