In a study analyzing 1,259 colorectal polyps from 1,025 patients, complete closure using titanium clips significantly reduced the incidence of delayed postpolypectomy bleeding (DPPB) to 3.6%. Factors influencing DPPB included male gender and polyp size, both immutable, while incomplete closure presented a higher risk. Logistic regression supported these findings, underscoring the importance of full closure […]
Category: Surgical Endoscopy
Minimally invasive endoscopic interventions outperform traditional surgery for pancreatic fluid collections
A review highlights a shift toward minimally invasive endoscopic interventions for managing symptomatic pancreatic fluid collections linked to acute pancreatitis. Endoscopic transmural drainage and necrosectomy show comparable effectiveness to traditional surgery but with fewer adverse effects. Early intervention may be warranted in cases of suspected infection and organ dysfunction. Key findings support ongoing evolution and […]
Interventional EUS improves biliary drainage success in patients
In a retrospective multicenter study of 432 patients with surgically altered anatomy, endoscopic biliary drainage (BD) achieved technical and clinical success rates of 80.3% and 79.9%, respectively. Adverse events were more common in those with Billroth-II reconstruction (14.4%). Notably, the last two years showed increased use of interventional EUS, leading to significantly better clinical outcomes […]
Endoscopic stenting effectively treats Boerhaave’s syndrome
A systematic review of endoscopic stenting for Boerhaave’s syndrome highlights its effectiveness, achieving a closure success rate of 72.4% and a leak occlusion rate of 93%. Despite the advantages of this minimally invasive approach, researchers noted significant methodological and patient diversity contributing to high heterogeneity in the findings. This analysis emphasizes the need for improved […]
AI system enhances polyp detection in colonoscopy
The developed AI-assisted system significantly improves the detection and localization of colorectal polyps during colonoscopy. Out of five CNN models tested, EfficientNetV2 excelled, achieving an accuracy of 93.3% and a specificity of 94.6% on the test set. The system’s performance metrics, including a high AUC of 0.983, suggest its potential for clinical applications, as illustrated […]
Indeterminate bile duct cytology carries significant malignancy risks
A systematic review revealed that among 8,458 bile duct samples with indeterminate cytology, the overall risk of malignancy was 60.1%. Specifically, atypical cytology had a malignancy risk of 50.4%, while suspicious cytology exhibited a higher risk at 80.2%. Furthermore, suspicious cytology significantly correlated with a 1.59-fold increased risk of malignancy compared to atypical results. These […]
Incomplete resections lead to high rates of residual tumors
A significant 48.4% of patients undergoing salvage local resection (SLR) for incompletely resected rectal neuroendocrine tumors (r-NETs) had residual tumors. Rates varied by resection method: 70% for cold forceps polypectomy, 41.7% for conventional polypectomy/endoscopic mucosal resection, and 0% for modified techniques. Multivariate analysis indicated that suspected remnant tumors and the use of cold forceps were […]
ERAS interventions enhance recovery in gastrointestinal tumor patients
A study found that enhanced recovery after surgery (ERAS) nursing interventions significantly improved postoperative outcomes for patients undergoing endoscopic resection of early gastrointestinal tumors. Compared to conventional care, patients in the ERAS group experienced lower complication rates, shorter hospital stays (4.8 vs. 6.3 days), and higher satisfaction and quality of life at three months. The […]
Advanced EUS imaging enhances diagnosis and treatment success rates
Endoscopic ultrasonography (EUS) with novel scopes and ultrasound systems proves effective for diagnosing pancreaticobiliary diseases, evidenced by a 100% success rate in interventional procedures. Although shear wave velocity (SWV) showed no significant differences among various pancreatic conditions, variations in effective SWV were noted. The advanced imaging techniques, including detective flow imaging (DFI) and shear wave […]
Optimal platelet count threshold established for colonoscopic polypectomy
A large-scale analysis identified a minimum platelet count of 90,000/μl as crucial for safe colonoscopic polypectomy, indicating that patients below this threshold face significantly heightened risks of both immediate and delayed postpolypectomy bleeding (ppb). Specifically, odds ratios indicated a 2.67-fold increase in immediate ppb and a 9.66-fold increase in delayed ppb among those with insufficient […]