A comparative analysis reveals ARMS as a preferable option for treating gastroesophageal reflux disease (GERD) due to shorter procedure times and reduced complications, specifically dysphagia and bleeding. While TIF shows higher rates of recurrence and reoperation, it offers better long-term efficacy in medication reduction and quality-of-life improvements, particularly in previously untreated patients. Individual treatment choices […]
Category: Surgical Endoscopy
Postsurgical endoscopy is essential for optimal GI surgery outcomes
Postsurgical endoscopy emerges as a vital diagnostic tool in gastrointestinal surgery. It significantly aids in early complication detection, healing assessment, symptom management, and monitoring for cancer recurrence. As endoscopic techniques advance, their integration into clinical practice and surgical training is crucial for improving postoperative care. This review not only highlights the advancements in endoscopic technologies […]
New robotic system enhances independence in endoscopic surgery
An innovative endoscopic assistive robot utilizing motion capture control allows surgeons to operate the endoscope with one hand, improving independence during procedures. The design addresses traditional friction wheel issues with an omnidirectional wheel, achieving a maximum delivery error of just 3.99% and enhancing rotational precision by 45.77%. Positive feedback emerged from both simulated and animal […]
A new metric may enhance colonoscopy quality assessment
A novel case-mix-adjusted mean number of polyps (amnp) was developed as a key performance indicator (KPI) for colonoscopy quality. An analysis of 92,892 procedures revealed that amnp correlates strongly with polyp detection rates (PDR) and proximal polypectomy rates (PPR). Units with lower post-colonoscopy colorectal cancer rates demonstrated lower median amnp, suggesting this new KPI could […]
Innovative endoscopic techniques enhance management of gastrointestinal defects
Endoscopic approaches have advanced significantly in managing gastrointestinal perforations, leaks, and fistulae, offering a safer alternative to traditional surgery. Recent innovations like closure devices, internal drainage, and vacuum therapy have expanded treatment options, emphasizing a customized, multidisciplinary approach. Clinicians noted that these techniques lower the risk of morbidity and mortality, though challenges remain due to […]
One-fifth of refractory caustic esophageal stricture patients benefit from endoscopic treatment.
Only 20% of patients with caustic refractory benign esophageal strictures (CRBES) were successfully treated with stepwise endoscopic interventions. The success rate was notably higher in those with the recurrent subtype (73%) versus the refractory subtype (0%). A significant 80% of patients eventually required esophageal reconstruction, which demonstrated a high success rate, achieving nutritional autonomy in […]
Pancreatic guidewire-assisted fistulotomy proves more effective
In a trial involving 194 patients facing difficult biliary cannulation, the pancreatic guidewire-assisted fistulotomy method achieved a significantly higher success rate of 93.8%, compared to 81.4% for the transpancreatic biliary sphincterotomy technique (p=0.01). Both techniques exhibited similar rates of adverse events, suggesting that fistulotomy is the preferred choice after failed cannulation attempts. The transpancreatic method […]
Guidance aids decision-making for managing colorectal polyps
Guidelines developed by the BSG/ACPGBI assist clinicians in managing colorectal polyps for patients with a life expectancy of under 10 years. The guidance outlines 33 recommendations drawn from a consensus process involving 28 experts. It includes assessments of life expectancy, polyp characteristics, and risks of polypectomy versus conservative management. A comparative model has been established […]
EMR shows lower mortality and healthcare utilization than surgery
In a comparative study of colon adenomas and early-stage cancers, endoscopic mucosal resection (EMR) significantly outperformed traditional surgery. Among 568 EMR patients and 2,054 surgical patients, EMR was associated with a lower all-cause mortality rate (hazard ratio 0.31) and reduced healthcare utilization over an average follow-up of 4.5 years. These findings suggest EMR is a […]
Fully-covered metal stents outperform plastic for biliary drainage
A comprehensive review of 81 studies with 26,251 patients reveals that fully-covered self-expandable metal stents used during endoscopic retrograde cholangiopancreatography result in fewer adverse events compared to plastic stents, though they carry a higher risk of pancreatitis. Plastic stents resulted in more complications and shorter duration of effectiveness. Internal stents are identified as the best […]