Researchers conducted a simulation study to determine the optimal age to discontinue long-term surveillance of low-risk intraductal papillary mucinous neoplasms (IPMNs). Using a markov model and clinical cohort data, they calculated the cost-effectiveness of continued versus discontinued surveillance at different ages. They found that the optimal age to stop surveillance varied based on sex and […]
Category: Surgical Endoscopy
Nonradiation-guided and Digital Cholangioscopy-assisted Endoscopic Intervention for Cholelithiasis Shows High Efficacy and Safety
This study evaluated the feasibility, efficacy, and safety of a digital cholangioscopy-assisted endoscopic intervention for cholelithiasis. The procedure achieved biliary access in 285 patients with a 100% success rate for exploring the common bile duct, cystic stump, hilar ducts, and secondary radicals. Stone clearance was successful for the majority of patients, including those with difficult-to-treat […]
Long-term Consequences of Necrotising Pancreatitis: Burden of Recurrent Disease, Interventions, and Insufficiency
The long-term consequences of necrotising pancreatitis, including complications, interventions, and quality of life, were assessed in a follow-up study of 373 patients. Results showed that 26% of patients were readmitted for recurrent pancreatitis, 13% received endoscopic or percutaneous drainage, and 8% underwent pancreatic necrosectomy or surgery. Endocrine and exocrine insufficiency developed less frequently in patients […]
Predictors of Persistent Pain after Extracorporeal Shockwave Lithotripsy for Chronic Pancreatitis
The study aimed to identify the predictors of persistent pain in patients with chronic calcific pancreatitis following extracorporeal shockwave lithotripsy (ESWL). A total of 640 patients were assessed, and 68% experienced pain relief after ESWL while 32% had persistent pain. Predictors of persistent pain included alcohol and tobacco consumption, longer duration of symptoms, dilated main […]
Non-Curative ER for Esophageal Squamous Cell Carcinoma: Long-Term Outcomes and Recurrence Risk with Additional Chemoradiotherapy
Among 97 patients with non-curative endoscopic resection (ER) for esophageal squamous cell carcinoma (ESCC), 73 underwent additional chemoradiotherapy (CRT). With a median follow-up of 71 months, recurrences were observed in 14% of patients. Lymphatic invasion was identified as an independent risk factor for recurrence. Notably, all patients who underwent surgery for recurrent disease survived, regardless […]
Outpatient Laparoendoscopy for Cholecystocholedocholithiasis: Safe and Cost-effective Option
The study evaluated the safety and cost of outpatient laparoendoscopy for treating cholecystocholedocholithiasis. Data from patients treated between January 2015 and January 2019 were collected, and two groups were compared. The study found that outpatient treatment by laparoendoscopy was safe and viable for most cases, with lower costs. It also supports the reorientation of training […]
Endoscopy Training Trends Among General Surgery Residents in the United States
The study analyzed operative case logs of general surgery residents in the United States from 2010 to 2023. It found that the mean overall endoscopy procedures per resident remained stable during this period, with the majority performed by surgeon juniors. Colonoscopy and esophagogastroduodenoscopy were the most common procedures, with a stable volume for colonoscopy and […]
Long-term outcomes of endoscopic or surgical resection in T1 colorectal cancer patients
A retrospective cohort study compared the long-term outcomes of T1 colorectal cancer (CRC) patients after endoscopic resection (ER) and surgery. The study found that ER can be a comparable treatment option to surgery for T1 CRC patients with deep submucosal invasion (DSI) when other high-risk factors are absent. The most important long-term prognostic factors for […]
Study Finds Over Half of ESG Patients Require Opioids in the Perioperative Setting
A retrospective study on endoscopic sleeve gastroplasty (ESG) evaluated the need for peri- and postoperative opioid therapy. Of the 67 patients included, 58.2% required opioids in the perioperative setting, with a mean dose of 12.3 mg morphine milligram equivalents (MMEs). Furthermore, 17.9% of patients required home opioid prescriptions postoperatively, while more than a third reported […]
Higher Rate of Recurrence with Hybrid Resection for Laterally Spreading Lesions of the Papilla
Hybrid resection (HR) for laterally spreading lesions of the papilla, involving hot snare papillectomy and cold snare resection, was compared to conventional hot snare resection (CR) in a study. HR was associated with a significantly higher recurrence rate of recurrent or residual adenoma (RRAs) compared to CR. The odds of recurrence were 3.6 times higher […]