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In the battle against Crohn's disease-related strictures, researchers compared endotherapy (ET) and surgical therapy (ST) outcomes. The study, encompassing 59 patients with 12+ months of follow-up, showed a significantly higher re-intervention rate with ET. However, it also highlighted that re-operation could be avoided for most…
In a network meta-analysis of ten randomized controlled trials, researchers assessed the effectiveness of endoscopic ultrasound-guided celiac plexus neurolysis (EUS-CPN) in addition to medical management for abdominal pain in unresectable pancreatic cancer. Results favored EUS-CPN combined with medical management, showing significantly reduced pain intensity at…
Iatrogenic colon perforation, a rare but serious complication of colonoscopy, was studied to determine effective treatment approaches. Out of 51 cases, 84% required surgery. Notably, laparoscopic surgery was performed in 88% of cases, demonstrating its safety and feasibility. Laparoscopic primary suturing was successful in 80%…
In high-risk surgical patients with acute cholecystitis, a systematic review and meta-analysis compared two alternative treatments: endoscopic ultrasound-guided gallbladder drainage using lumen-apposing metal stents (EUS-GBD-LAMS) and percutaneous cholecystostomy (PTGBD). The study found that while the two groups had similar early adverse events, EUS-GBD-LAMS was associated…
This innovative study tackles the challenge of precisely locating tumors during minimally invasive colorectal surgery. Traditionally, blue dye has been used for preoperative marking, but it can lead to complications when spilled inside the body. The researchers introduced a new method using a near-infrared (NIR)…
Researchers investigated a hybrid hot-snare plus cold-snare resection (HR) technique compared to conventional hot-snare resection (CR) for managing laterally spreading papillary adenomas (LSL-P) in the papilla. HR showed higher rates of recurrent or residual adenoma (RRA) compared to CR (58.8% vs. 29.8%), with an odds…
A retrospective international study compared the effectiveness of self-expanding metal stents (SEMs) to plastic stents for preoperative biliary drainage in resectable perihilar cholangiocarcinoma (PCCA). Among 474 patients who received stents, SEMs showed significantly lower rates of stent failure and cholangitis. Both stenting methods led to…
Researchers examined the feasibility and safety of endoscopic resection (ER) for giant esophageal subepithelial lesions (G-SELs) in a large study. They achieved a remarkable 93.3% en bloc resection rate with a low recurrence rate. Some patients experienced adverse events (9.3% intraoperatively and 17.3% postoperatively). A…
Researchers conducted a multicenter international study on overweight patients, exploring the effectiveness and safety of Endoscopic Sleeve Gastroplasty (ESG) as an early intervention against obesity. The results, involving 189 patients, revealed that ESG is safe and effective in treating overweight individuals, with a significant rate…
Surgical coastal expeditions (SCEs) brought endoscopic services to small coastal hospitals in Greenland, aiming to increase patient accessibility and reduce transport costs. A review of 89 endoscopies during two SCEs revealed satisfactory cecal intubation rates, adenoma detection rates, and advanced adenoma detection rates. However, attention…
