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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…
Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) is associated with higher rates of adverse events and recurrent biliary obstruction compared to antegrade stenting followed by EUS-HGS (EUS-HGAS) in patients with malignant distal biliary obstruction. However, EUS-HGAS significantly extends the time to recurrent biliary obstruction, potentially benefiting patients with…
The study compared endoscopic and surgical treatment in acute necrotizing pancreatitis, showing that endoscopic treatment resulted in lower peri-interventional morbidity, shorter hospital stays, and lower mortality rates. Endoscopic treatment also led to better long-term outcomes with reduced renal insufficiency, ventilation dependency, and recurrence rates, along…
Endoscopic gallbladder stenting (ETGS) significantly reduces recurrent cholecystitis in patients with deferred cholecystectomy, demonstrating 0% recurrence at 3 months compared to 18.3% in the non-ETGS group. Although not statistically significant, ETGS also shows a trend towards lower recurrence (0% vs. 10%) at 3-6 months. Technical…
EUS-guided gallbladder drainage using lumen-apposing metal stents (EUS-GBD-LAMS) is safer and associated with shorter hospital stays compared to percutaneous cholecystostomy tubes in nonsurgical candidates with acute cholecystitis. A systematic review and meta-analysis showed EUS-GBD-LAMS had lower rates of delayed and overall adverse events, making it…
Researchers compared different methods of EMR for large nonpedunculated colorectal polyps and found that EMR combined with snare tip soft coagulation (stsc) had the highest reduction in polyp recurrence rates (82% reduced odds), followed by underwater EMR alone (77% reduced odds) and EMR combined with…
The study compared endoscopic and surgical treatment in acute necrotizing pancreatitis, showing that endoscopic treatment resulted in lower peri-interventional morbidity, shorter hospital stays, and lower mortality rates. Endoscopic treatment also led to better long-term outcomes with reduced renal insufficiency, ventilation dependency, and recurrence rates, along…
Early postoperative endoscopy after minimally invasive esophagectomy is safe and effective in predicting anastomotic leakage. A retrospective study with 436 patients showed that early endoscopy did not increase adverse events but significantly decreased the incidence of anastomotic leakage (9.8% vs 22.7%) and shortened hospital stays.…
Colorectal cancer (CRC) risk after resection of low- and high-risk adenomas was investigated in a fit-based CRC screening program. The study included 87,248 post-fit+ colonoscopies and found that patients with low-risk adenomas did not have an increased CRC incidence compared to the fit+/colonoscopy negative group.…
Analysis of the MAUDE database reveals that the single operator cholangioscopy (SOC) system, specifically the SpyGlass DS and DS II devices, carries additional risks compared to standard endoscopic retrograde cholangiopancreatography. The study identifies 2,331 device problems reported between January 2016 and August 2023, with optical…
