A review highlighted significant advancements in third-space endoscopy techniques for gastrointestinal tumors. Submucosal tunneling endoscopic resection (STER) was found to be safe and effective, achieving high en bloc resection rates and reduced recovery times. Tunneling endoscopic submucosal dissection (ESD) variants also enhance outcomes for early neoplasms by improving dissection speed and minimizing adverse events. Incorporating […]
Category: Surgical Endoscopy
AI-assisted system effectively aids esophageal lesion resections
The implementation of an artificial intelligence (AI) lesion-labeling system significantly improved the complete resection rate during endoscopic submucosal dissection (ESD) in low-volume centers. In a study involving 174 patients, 90% achieved negative lateral margins, while the en bloc resection rate stood at 98.5%. Comparatively, no significant difference was found in the lateral resection rates between […]
Digital cholangioscopy is safer than surgery for Mirizzi syndrome
A multicenter study comparing digital single-operator cholangioscopy (DSOC) and surgery for Mirizzi syndrome reveals that despite lower technical success rates, DSOC significantly reduces overall and severe adverse events. Among 290 patients, those undergoing DSOC exhibited fewer complications and lower rates of conversion to open surgery and need for hepaticojejunostomy. These findings suggest that DSOC is […]
Endoscopic techniques improve outcomes for rectal precancerous lesions.
Innovative endoscopic procedures, including endoscopic submucosal dissection (ESD) and full-thickness resection, significantly enhance treatment for widespread precancerous lesions and early rectal cancers. ESD achieves over 90% R0 resection rates and offers a low recurrence risk of 3%. Notably, lesions up to 20 cm can be resected in one piece. These advancements allow thorough histopathologic analysis, […]
New strategies identified to prevent complications from ERCP
In the past five years, research highlights advancements in avoiding complications from endoscopic retrograde cholangiopancreatography (ERCP), particularly post-ERCP pancreatitis (PEP). Key findings include identifying pancreatic steatosis as a novel risk factor and employing machine learning models for PEP prediction. Prophylactic measures have expanded to encompass rectal NSAIDs, aggressive fluid hydration, and pancreatic duct stents. These […]
Endoflip improves outcomes in achalasia treatment.
A systematic review and meta-analysis of 32 studies involving 2,681 patients found that the endoscopic functional luminal imaging probe (endoflip) significantly reduced the distensibility index (DI) following myotomy, with a mean difference of -3.72. Additionally, the Eckardt score, a measure of treatment effectiveness, decreased by an average of -5.21. These findings highlight endoflip’s role in […]
Endoscopist performance outweighs high-risk polyps in colorectal cancer risk
The study reveals that the risk of post-colonoscopy colorectal cancer (PCCRC) primarily hinges on endoscopist performance rather than the presence of high-risk polyps. An analysis of data from 239,217 individuals found no significant association between high-risk polyps and PCCRC risk. Instead, higher adenoma detection rates (ADR) and proximal serrated polyp detection rates (PSPDR) correlated with […]
Endoscopic vacuum therapy outperforms traditional treatments for leakages
An overview of recent advancements reveals that endoscopic management of anastomotic leakage (AL) in the upper gastrointestinal tract has improved significantly. Endoscopic vacuum therapy (EVT) is now considered superior to traditional methods like sutures and stents, offering a lower complication rate and higher healing success. Smaller defects can still be treated effectively with endoscopic sutures […]
Prophylactic clipping demonstrates cost savings for colon polyp procedures
A comprehensive analysis of 4,557 patients revealed that prophylactic clipping after endoscopic mucosal resection for large non-pedunculated colon polyps resulted in significant cost savings. Specifically, in a typical case, clipping yielded an incremental cost-effectiveness ratio (ICER) of -$154,706. This technique proved cost-effective for large polyps and beneficial for patients on antithrombotic therapy when utilizing up […]
EUS-FNA/B proves effective for rectal and perirectal lesions
Endoscopic ultrasound-guided fine-needle aspiration and biopsy (EUS-FNA/B) was found effective in diagnosing rectal and perirectal lesions in 79.2% of cases. Of 77 patients studied, EUS-FNA/B provided conclusive diagnoses, enabling timely treatment decisions—confirming malignancies in 32 patients and preventing unnecessary procedures in 14. A definitive diagnosis of a gastrointestinal stromal tumor facilitated neoadjuvant chemotherapy and subsequent […]