Endoscopy最新文献

{"title":"Atypical esophageal submucosal tumor lesion with aortoesophageal fistula after thoracic endovascular aortic repair.","authors":"Koichi Soga","doi":"10.1055/a-2229-4347","DOIUrl":"10.1055/a-2229-4347","url":null,"abstract":"","PeriodicalId":11516,"journal":{"name":"Endoscopy","volume":"56 S 01","pages":"E61-E62"},"PeriodicalIF":11.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10805612/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139541967","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antegrade stenting using a new covered multi-hole metal stent for malignant biliary obstruction in surgically altered anatomy.","authors":"Kojiro Tanoue, Hirotsugu Maruyama, Yoshinori Shimamoto, Tatsuya Kurokawa, Yuki Ishikawa-Kakiya, Akira Higashimori, Yasuhiro Fujiwara","doi":"10.1055/a-2233-2843","DOIUrl":"10.1055/a-2233-2843","url":null,"abstract":"","PeriodicalId":11516,"journal":{"name":"Endoscopy","volume":"56 S 01","pages":"E98-E99"},"PeriodicalIF":9.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10837031/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139671503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multifocal stenosis in purulent appendicitis with fecalith.","authors":"Fan Wang, Yue Zhu, Qiu Zhao, Hongling Wang","doi":"10.1055/a-2239-3401","DOIUrl":"10.1055/a-2239-3401","url":null,"abstract":"","PeriodicalId":11516,"journal":{"name":"Endoscopy","volume":"56 S 01","pages":"E108-E109"},"PeriodicalIF":9.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10837025/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139671508","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Band-on-band endoscopic variceal ligation: a technique for the treatment of esophageal varices in case of band misplacement.","authors":"Andrea Sorge, Tommaso Pessarelli, Luca Elli, Nicoletta Nandi, Giulia Tosetti, Massimo Primignani, Gian Eugenio Tontini","doi":"10.1055/a-2268-5513","DOIUrl":"10.1055/a-2268-5513","url":null,"abstract":"","PeriodicalId":11516,"journal":{"name":"Endoscopy","volume":"56 S 01","pages":"E211-E212"},"PeriodicalIF":9.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10907115/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140012430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Treatment of a sessile serrated adenoma/polyp deeply invading the appendiceal orifice enabled by combined adaptive traction and underwater endoscopic submucosal dissection.","authors":"Elena De Cristofaro, Louis-Jean Masgnaux, Alexandru Lupu, Timothée Wallenhorst, Jérémie Jacques, Jérôme Rivory, Mathieu Pioche","doi":"10.1055/a-2268-5673","DOIUrl":"10.1055/a-2268-5673","url":null,"abstract":"","PeriodicalId":11516,"journal":{"name":"Endoscopy","volume":"56 S 01","pages":"E215-E216"},"PeriodicalIF":9.3,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10907116/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140012440","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Biflanged metal stents versus plastic stents for endoscopic ultrasound-guided drainage of walled-off necrosis: a randomized controlled trial.","authors":"Krithi Krishna Koduri, Nitin Jagtap, Sundeep Lakhtakia, Basha Jahangeer, Shujaath Asif, Rupjyoti Talukdar, Guru Trikudanathan, Manu Tandan, Rakesh Kalapala, Zaheer Nabi, Rajesh Gupta, Mohan Ramchandani, Jagadish Singh, Sana Fatima Memon, G Venkat Rao, D Nageshwar Reddy","doi":"10.1055/a-2332-3448","DOIUrl":"10.1055/a-2332-3448","url":null,"abstract":"<p><strong>Background: </strong>Endoscopic ultrasound (EUS)-guided drainage of walled-off necrosis (WON) using either plastic or metal stents is the mainstay of WON management. Our single-center randomized controlled trial aimed to evaluate the efficacy of biflanged metal stents (BFMSs) and plastic stents for WON drainage.</p><p><strong>Methods: </strong>Patients with symptomatic WON amenable to EUS-guided drainage were randomized to receive either BFMSs or plastic stents. The primary outcome was reintervention-free clinical success at 4 weeks. Secondary outcomes were: overall clinical success (complete resolution of symptoms and significant reduction in size of WON [<50% of original size and <5 cm in largest diameter at 4-week follow-up]); number of reinterventions; adverse events (AEs); hospital stay for first admission; and medium-term outcomes at 6 months (recurrence, disconnected pancreatic duct, chronic pancreatitis, and new-onset diabetes mellitus).</p><p><strong>Results: </strong>92 patients were randomized: 46 in each arm. The reintervention-free clinical success rate was significantly higher in the BFMS group on intention-to-treat analysis (67.4% vs. 43.5%; <i>P</i> = 0.02). Overall clinical success at 1 month was similar in both groups. There were significantly fewer reinterventions (median 0 [IQR 0-1] vs. 1 [0-2]; <i>P</i> = 0.03) and shorter hospital stays in the BFMS group (7.0 [SD 3.4] vs. 9.1 [5.5] days; <i>P</i> = 0.04). There were no differences in procedure-related AEs, mortality, or medium-term outcomes.</p><p><strong>Conclusions: </strong>BFMSs provide better reintervention-free clinical success at 4 weeks, with shorter hospital stay and without increased risks of AEs, compared with plastic stents for EUS-guided drainage of WON. Medium-term outcomes are however similar for both stent types.</p>","PeriodicalId":11516,"journal":{"name":"Endoscopy","volume":" ","pages":"915-923"},"PeriodicalIF":11.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141087019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Antireflux mucosectomy for gastroesophageal reflux disease: efficacy and the mechanism of action.","authors":"Thijs Kuipers, Renske A B Oude Nijhuis, Roos E Pouw, Albert J Bredenoord","doi":"10.1055/a-2333-5232","DOIUrl":"10.1055/a-2333-5232","url":null,"abstract":"<p><strong>Background: </strong>Previous studies suggested that antireflux mucosectomy (ARMS) is effective in reducing reflux symptoms and total acid exposure, although the mechanism is unknown. Our objective was to investigate the effect of ARMS on reflux parameters and its mechanism of action.</p><p><strong>Methods: </strong>Gastroesophageal reflux disease (GERD) patients with insufficient symptom control despite a twice-daily proton pump inhibitor (PPI) underwent a piecemeal multiband mucosectomy of 50% of the circumference of the esophagogastric junction (EGJ), extending 2 cm into the cardia. The primary end point was the total number of reflux episodes during 24-hour pH-impedance studies.</p><p><strong>Results: </strong>11 patients (8 men; median age 37 [interquartile range (IQR) 32-57] years) were treated, with one patient subsequently lost to follow-up. ARMS reduced the median (IQR) number of total reflux episodes (74 [60-82] vs. 37 [28-66]; P = 0.008) and total acid exposure time (8.7% [6.4%-12.7%] vs. 5.3% [3.5%-6.7%]; P = 0.03). Treatment reduced the median (IQR) number of transient lower esophageal sphincter relaxations (TLESRs) during a 90-minute postprandial period (4 [1-8] vs. 2 [1-4]; P = 0.03) and reflux symptom scores (3.6 [3.6-3.9] vs. 1.6 [0.7-2.7]; <i>P</i> = 0.005). Treatment did not increase the mean (SD) dysphagia scores (8.2 [7.3] vs. 8.5 [6.5]) or change the EGJ distensibility on impedance planimetry (4.4 [2.1] vs. 4.3 [2.2] mm2/mmHg). One delayed post-procedural bleed requiring repeat endoscopy occurred (10%); no strictures developed.</p><p><strong>Conclusion: </strong>ARMS is an effective treatment option in PPI-refractory GERD, reducing acid exposure, reflux episodes, and symptoms. While its working mechanism could not be explained by a difference in distensibility, a reduction in TLESRs might play a role.</p>","PeriodicalId":11516,"journal":{"name":"Endoscopy","volume":" ","pages":"897-905"},"PeriodicalIF":11.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141157369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Successful closure of a delayed persistent duodenal perforation using endoscopic suturing after unsuccessful surgical intervention.","authors":"Jameel Alp, Rahul Karna, Natalie Wilson, Mohammad Bilal","doi":"10.1055/a-2474-7005","DOIUrl":"10.1055/a-2474-7005","url":null,"abstract":"","PeriodicalId":11516,"journal":{"name":"Endoscopy","volume":"56 S 01","pages":"E1054"},"PeriodicalIF":11.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11606707/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142754776","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic submucosal dissection and endoscopic mucosal resection for Barrett's-associated neoplasia: a systematic review and meta-analysis of the published literature.","authors":"Dhruvil Radadiya, Madhav Desai, Harsh Patel, Jena Velji-Ibrahim, Marco Spadaccini, Sachin Srinivasan, Shruti Khurana, Viveksandeep Thoguluva Chandrasekar, Abhilash Perisetti, Alessandro Repici, Cesare Hassan, Prateek Sharma","doi":"10.1055/a-2357-6111","DOIUrl":"10.1055/a-2357-6111","url":null,"abstract":"<p><strong>Background: </strong>The role of endoscopic submucosal dissection (ESD) in the treatment of Barrett esophagus-associated neoplasia (BEN) has been evolving. We examined the efficacy and safety of ESD and endoscopic mucosal resection (EMR) for BEN.</p><p><strong>Methods: </strong>A database search was performed for studies reporting efficacy and safety outcomes of ESD and EMR for BEN. Pooled proportional and comparative meta-analyses were performed.</p><p><strong>Results: </strong>47 studies (23 ESD, 19 EMR, 5 comparative) were included. The mean lesion sizes for ESD and EMR were 22.5 mm and 15.8 mm, respectively; most lesions were Paris type IIa. For ESD, pooled analysis showed rates of en bloc, R0, and curative resection, and local recurrence of 98%, 78%, 65%, and 2%, respectively. Complete eradication of dysplasia and intestinal metaplasia were achieved in 94% and 59% of cases, respectively. Pooled rates of perforation, intraprocedural bleeding, delayed bleeding, and stricture were 1%, 1%, 2%, and 10%, respectively. For EMR, pooled analysis showed rates of en bloc, R0, and curative resection, and local recurrence of 37%, 67%, 62%, and 6%, respectively. Complete eradication of dysplasia and intestinal metaplasia were achieved in 94% and 75% of cases. Pooled rates of perforation, intraprocedural bleeding, delayed bleeding, and stricture were 0.1%, 1%, 0.4%, and 8%, respectively. The mean procedure times for ESD and EMR were 113 and 22 minutes, respectively. Comparative analysis showed higher en bloc and R0 resection rates with ESD compared with EMR, with comparable adverse events.</p><p><strong>Conclusion: </strong>ESD and EMR can both be employed to treat BEN depending on lesion type and size, and center expertise.</p>","PeriodicalId":11516,"journal":{"name":"Endoscopy","volume":" ","pages":"940-954"},"PeriodicalIF":11.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141466949","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovative application of a cystotome in the recanalization of a tight pancreatic duct stricture for abscess drainage.","authors":"Ping Yue, Chenjun Tian, Yanxian Ren, Jinduo Zhang, Wenbo Meng, Xun Li","doi":"10.1055/a-2463-5860","DOIUrl":"10.1055/a-2463-5860","url":null,"abstract":"","PeriodicalId":11516,"journal":{"name":"Endoscopy","volume":"56 S 01","pages":"E1102-E1103"},"PeriodicalIF":11.5,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11631549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142806099","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}