Surg Endosc18 Mar 2024
Patients with traumatic esophageal perforations treated with endoscopic vacuum therapy (evt) had significantly shorter treatment duration than those treated with endoscopic self-expandable metal stent (e-sems). However, e-sems led to a shorter time of hospitalization and lower costs. Both methods had similar clinical outcomes, with high…
Surg Endosc17 Mar 2024
Endoscopic surveillance at 3-year intervals significantly increases the likelihood of detecting early gastric cancer (EGC), with 98% of cases detected within this group. EGC lesions in the short-interval group were smaller, shallower, and had a higher curative resection rate compared to the unchecked group. This…
Gastroenterology16 Mar 2024
Endoscopic gallbladder stenting significantly reduced the rate of recurrent cholecystitis at 3 months compared to patients who did not receive stenting. At 3-6 months, the stenting group also showed a lower, though not statistically significant, rate of recurring cholecystitis. The majority of recurrences in the…
Ann Surg16 Mar 2024
Antibiotic duration did not impact infection rates in pancreatoduodenectomy patients with biliary stents. A retrospective cohort study found similar composite infection rates among patients receiving short, medium, or long-duration antibiotics, with no significant differences in other outcomes. Postoperative pancreatic fistula and male sex were associated…
Surg Endosc15 Mar 2024
Comparing laparoscopic and open surgery in obstructive colorectal cancer patients following stent placement, a meta-analysis of 12 cohort studies found no difference in 30-day mortality rates. While laparoscopic surgery had less blood loss, longer operation time, and shorter hospital stay, open surgery had more complications.…
Clin Gastroenterol Hepatol14 Mar 2024
CRC incidence is significantly higher in patients with high-risk adenomas (HRAs) diagnosed at colonoscopy, with a 1.53-fold increase in risk. However, patients with only distal pedunculated polyps without high-grade dysplasia do not have an increased CRC risk. The presence of certain risk factors explains most…
Surgical Endoscopy14 Mar 2024
Endoscopic ultrasound-guided gastroenterostomy was found to be superior to enteral stenting in reducing treatment failure and prolonging time until treatment failure in a propensity score-matched cohort study of patients with malignant gastric outlet obstruction. The study showed a significantly higher treatment failure rate in the…
Langenbecks Arch Surg13 Mar 2024
Placing vacuum sponges in esophageal anastomotic leaks using a piggyback technique proved to be a fast and safe alternative to standard methods. In seven patients, 56 eso-sponges® were successfully inserted or replaced with minimal complications, except for one dislocation. All patients healed, except for one…
Gastrointest Endosc12 Mar 2024
Endoscopic resection of well-differentiated nonampullary duodenal neuroendocrine tumors was safe and effective, with a high rate of en-bloc and R0 resections. Tumors located in the second part of the duodenum, ≥10mm in size, and with muscularis propria invasion were risk factors for non-curative resection. Adverse…
Gut11 Mar 2024
Researchers analysed 338 cyst fluid samples from 190 IPMN patients and found no significant difference in microbiome signatures compared to negative controls. In patients who recently had invasive procedures, a gut-associated microbe outlier signal was evident. The study concluded that IPMNs and pancreatic cystic neoplasms…