keyword
https://read.qxmd.com/read/38469831/preserved-mucosa-unroofing-facilitated-closure-of-a-large-gastric-defect-after-endoscopic-full-thickness-resection
#21
JOURNAL ARTICLE
Kaisheng Zhang, Xue Xiao, Xianfei Zhong, Yu Tang
A 58-year-old woman was found to have a submucosal bulging lesion in the anterior wall of the gastric fundus during a screening esophagogastroscopy. Endosonographic evaluation revealed it to be a 3.1×2.5cm, hypoechoic mass originating from muscularis propria (MP). Endoscopic full-thickness resection (EFR) was attempted. After submucosal injection, a four-fifth circumferential mucosal incision was made around the lesion. Submucosal dissection was performed to unroof the overlying mucosa, which was preserved via the remaining one-fifth circumferential mucosal edge...
March 12, 2024: Revista Española de Enfermedades Digestivas
https://read.qxmd.com/read/38467200/the-use-of-a-self-assembling-peptide-gel-for-stricture-prevention-in-the-esophagus-after-endoscopic-submucosal-dissection-a-u-s-multicenter-prospective-study
#22
JOURNAL ARTICLE
Dennis Yang, Muhammad K Hasan, Yasi Xiao, Moamen Gabr, Salmaan Jawaid, Mai A Khalaf, Neil S Sharma, MariaJose Rojas De Leon, Mohamed O Othman, Peter V Draganov
BACKGROUND AND AIMS: Post-operative stricture is serious common adverse event following extensive endoscopic submucosal dissection (ESD) in the esophagus. The self-assembling peptide (SA) gel has been shown to promote tissue healing and re-epithelialization. We aimed to evaluate the effect of the SAP gel for esophageal stricture prevention after ESD. METHODS: Multicenter prospective study of patients who underwent esophageal ESD followed by SAP gel application between March 2022 to December 2023...
March 9, 2024: Gastrointestinal Endoscopy
https://read.qxmd.com/read/38464819/editorial-article-to-animal-experimental-study-on-magnetic-anchor-technique-assisted-endoscopic-submucosal-dissection-of-early-gastric-cancer
#23
EDITORIAL
Enrico Fiori, Antonietta Lamazza, Daniele Crocetti, Antonio V Sterpetti
In this editorial we comment on the article published in the recent issue of the World Journal of Gastrointestinal Endoscopy 2023; 15 (11): 634-680. Gastric cancer (GC) remains the fifth most common malignancy and the fourth leading cause of cancer-related death worldwide. The overall prevalence of GC has declined, although that of proximal GC has increased over time. Thus, a significant proportion of GC cases and deaths can be avoided if preventive interventions are taken. Early GC (EGC) is defined as GC confined to the mucosa or submucosa...
February 16, 2024: World Journal of Gastrointestinal Endoscopy
https://read.qxmd.com/read/38463378/efficacy-and-safety-of-endoscopic-submucosal-dissection-for-early-gastric-cancer-and-precancerous-lesions-in-elderly-patients
#24
JOURNAL ARTICLE
Wen-Si Xu, Hui-Yu Zhang, Shuang Jin, Qi Zhang, Hong-Dan Liu, Ming-Tao Wang, Bo Zhang
BACKGROUND: With advancements in the development of endoscopic technologies, the endoscopic submucosal dissection (ESD) has been one of the gold-standard therapies for early gastric cancer. AIM: To investigate the efficacy and safety ESD in the treatment of early gastric cancer and precancerous lesions in the elderly patients. METHODS: Seventy-eight elderly patients with early gastric cancer and precancerous lesions admitted to the Third Affiliated Hospital of Qiqihar Medical University were selected and classified into two groups according to the different surgical therapies they received between January 2021 and June 2022...
February 27, 2024: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38463350/postoperative-encapsulated-hemoperitoneum-in-a-patient-with-gastric-stromal-tumor-treated-by-exposed-endoscopic-full-thickness-resection-a-case-report
#25
Hui-Fei Lu, Jing-Jing Li, De-Bin Zhu, Li-Qi Mao, Li-Fen Xu, Jing Yu, Lin-Hua Yao
BACKGROUND: Gastric stromal tumors, originating from mesenchymal tissues, are one of the most common tumors of the digestive tract. For stromal tumors originating from the muscularis propria, compared with conventional endoscopic submucosal dissection (ESD), endoscopic full-thickness resection (EFTR) can remove deep lesions and digestive tract wall tumors completely. However, this technique has major limitations such as perforation, postoperative bleeding, and post-polypectomy syndrome...
February 27, 2024: World Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38455226/phlegmonous-colitis-after-cold-snare-polypectomy-in-an-immunosuppressed-patient-a-case-report
#26
Karen Kimura, Chikamasa Ichita, Chihiro Sumida, Takashi Nishino, Miki Nagayama, Jun Kubota, Haruto Hirose, Akiko Sasaki
INTRODUCTION: Cold snare polypectomy (CSP) is a procedure with a low risk of complications. Here, we present our experience of a rare case of submucosal abscess following CSP in an immunosuppressed patient. CASE PRESENTATION: Seventy-eight-year-old man underwent CSP, developing a fever, chills, and right lower abdominal pain 8 days later. Ultrasound and computed tomography revealed wall thickening of the ascending colon, presenting as whitening and thickening of the same region, and excretion of pus was observed after biopsy...
2024: Case Reports in Gastroenterology
https://read.qxmd.com/read/38455132/endoscopic-resection-for-calcifying-fibrous-tumors-of-the-gastrointestinal-tract
#27
JOURNAL ARTICLE
Zi-Han Geng, Yan Zhu, Pei-Yao Fu, Yi-Fan Qu, Shi-Yao Chen, Yun-Shi Zhong, Yi-Qun Zhang, Wei-Feng Chen, Wen-Zheng Qin, Jian-Wei Hu, Ming-Yan Cai, Li-Qing Yao, Quan-Lin Li, Ping-Hong Zhou
BACKGROUND: Calcifying fibrous tumors (CFTs) are rare mesenchymal lesions that can occur in various sites throughout the body, including the tubular gastrointestinal (GI) tract. AIM: To analyze the clinical findings of 36 patients with GI tract CFTs to provide guidance for diagnosis and treatment. METHODS: This retrospective study included 36 patients diagnosed with CFTs of the GI tract. We collected demographic and clinical information and conducted regular follow-ups to assess for local recurrence...
February 24, 2024: World Journal of Clinical Oncology
https://read.qxmd.com/read/38454242/being-a-female-gastroenterologist-in-turkey
#28
JOURNAL ARTICLE
Züleyha Akhan Çetinkaya, Özdal Ersoy, Nurdan Tözün
BACKGROUND/AIMS: Our aim is to examine the representation of woman gastroenterologists in both work and social life in Turkey and to elucidate the difficulties they encounter during their career pathways or while actively practicing their profession. MATERIALS AND METHODS: A self-structured survey consisting of 25 questions was sent via email to all 152 female gastroenterologists. Survey results were received from 140 participants. RESULTS: Sixty percent of the woman gastroenterologists had marriage-career conflicts, and 74% of them stated that they could not manage work-life balance with their children...
February 2024: Turkish Journal of Gastroenterology: the Official Journal of Turkish Society of Gastroenterology
https://read.qxmd.com/read/38451998/underwater-versus-conventional-endoscopic-mucosal-resection-for-%C3%A2-10-mm-sessile-or-flat-colorectal-polyps-a-systematic-review-and-meta-analysis
#29
JOURNAL ARTICLE
Xue Wang, Yue Wang, Xueyan Cao, Chunmei Zhang, Lin Miao
BACKGROUND AND AIM: Underwater endoscopic mucosal resection (UEMR) has been an emerging substitute for conventional EMR (CEMR). This systematic review and meta-analysis aimed at comparing the efficiency and safety of the two techniques for removing ≥10 mm sessile or flat colorectal polyps. METHODS: PubMed, Cochrane Library and Embase databases were searched up to February 2023 to identify eligible studies that compared the outcomes of UEMR and CEMR. This meta-analysis was conducted on the en bloc resection rate, R0 resection rate, complete resection rate, procedure time, adverse events rate and recurrence rate...
2024: PloS One
https://read.qxmd.com/read/38449987/a-case-of-duodenal-adenocarcinoma-effectively-highlighted-by-linked-color-imaging-and-confirmed-by-histopathology
#30
Kimitoshi Kubo, Xinhan Zhang, Ikko Tanaka, Noriko Kimura
While the differential diagnosis of duodenal adenocarcinoma versus adenoma remains the key to determining treatment strategies in patients with suspected duodenal adenocarcinoma, the role of linked color imaging (LCI) in their differential diagnosis remains insufficiently documented. In this case, esophagogastroduodenoscopy (EGD) was performed on a 67-year-old man for anemia, which revealed a 20-mm-sized, whitish, partially reddish, pedunculated lesion located in the duodenal bulb on white light imaging. Using LCI, the lesion was highlighted as a whitish, pedunculated lesion with its central and inferior areas depicted as orangish and reddish, respectively...
February 2024: Curēus
https://read.qxmd.com/read/38448623/impact-of-endoscopic-surveillance-on-the-early-diagnosis-and-endoscopic-resection-likelihood-of-gastric-cancer
#31
JOURNAL ARTICLE
Lu Sun, Yanjie Shen, Liang Huang, Jing Zhao, Meng Li, Yue Hu, Bin Lyu
BACKGROUND: Endoscopy could help detect early gastric cancer (EGC) and improve the prognosis of patients. The aim of this study was to analyze the impact of endoscopy and endoscopic surveillance on the early detection of gastric cancer (GC), GC staging, and treatment selection. METHODS: Patients with GC diagnosed at our center from 2010 to 2022 were retrospectively analyzed and allocated to the short-interval group (had received endoscopy within 3 years before diagnosis), the long-interval group (had received endoscopy more than 3 years before diagnosis), and the unchecked group (had not received endoscopy before diagnosis)...
March 6, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38448622/short-and-long-term-effect-of-anti-reflux-mucosectomy-with-cap-assisted-endoscopic-mucosal-resection-for-refractory-gastroesophageal-disease
#32
JOURNAL ARTICLE
Yoon Soo Lee, Jee Hyun Kim, Dong Keon Yon, In Kyung Yoo
BACKGROUND AND AIMS: Anti-reflux mucosectomy with cap-assisted endoscopic mucosal resection (ARMS-C) is a safe and effective treatment for managing refractory gastroesophageal reflux disease (GERD). This study aimed to investigate the short and long-term outcomes of ARMS-C. METHODS: This study was conducted from 2018 to 2022, during which 115 eligible patients underwent ARMS-C. The primary endpoints of this study were to evaluate the GERD-Q questionnaire score and determine the number of patients who reduced their proton pump inhibitor (PPI) dosage or discontinued PPI usage...
March 6, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38445925/endoscopic-treatments-for-rectal-neuroendocrine-tumors-a-systematic-review-and-network-meta-analysis
#33
REVIEW
Jie Chen, Jianfang Ye, Xiong Zheng, Jianyong Chen
BACKGROUND: Conventional endoscopic mucosal resection (cEMR), EMR with a transparent cap, EMR using a ligation device (EMR-L), EMR after circumferential precutting (EMR-P), and endoscopic submucosal dissection (ESD) have been used for resecting rectal neuroendocrine tumors (r-NETs). However, there is no consensus regarding which is the best treatment. This study aimed to compare the outcomes of the aforementioned 5 techniques for resecting r-NETs by network meta-analysis. METHODS: Electronic databases (PubMed, Cochrane Library, Embase, Ovid Medline, and Web of Science) were systematically searched to include relevant studies published from inception to September 1, 2023...
March 2024: Journal of Gastrointestinal Surgery
https://read.qxmd.com/read/38442883/-endoscopic-resection-techniques-for-precancerous-and-early-cancerous-lesions-in-the-rectum
#34
JOURNAL ARTICLE
Jürgen Hochberger, Martin Loss, Elena Kruse
Today, endoscopy plays a decisive role not only in the detection of colorectal adenomas and carcinomas, but also in the treatment of precancerous lesions, in particular flat adenomas and early carcinomas. In recent years, endoscopic submucosal dissection (ESD) has become increasingly important alongside classic polypectomy and mucosal resection after saline injection using a snare (EMR). Using ESD the lesion is marked, injected submucosally using viscous substances and the mucosa incised and tunneled with a transparent cap and a fine diathermy knife...
February 2024: Zentralblatt Für Chirurgie
https://read.qxmd.com/read/38438673/the-role-of-advanced-endoscopy-in-appendiceal-polyp-management-and-outcomes
#35
JOURNAL ARTICLE
Carla F Justiniano, Ilker Ozgur, David Liska, Michael A Valente, Scott R Steele, Emre Gorgun
BACKGROUND: Appendiceal orifice lesions are often managed operatively with limited or oncologic resections. The aim is to report the management of appendiceal orifice mucosal neoplasms using advanced endoscopic interventions. METHODS: Patients with appendiceal orifice mucosal neoplasms who underwent advanced endoscopic resections between 2011 and 2021 with either endoscopic mucosal resection (EMR), endoscopic mucosal dissection (ESD), hybrid ESD, or combined endoscopic laparoscopic surgery (CELS) were included from a prospectively collected dataset...
March 4, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38434145/multicenter-study-of-invasive-gastric-cancer-detected-after-10-years-of-helicobacter-pylori-eradication-in-japan-clinical-endoscopic-and-histopathologic-characteristics
#36
JOURNAL ARTICLE
Masaaki Kobayashi, Junko Fujisaki, Ken Namikawa, Shu Hoteya, Akiko Sasaki, Kotaro Shibagaki, Kenshi Yao, Seiichiro Abe, Ichiro Oda, Hiroya Ueyama, Hajime Isomoto, Masanori Ito, Mitsushige Sugimoto, Takashi Kawai, Masaaki Kodama, Kazunari Murakami, Kyoichi Adachi, Nobuyuki Matsuhashi, Ken Ohata, Toshikazu Ushijima, Mototsugu Kato, Shin'ichi Miyamoto, Daisuke Yoshimura, Takashi Yao, Kazuyoshi Yagi, Moriya Iwaizumi, Naomi Uemura
OBJECTIVES: Gastric cancer can be diagnosed even in patients long after Helicobacter pylori eradication. Most cases involve intramucosal lesions; however, some are invasive and require surgery. To clarify appropriate long-term surveillance methods, this study compared invasive gastric cancer diagnosed ≥10 and <10 years after eradication. METHODS: This retrospective multicenter study included 14 institutions. We included 377 patients with gastric cancer with submucosal or deep invasion after surgical or endoscopic resection...
April 2024: DEN Open
https://read.qxmd.com/read/38432985/a-case-of-refractory-gastroesophageal-reflux-disease-successfully-treated-with-endoscopic-anti-gastroesophageal-reflux-mucosal-resection-by-the-esd-g-method-with-video
#37
JOURNAL ARTICLE
Shun Sasaki, Kazuhiro Ota, Taro Iwatsubo, Noriaki Sugawara, Akitoshi Hakoda, Hironori Tanaka, Yosuke Mori, Toshihisa Takeuchi, Kazuhide Higuchi, Hiroki Nishikawa
A 70-year-old man who had undergone treatment for gastroesophageal reflux disease (GERD) by a family doctor presented to our hospital with severe heartburn and dysphagia despite taking vonoprazan (20 mg) for 3 months. A diagnosis of vonoprazan-refractory nonerosive reflux disease was made based on esophagogastroduodenoscopy and esophageal function examinations. The patient elected to undergo endoscopic treatment for GERD. Therefore, we performed endoscopic treatment using the endoscopic submucosal dissection (ESD-G) technique developed at our institution...
March 4, 2024: Internal Medicine
https://read.qxmd.com/read/38429572/risk-factors-for-positive-resection-margins-after-endoscopic-resection-for-gastrointestinal-neuroendocrine-tumors
#38
JOURNAL ARTICLE
Liu Han, Jianglei Li, Chengbai Liang, Yi Chu, Yongjun Wang, Liang Lv, Deliang Liu, Yuyong Tan
BACKGROUND: In recent years, the incidence of gastrointestinal neuroendocrine tumors (GI-NETs) has remarkably increased due to the widespread use of screening gastrointestinal endoscopy. Currently, the most common treatments are surgery and endoscopic resection. Compared to surgery, endoscopic resection possesses a higher risk of resection margin residues for the treatment of GI-NETs. METHODS: A total of 315 patients who underwent surgery or endoscopic resection for GI-NETs were included...
March 1, 2024: Surgical Endoscopy
https://read.qxmd.com/read/38421085/sprayable-hydrogel-sealant-for-gastrointestinal-wound-shielding
#39
JOURNAL ARTICLE
Gonzalo Muñoz Taboada, Daniel Dahis, Elazer Edelman, Natalie Artzi
Naturally occurring internal bleeding, such as in stomach ulcers, and complications following interventions, like polyp resection post-colonoscopy, may result in delayed (5-7 days) post-operative adverse events-such as bleeding, intestinal wall perforation, and leakage. Current solutions for controlling intra- and post-procedural complications are limited in effectiveness. Hemostatic powders only provide a temporary solution due to their short-term adhesion to GI mucosal tissues (less than 48 hours). In this study, we developed a sprayable adhesive hydrogel for facile application and sustained adhesion to GI lesions using clinically available endoscopes...
February 29, 2024: Advanced Materials
https://read.qxmd.com/read/38418684/cold-snare-polypectomy-with-or-without-submucosal-injection-for-endoscopic-resection-of-colorectal-polyps-a-meta-analysis-of-randomized-controlled-trials
#40
JOURNAL ARTICLE
Xiu-He Lv, Tong Liu, Zi-Jing Wang, Tao Gan, Jin-Lin Yang
BACKGROUND AND AIMS: The impact of submucosal injection during cold snare polypectomy (CSP) remains uncertain. We conducted an evidence-based comparison of conventional CSP (C-CSP) and CSP with submucosal injection (SI-CSP) for colorectal polyp resection. METHODS: PubMed, Embase, and the Cochrane Library databases were searched for randomized controlled trials (RCTs) comparing C-CSP with SI-CSP. Major outcomes included the rates of complete resection, en bloc resection, polyp retrieval, and adverse events, as well as the duration of polypectomy...
February 28, 2024: Digestive Diseases and Sciences
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