Ultra-early postoperative endoscopy within 24 hours significantly reduces anastomotic leaks after minimally invasive esophagectomy (MIE).

• Anastomotic leak rates dropped from 20.07% to 11.31% with ultra-early endoscopy (p=0.007).
• Hypoproteinemia rates fell from 21.90% to 9.49% (p<0.001), and median hospital stay decreased (p=0.01).

This approach safely enables earlier risk detection and promotes faster enteral nutrition, improving patient outcomes.

• No increase in adverse events or mortality was seen with ultra-early endoscopy.

The pocket-creation method for gastric tumors matches conventional techniques in safety and effectiveness, with fewer subsequent surgeries.

• Adverse event rates: 14.3% for pocket-creation vs. 12.9% for conventional.
• Significantly lower need for further surgery in pocket-creation group (2.9% vs. 12.9%, p=0.028).

Consider using the pocket-creation method to reduce follow-up interventions while achieving comparable resection rates.

• Procedure times are similar: 56.8 min for pocket-creation vs. 59.7 min for conventional.

Forward-viewing endoscopy with a cap shows similar efficacy to side-viewing duodenoscopy for ERCP in Billroth II patients.

• No significant differences in biliary cannulation or clinical success rates between the two techniques.
• Adverse event rates were comparable; however, post-ERCP pancreatitis rates were higher with the forward-viewing approach (14.5% vs 6.7%).

Surgeons should interpret these findings cautiously due to limited sample sizes and consider patient selection when choosing techniques.

• Larger studies are needed for clearer insights into the safety and efficacy of these approaches.