Endoscopic ultrasound-guided tissue acquisition (EUS-TA) demonstrated high diagnostic yields in biliary lesions, achieving 96.3% sensitivity and 100% specificity. Of 71 cases, 54 were diagnosed as malignant, marking a 76.1% malignancy rate. When combined with endoscopic retrograde cholangiography (ERC), EUS-TA increased overall diagnostic accuracy from 82.5% to 94.2%, identifying 30 additional malignant cases. The procedure’s adverse […]
Category: Surgical Endoscopy
EUS-guided drainage proves effective for complicated diverticulitis
EUS-guided pelvic abscess drainage (EUS-PAD) using lumen-apposing metal stents demonstrates high efficacy and safety in managing complicated acute diverticulitis. In a study involving 53 patients, the procedure achieved a technical success rate of 92.5% and a clinical success rate of 88.7%. Adverse events were minimal, occurring in 3.8% of cases, with no procedure-related mortalities. EUS-PAD […]
Faecal immunochemical test screening matches colonoscopy in safety
A pragmatic trial involving 57,404 individuals revealed that faecal immunochemical test (FIT) screening is non-inferior to colonoscopy in reducing colorectal cancer mortality over 10 years. Participation rates were higher for FIT at 39.9% compared to colonoscopy’s 31.8%. The colorectal cancer mortality risk was nearly identical between the two groups, suggesting that a FIT-based screening program […]
Adverse events during colorectal ESD increase with age.
A nationwide study in Japan reveals that the risk of adverse events (AEs) during colorectal endoscopic submucosal dissection (ESD) escalates significantly in older adults, particularly those aged 85 and above. Among 143,925 patients, AEs were recorded at 5.3% for ages 60-64, rising to 9.2% for those over 90. The analysis highlighted significant post-operative bleeding as […]
Rendezvous treatment effectively resolves external pancreatic fistulas
Long-term follow-up of 40 patients treated for external pancreatic fistulas revealed a 100% closure rate after rendezvous internalization treatment, with an average closure time of 20 days. Complication rates were modest, including post-procedural acute pancreatitis (12.5%) and minor bleeding (7.5%). During a median follow-up of 53.5 months, 7.5% experienced fistula recurrence. Notably, new-onset diabetes mellitus […]
Spray coagulation mode enhances endoscopic dissection success
A multicenter trial revealed that spray coagulation mode endoscopic submucosal dissection (scm-esd) significantly improved completion rates for treating early gastric neoplasms without the use of hemostatic forceps, achieving 83.1% versus 13.8% for conventional forced coagulation mode (fcm-esd). Procedure time and adverse event rates were comparable between the two techniques. These findings suggest that scm-esd can […]
Standardized approach established for Endoscopic Sleeve Gastroplasty
A global expert consensus defined standardized practices for Endoscopic Sleeve Gastroplasty (ESG) utilizing a modified Delphi method. Six experts, after three survey rounds, achieved 100% agreement on six cognitive skill statements and high consensus on 21 technical skill statements. Key procedural elements emphasized were starting at the incisura, using at least six sutures, and avoiding […]
Higher OLGA and OLGIM stages increase gastric cancer risk.
Higher stages of the OLGA and OLGIM staging systems significantly correlate with an elevated risk of developing high-grade dysplasia (HGD) and gastric cancer (GC). A systematic review and meta-analysis of eight prospective cohort studies found that moving from OLGA/OLGIM categories 0-II to III-IV notably increases the likelihood of these outcomes. This validates the use of […]
EUS-PD shows high success rates and manageable adverse events
A systematic review and meta-analysis of endoscopic ultrasound-guided pancreatic duct drainage (EUS-PD) revealed significant effectiveness, with technical success at 89% and clinical success at 88%. Examining 27 trials involving 902 patients, the study also noted a 17% rate of adverse events, primarily post-EUS-PD acute pancreatitis at 3%. Other complications like bleeding, perforation, pancreatic leak, and […]
EUS-guided gallbladder drainage proves effective for acute cholecystitis
EUS-guided gallbladder drainage (EUS-GBD) is emerging as a safe, effective solution for managing acute cholecystitis in patients unfit for surgery. Recent findings indicate improved technical and clinical outcomes, especially with the use of lumen-apposing metal stents, which facilitate direct gallbladder inspection. The study emphasizes the necessity of standardized techniques and precise patient selection, while highlighting […]