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 […]
Category: Surgical Endoscopy
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 […]
Prophylactic Clipping Does Not Prevent Delayed Bleeding After Colorectal Cold Snare Polypectomy in Patients on Antithrombotic Agents
Prophylactic clipping may not be necessary to prevent delayed bleeding after colorectal cold snare polypectomy in patients on antithrombotic agents, according to a retrospective study. The rates of delayed bleeding and hematochezia did not significantly differ between patients with and without prophylactic clipping. These findings suggest that prophylactic clipping may not be effective in preventing […]
Recurrence Risk in Ampullary Adenomas: FAP vs. Sporadic Cases After Endoscopic Papillectomy
Recurrence rates of ampullary adenomas (AA) after endoscopic papillectomy (EP) were compared between patients with familial adenomatous polyposis (FAP) and sporadic AA. The study included 257 patients from 10 tertiary hospitals. Recurrence occurred in 48% of patients with FAP and 36.9% of patients with sporadic AA. The risk of recurrence was higher in FAP patients […]
Successful Endoscopic Submucosal Dissection for Barrett’s Neoplasia
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 […]
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 […]