EndoscopyPub Date : 2025-01-01Epub Date: 2024-12-19DOI: 10.1055/a-2381-7937
{"title":"Author commentary on Carlos Fernandes et al.","authors":"","doi":"10.1055/a-2381-7937","DOIUrl":"https://doi.org/10.1055/a-2381-7937","url":null,"abstract":"","PeriodicalId":11516,"journal":{"name":"Endoscopy","volume":"57 1","pages":"v3"},"PeriodicalIF":11.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863746","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}
EndoscopyPub Date : 2025-01-01Epub Date: 2024-09-03DOI: 10.1055/a-2382-5891
Yusuke Fujiyoshi, Kareem Khalaf, Daniel Tham, Mary Raina Angeli Fujiyoshi, Natalia C Calo, Jeffrey D Mosko, Gary R May, Christopher W Teshima
{"title":"Recurrence following successful eradication of neoplasia with endoscopic mucosal resection compared with endoscopic submucosal dissection in Barrett's esophagus: a retrospective comparison.","authors":"Yusuke Fujiyoshi, Kareem Khalaf, Daniel Tham, Mary Raina Angeli Fujiyoshi, Natalia C Calo, Jeffrey D Mosko, Gary R May, Christopher W Teshima","doi":"10.1055/a-2382-5891","DOIUrl":"10.1055/a-2382-5891","url":null,"abstract":"<p><strong>Background: </strong>Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) are effective treatments for Barrett's neoplasia. However, little is known about recurrence rates following these techniques. We compared long-term neoplasia recurrence rates following EMR and ESD.</p><p><strong>Methods: </strong>This study included patients with Barrett's neoplasia (high grade dysplasia/adenocarcinoma) treated between July 2019 and December 2023 at a tertiary referral center in Canada. Outcomes were residual neoplasia at first follow-up, complete remission of neoplasia (CRN), and neoplasia recurrence following CRN.</p><p><strong>Results: </strong>157 patients were included (87 EMR, 70 ESD). Compared with EMR, the ESD group had larger lesions (median 2 vs. 3 cm, <i>P</i><0.05), more adenocarcinoma (85.1% vs. 94.3%, <i>P</i> = 0.07), and deeper submucosal invasion (T1a: 71.6% vs. 75.8%; T1b-SM1: 25.7% vs. 6.1%; T1b≥SM2: 2.7% vs. 18.2%; <i>P</i><0.05). Among 124 patients with follow-up (71 EMR, 53 ESD), 84.9% of ESD-treated patients had curative resections (i.e. R0 resection with low risk for lymph node metastasis), whereas 94.4% of EMR-treated patients had deep margin R0 resection of low risk lesions. At first follow-up, residual neoplasia (14.1% vs. 11.3%) and CRN (97.2% vs. 100%) were similar in the EMR and ESD groups, but neoplasia recurrence following CRN was significantly higher with EMR (13% vs. 1.9%, <i>P</i><0.05), with cumulative probability of recurrence at 3 years of 18.3% vs. 4.2%, respectively.</p><p><strong>Conclusions: </strong>Neoplasia recurrence following CRN was significantly higher following EMR compared with ESD, suggesting that ESD may be superior to EMR in preventing neoplasia recurrence in Barrett's esophagus.</p>","PeriodicalId":11516,"journal":{"name":"Endoscopy","volume":" ","pages":"5-13"},"PeriodicalIF":11.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142125156","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}
EndoscopyPub Date : 2025-01-01Epub Date: 2024-12-19DOI: 10.1055/a-2388-6548
{"title":"Author commentary on Belén Martinez-Moreno et al.","authors":"","doi":"10.1055/a-2388-6548","DOIUrl":"https://doi.org/10.1055/a-2388-6548","url":null,"abstract":"","PeriodicalId":11516,"journal":{"name":"Endoscopy","volume":"57 1","pages":"v4"},"PeriodicalIF":11.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863727","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}
EndoscopyPub Date : 2025-01-01Epub Date: 2024-12-19DOI: 10.1055/a-2386-9046
Andrea Sorge, Giulia Tosetti, Massimo Primignani, Gian Eugenio Tontini
{"title":"Band-on-band endoscopic variceal ligation and alternative treatment strategies: Reply to Hu et al.","authors":"Andrea Sorge, Giulia Tosetti, Massimo Primignani, Gian Eugenio Tontini","doi":"10.1055/a-2386-9046","DOIUrl":"https://doi.org/10.1055/a-2386-9046","url":null,"abstract":"","PeriodicalId":11516,"journal":{"name":"Endoscopy","volume":"57 1","pages":"90-91"},"PeriodicalIF":11.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863754","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}
EndoscopyPub Date : 2025-01-01Epub Date: 2024-12-19DOI: 10.1055/a-2386-9001
Ye Hu, Yi Zhang, Leiming Xu
{"title":"Comments on \"Band-on-band endoscopic variceal ligation: a technique for the treatment of esophageal varices in case of band misplacement\".","authors":"Ye Hu, Yi Zhang, Leiming Xu","doi":"10.1055/a-2386-9001","DOIUrl":"https://doi.org/10.1055/a-2386-9001","url":null,"abstract":"","PeriodicalId":11516,"journal":{"name":"Endoscopy","volume":"57 1","pages":"90"},"PeriodicalIF":11.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863769","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}
EndoscopyPub Date : 2025-01-01Epub Date: 2024-09-16DOI: 10.1055/a-2398-9277
Miguel Areia
{"title":"Post-endoscopy upper gastrointestinal cancer: how to move from the dark side.","authors":"Miguel Areia","doi":"10.1055/a-2398-9277","DOIUrl":"10.1055/a-2398-9277","url":null,"abstract":"","PeriodicalId":11516,"journal":{"name":"Endoscopy","volume":" ","pages":"29-30"},"PeriodicalIF":11.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142282155","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}
EndoscopyPub Date : 2025-01-01Epub Date: 2024-12-19DOI: 10.1055/a-2381-7867
{"title":"Author commentary on Alexander Waldthaler et al.","authors":"","doi":"10.1055/a-2381-7867","DOIUrl":"https://doi.org/10.1055/a-2381-7867","url":null,"abstract":"","PeriodicalId":11516,"journal":{"name":"Endoscopy","volume":"57 1","pages":"v1"},"PeriodicalIF":11.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142863712","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}
EndoscopyPub Date : 2025-01-01Epub Date: 2024-07-18DOI: 10.1055/a-2369-0759
Belén Martinez-Moreno, Juan Martínez Martínez, Iván Herrera, Lucía Guilabert, María Rodríguez-Soler, Pablo Bellot, Cayetano Miralles, Sonia Pascual, Javier Irúrzun, Pedro Zapater, José María Palazón-Azorín, Vicente Gil Guillén, Rodrigo Jover, José R Aparicio
{"title":"Correlation of endoscopic ultrasound-guided portal pressure gradient measurements with hepatic venous pressure gradient: a prospective study.","authors":"Belén Martinez-Moreno, Juan Martínez Martínez, Iván Herrera, Lucía Guilabert, María Rodríguez-Soler, Pablo Bellot, Cayetano Miralles, Sonia Pascual, Javier Irúrzun, Pedro Zapater, José María Palazón-Azorín, Vicente Gil Guillén, Rodrigo Jover, José R Aparicio","doi":"10.1055/a-2369-0759","DOIUrl":"10.1055/a-2369-0759","url":null,"abstract":"<p><strong>Background: </strong>Hepatic venous portal gradient (HVPG) measurement remains the gold standard for estimating portal pressure gradient (PPG). This study aimed to evaluate the correlation between endoscopic ultrasound (EUS)-guided PPG and HVPG in patients with chronic portal hypertension.</p><p><strong>Methods: </strong>Patients with chronic portal hypertension in whom HVPG assessment was clinically indicated were invited to undergo transjugular HVPG and EUS-PPG with a 22-G needle in separate sessions for comparison. Intraclass correlation coefficient (ICC) and the Bland-Altman method were used to evaluate the agreement between techniques.</p><p><strong>Results: </strong>33 patients were included. No significant differences in technical success were observed: EUS-PPG (31/33, 93.9%) vs. HVPG (31/33, 93.9%). Overall, 30 patients who underwent successful EUS-PPG and HVPG were analyzed. Correlation between the two techniques showed an ICC of 0.82 (0.65-0.91). Four patients had major discrepancies (≥5 mmHg) between HVPG and EUS-PPG. No significant differences in adverse events were observed.</p><p><strong>Conclusions: </strong>The correlation between EUS-PPG and HVPG was almost perfect. EUS-PPG could be a safe and reliable method for direct PPG measurement in patients with cirrhosis and a valid alternative to HVPG.</p>","PeriodicalId":11516,"journal":{"name":"Endoscopy","volume":" ","pages":"62-67"},"PeriodicalIF":11.5,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141723295","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}