Gastrointestinal endoscopy最新文献

{"title":"Gastroduodenal artery pseudoaneurysm mimicking Mirizzi syndrome.","authors":"Kishalaya, Srijan Mazumdar, Shruti Sadanand Jha, Anasua Bandyopadhyay, Falguni Hota, Dipankar Mondal, Souveek Mitra","doi":"10.1016/j.gie.2025.02.006","DOIUrl":"https://doi.org/10.1016/j.gie.2025.02.006","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382164","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":"Safety and efficacy of endoscopic ultrasound-guided pelvic abscess drainage with lumen-apposing metal stents for complicated acute diverticulitis.","authors":"Andrea Lisotti, Francesca D'Errico, Pietro Fusaroli, Francesco Decembrino, Graziella Masciangelo, Tawfik Khoury, Giovanni Barbara, Sarah Leblanc, Vincent Lepilliez, Bertrand Napoléon, Gianfranco Donatelli","doi":"10.1016/j.gie.2025.02.003","DOIUrl":"https://doi.org/10.1016/j.gie.2025.02.003","url":null,"abstract":"<p><strong>Background and aims: </strong>Endoscopic ultrasound-guided pelvic abscess drainage (EUS-PAD) with lumen-apposing metal stents (LAMS) is an alternative approach for post-surgical and inflammatory pelvic collections. We assess the safety and efficacy of EUS-PAD with LAMS in a large population of complicated acute diverticulitis (AD).</p><p><strong>Methods: </strong>We retrieved consecutive patients who underwent EUS drainage attempts for complicated AD from 2019-2023 in three referral centers. All cases have been considered suitable for EUS-PAD after multidisciplinary discussion. Continuous variables are expressed as median [interquartile range].</p><p><strong>Results: </strong>Sixty-six patients were retrieved; in 13 cases EUS-PAD was not indicated since no or small abscess was found. Fifty-three patients (29 female; age 74 [62-83] year-old] were finally included. Forty (75.5%) patients had pelvic abscess, while 13 (24.5%) had a para-colonic abscess, with a median size of 50 [40-60] mm. Trans-rectal and trans-colonic EUS-PAD were performed in 34 (64.2%) and 19 (35.8%) cases, respectively. Technical and clinical success rates were 92.5% and 88.7%; incidence of adverse events was 3.8% (one bleeding, one late migration). LAMS were removed after 19 [14-28] days. Median follow-up was 12 [8-12] months. Four (7.5%) patients underwent urgent Hartmann sigmoidectomy, while 12 (22.6%) patients required elective surgery; two (3.8%) patients presented recurrent diverticular abscesses. No procedure-related or disease-specific mortality was observed.</p><p><strong>Conclusion: </strong>EUS-PAD could be considered a safe and effective rescue strategy in case of failed or contraindicated percutaneous approach for the management of complicated AD to reduce the need for urgent surgery. Comparative data is necessary to confirm these observations.</p>","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382166","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":"Gastric tuberculosis resembling submucosal tumors of the stomach.","authors":"Yuqing Wu, Haifeng Zhou","doi":"10.1016/j.gie.2025.02.007","DOIUrl":"10.1016/j.gie.2025.02.007","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382163","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":"Ergonomic Impact of an Automated Device for Endoscopic Tool Insertion and Transfer.","authors":"Sang Hyun Kim, Hyuk Soon Choi, Bo Mee Lee, Han Jo Jeon, Jae Min Lee, Eun Sun Kim, Bora Keum, Yoon Tae Jeen, Hong Sik Lee, Bo Ryun Kim, Joo Ha Hwang, Hoon Jai Chun","doi":"10.1016/j.gie.2025.02.002","DOIUrl":"https://doi.org/10.1016/j.gie.2025.02.002","url":null,"abstract":"<p><strong>Background and aims: </strong>Endoscopists frequently experience musculoskeletal injuries, particularly in the distal upper extremities, due to substantial forces, awkward postures, and repetitive movements during procedures. A significant but underexplored risk factor is the repetitive exchange of endoscopic instruments. This study aimed to develop and evaluate an automatic endoscopic instrument insertion and transfer device, \"INSERTrument,\" to reduce ergonomic strain and assess its impact on wrist movements and postures.</p><p><strong>Methods: </strong>The INSERTrument was evaluated during in vivo gastric endoscopic submucosal dissection (ESD) procedures on porcine models, conducted by two experienced endoscopists. Outcomes included the number of wrist snaps, total instrument exchange time, and the percentage of time spent in high-risk wrist postures. Inertial measurement units (IMUs) were used to objectively analyze wrist joint angles. The device's performance was compared to conventional manual methods across various endoscopic instruments.</p><p><strong>Results: </strong>The INSERTrument significantly reduced the number of wrist snaps per instrument exchange (7.3 ± 1.0 vs. 69.3 ± 8.3; p < 0.05) and per ESD procedure (68.6 ± 9.4 vs. 656.0 ± 71.8; p < 0.05), achieving an average reduction of approximately 90% compared to the conventional manual method. The total instrument exchange time per ESD was also significantly reduced in the INSERTrument group compared to the conventional group (127.6 ± 19.4 sec vs. 151.6 ± 10.9 sec; p < 0.05). IMU data revealed that the INSERTrument significantly decreased the percentage of time spent in high-risk wrist postures (10.4 ± 2.4% vs. 44.4 ± 5.1%; p<0.05).</p><p><strong>Conclusions: </strong>The use of INSERTrument minimized repetitive wrist movements and high-risk postures associated with endoscopic instrument exchanges. These findings suggest that INSERTrument could improve the ergonomics of endoscopic procedures, potentially reducing the incidence of musculoskeletal injuries among endoscopists. Further studies are warranted to explore the long-term benefits and clinical implications of this device in routine endoscopic practice.</p>","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382162","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":"An unusual case of pancreatic cystic mass.","authors":"Jin-Huan Lin, Xiao-Fan Liu, Xiang Man, Zhao-Shen Li, Liang-Hao Hu","doi":"10.1016/j.gie.2025.02.009","DOIUrl":"10.1016/j.gie.2025.02.009","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382161","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":"A Rare Presentation of Esophagopericardial Fistula Arising from Benign Ulcer.","authors":"Ajay Katwala, James Lubawski, Bryan Foy, Marc Fallah, Kashyap Katwala","doi":"10.1016/j.gie.2025.02.008","DOIUrl":"https://doi.org/10.1016/j.gie.2025.02.008","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382159","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":"An Uncommon Esophageal Mass with Dynamic Changes.","authors":"Shuai Li, Yue Lv, Ruihong Zhao","doi":"10.1016/j.gie.2025.02.004","DOIUrl":"https://doi.org/10.1016/j.gie.2025.02.004","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382160","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":"Long slim versus conventional self-expandable metallic stent in bilateral endoscopic side-by-side deployment for unresectable malignant hilar biliary obstruction.","authors":"Ling Xing, Yan-Ting Liu, Xin Ye, Tian-Tian Wang, Jun Wu, Ming-Xing Xia, Bing Hu, Dao-Jian Gao","doi":"10.1016/j.gie.2025.01.040","DOIUrl":"10.1016/j.gie.2025.01.040","url":null,"abstract":"<p><strong>Background and aims: </strong>The goal of this study was to compare the advantages of long slim metal stents (LSMSs) versus conventional metal stents in bilateral endoscopic side-by-side (SBS) deployment for malignant hilar biliary obstruction (MHBO).</p><p><strong>Methods: </strong>A total of 140 consecutive patients with MHBO treated by endoscopic bilateral SBS deployment at a high-volume tertiary referral center were analyzed retrospectively; this included 50 patients in the LSMS group and the other 90 patients in the conventional SBS group as control. Propensity score matching at a 1:2 ratio was used to reduce selection bias. The primary outcome was stent patency.</p><p><strong>Results: </strong>After propensity score matching, no significant difference was observed in stent patency (267 vs 268 days; P = .923) or overall survival (225 vs 211 days; P = .883) between the 2 groups. The technical success rate was 100% in both groups, and the clinical success rate was 91.1% in the LSMS group and 92.9% in the control group (P = .735). Early and late adverse events were similar (24.4% vs 34.3%, P = .423; 42.2% vs 38.6%, P = .697); the procedure time and bilateral metal stenting time in the LSMS group were significantly shorter (41.0 minutes vs 57.5 minutes, P = .000; 19.0 minutes vs 28.5 minutes, P = .000). The success rate of endoscopic bilateral revisionary stent insertion in the LSMS group was also higher (100% vs 33.3%; P = .000).</p><p><strong>Conclusions: </strong>Bilateral LSMS placement is a viable option for patients with MHBO. It includes advantages of less operative difficulty and easier future re-intervention over conventional SBS stenting.</p>","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382165","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":"A Rare Case of Gastric Mass Due to Adrenal Tuberculosis Presenting Without Typical Clinical Manifestations of Addison's Disease.","authors":"Chuwei Zheng, Xiaowen Li, Liming Shao, Xia Ji, Jinming Zhang, Muxin Yu","doi":"10.1016/j.gie.2025.02.005","DOIUrl":"https://doi.org/10.1016/j.gie.2025.02.005","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143382158","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":"Cholangioscopy-Based Treatment and Diagnosis of an Infrequent Cause of Jaundice: Common Bile Duct Polyp.","authors":"Liying Tao, Hongguang Wang, Qingmei Guo, DongYue Wang, GuangYao Shi, Xiang Guo, Liu Lin","doi":"10.1016/j.gie.2025.01.039","DOIUrl":"https://doi.org/10.1016/j.gie.2025.01.039","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":6.7,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143364307","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}