Gastrointestinal endoscopy最新文献

{"title":"Gastric peroral endoscopic myotomy for gastric remnant volvulus-associated pseudo-pyloric stenosis after esophagogastrostomy.","authors":"Tian-Yu Zhang, Dong-Li He, Yun-Shi Zhong","doi":"10.1016/j.gie.2025.10.011","DOIUrl":"https://doi.org/10.1016/j.gie.2025.10.011","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":7.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274369","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":"Lumen-apposing metal stent used to facilitate gastric band retrieval in a patient with a vertical band gastroplasty.","authors":"Corey Mealer, Manjakkollai P Veerabagu","doi":"10.1016/j.gie.2025.10.009","DOIUrl":"https://doi.org/10.1016/j.gie.2025.10.009","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":7.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274360","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":"The Effect of Autonomous Mobile Robots on Improving Endoscope Reprocessing Efficiency: A Prospective Comparative Trial.","authors":"Yuqing Shi, Jianrong Bai, Meiling Zhou, Jun Cheng, Xiaoming Zhu, Xiuli Zuo, Rui Ji","doi":"10.1016/j.gie.2025.09.056","DOIUrl":"https://doi.org/10.1016/j.gie.2025.09.056","url":null,"abstract":"<p><strong>Background and aims: </strong>Autonomous mobile robots (AMRs) have an increasingly wide range of medical applications. However, their use in endoscopy centers remains underdeveloped. This study evaluated the efficiency and cost-effectiveness of AMR-assisted endoscope delivery.</p><p><strong>Methods: </strong>This was a single-center, prospective, comparative trial. An AMR system was built to distribute and retrieve endoscopes. In a five-day week, one day was randomly selected for manual transportation, while the remaining four days utilized robotic transportation, between 21st May and 21st November 2024. The primary outcome was the manpower saved, measured by full-time equivalent (FTE). Secondary outcomes included endoscope distribution and retrieval time, adverse event rate, cost-effectiveness, and nurses' perceptions of work intensity and job satisfaction.</p><p><strong>Results: </strong>A total of 5,393 manual and 21,048 AMR-assisted endoscope deliveries in outpatient endoscope rooms were included in the study. The implementation of eight AMRs reduced endoscope transport workload by 2.18 FTE. The mean distribution time (112.07±33.19 vs. 168.48±69.40 seconds; P<0.001) and retrieval time (69.96±21.08 vs. 91.32±24.89 seconds; P<0.001) was significantly shorter in the AMR-assisted group compared with the manual-delivery group. The delivery failure rate in the AMR-assisted group was 0.15% and no unsuccessful delivery occurred in the manual group. The return on investment (ROI) for the robotic system is approximately 12.8%. Nurses reported lower work intensity and higher satisfaction with the use of AMRs.</p><p><strong>Conclusions: </strong>AMR-assisted endoscope delivery has advantages over manual delivery in efficiency improvement, offering a novel solution for the management of endoscopy centers.</p>","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":7.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274329","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":"Novel self-made multi-loop dental floss traction device for enhanced endoscopic submucosal dissection in the gastric body.","authors":"Jiayao Zheng, Yanqin Xu, Shijie Yang, Wanyin Deng","doi":"10.1016/j.gie.2025.10.010","DOIUrl":"https://doi.org/10.1016/j.gie.2025.10.010","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":7.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274387","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":"Transenteric ERCP via EUS-guided anastomosis using LAMS in patients with surgically altered anatomy.","authors":"Enrique Pérez-Cuadrado-Robles, Michiel Bronswijk, Amy Tyberg, Giuseppe Vanella, Andrea Anderloni, Pieter Hindryckx, Haroon Shahid, Paolo Giorgio Arcidiacono, Jean-Philippe Ratone, Avik Sarkar, Cecilia Binda, Iman Andalib, Wim Laleman, Jan-Werner Poley, Mariano Gonzalez Haba, Fabrice Caillol, Carlo Fabbri, Tom Boeken, Aymeric Becq, Laurent Monino, Christophe Cellier, Michel Kahaleh, Schalk van der Merwe","doi":"10.1016/j.gie.2025.10.005","DOIUrl":"https://doi.org/10.1016/j.gie.2025.10.005","url":null,"abstract":"<p><strong>Background and study aims: </strong>Endoscopic ultrasound (EUS)-directed transenteric endoscopic retrograde cholangiography (ERCP, EDEE) using a lumen-apposing metal stent (LAMS) is a novel biliary drainage technique for patients with surgically altered anatomy. To evaluate the feasibility, safety and effectiveness of EDEE.</p><p><strong>Patients and methods: </strong>A multicenter, retrospective study. We included consecutive patients with altered anatomy who underwent an EDEE. Surgical anatomy configuration, prior biliary drainage and ERCP indications were collected. The EUS-guided anastomosis technique was assessed. The primary outcome was the technical success of the EDEE. The secondary outcomes were the clinical success and the adverse events (AE).</p><p><strong>Results: </strong>Ninety-four ERCPs were performed in 55 patients (60±16.2 years-old, 56.4% male). The most frequent surgical anatomy was Roux-en-Y hepaticojejunostomy (n=23, 41.8%) and a prior biliary drainage was performed in 28 patients (50.9%). Benign strictures were the most frequent indication (58.2%). The most frequent techniques to identify the biliary limb were EUS imaging alone (n=14, 25.5%) and EUS-guided puncture of the biliary limb with retrograde opacification of the surgical hepaticojejunostomy (n=14, 25.5%). The procedure was performed using a direct freehand approach (n=49, 89.1%). Technical and clinical success rates of EDEE were 87.3% and 93.8%, respectively. The overall AE rate was 20% (9.1% LAMS-related). The rate of persistent fistula was 30.6% with a median follow-up period of 3 months.</p><p><strong>Conclusion: </strong>The EDEE technique offers a new and effective approach for biliary drainage in patients with surgically altered anatomy, particularly in benign indications and/or when several ERCPs are expected.</p>","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":7.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274355","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":"Sequential Lumen-Apposing Metal Stent and Septotomy Technique for Endoscopic Anastomosis Creation and Revision in Patients with Prior Upper Gastrointestinal Surgery.","authors":"Casey R Lamb, Sara R Zelman, Nicholas S Hannon, Jeffrey M Adler, Thadeus L Trus","doi":"10.1016/j.gie.2025.10.003","DOIUrl":"https://doi.org/10.1016/j.gie.2025.10.003","url":null,"abstract":"<p><strong>Background and aims: </strong>We present an endoscopic technique for creation or revision of upper gastrointestinal (UGI) anastomoses using endoscopic ultrasound (EUS) guidance, sequential deployment of lumen-apposing metal stents (LAMS), and septotomy after tract maturation. We also present our case series of 4 patients in which we have successfully utilized this technique for both reversal of post-bariatric surgical anatomy and management of anastomotic strictures.</p><p><strong>Methods: </strong>3 patients with prior bariatric surgery underwent reversal of their gastric anatomy with endoscopic anastomosis creation, and 1 patient with a duodenal anastomotic stricture underwent anastomotic revision using our sequential LAMS and septotomy technique.</p><p><strong>Results: </strong>There were no immediate procedure-related adverse events in any of the cases. All procedures achieved technical and at least partial clinical success.</p><p><strong>Conclusions: </strong>Our technique is safe, effective, and feasible for durable endoscopic anastomosis creation or revision in appropriately selected patients with prior upper GI surgery.</p>","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":7.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274348","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":"Underwater vs Traction-assisted ESD in Colorectal Lesions Underwater versus Traction-assisted Endoscopic Submucosal Dissection for Colorectal Lesions: A Network Meta-Analysis of Randomized Controlled Trials.","authors":"Roberto de Sire, Marco Spadaccini, Diletta De Deo, Davide Massimi, Ludovico Alfarone, Antonio Capogreco, Antonio Facciorusso, Gianluca Andrisani, Sandro Sferrazza, Jeremie Jacques, Asma Alkandari, Pradeep Bhandari, Yuichi Mori, Cesare Hassan, Roberta Maselli, Alessandro Repici","doi":"10.1016/j.gie.2025.09.054","DOIUrl":"https://doi.org/10.1016/j.gie.2025.09.054","url":null,"abstract":"<p><strong>Background and aims: </strong>Among the newly established endoscopic submucosal dissection (ESD) techniques, underwater ESD using saline (UW-ESD) and traction-assisted ESD (T-ESD) aim to address the limitations of conventional ESD (C-ESD) for the resection of colorectal lesions. However, their comparative efficacy and safety remain uncertain.</p><p><strong>Methods: </strong>A systematic review and network meta-analysis (NMA) of randomized controlled trials (RCTs) was conducted to compare UW-ESD and T-ESD. Main outcomes included R0 resection, dissection speed, and adverse events (AEs). We conducted indirect comparisons between UW-ESD and T-ESD and direct comparisons with C-ESD. Results were presented as risk ratios (RR) and standard mean deviations (SMD) with 95% confidence intervals (CI).</p><p><strong>Results: </strong>Four RCTs including 543 ESD (98 UW-ESD, 171 T-ESD, 274 C-ESD) were analyzed. For R0 resection no significant difference was observed between UW-ESD and T-ESD (RR = 0.99, 95% CI: 0.92-1.07), and both were comparable to C-ESD (UW-ESD: RR = 1.02, 95% CI: 0.98-1.07; T-ESD: RR = 1.01, 95% CI: 0.96-1.07). Dissection speed was significantly higher with UW-ESD compared to both T-ESD (SMD = 0.36, 95% CI: 0.14-0.87) and C-ESD (SMD = 0.54, 95% CI: 0.15-0.92). No significant difference in AEs was observed between UW-ESD and T-ESD (RR = 1.80, 95% CI: 0.14-23.16), and both were comparable to C-ESD (UW-ESD: RR = 0.48, 95% CI: 0.06-4.15; T-ESD: RR = 0.86, 95% CI: 0.22-3.37).</p><p><strong>Conclusion: </strong>UW-ESD and T-ESD are both effective and safe strategies for colorectal lesions resection; however, UW-ESD is the only technique that has demonstrated superior dissection speed.</p>","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":7.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274372","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 pulley traction technique for esophageal ESD using endoclips and fishing line.","authors":"Jia Xu, Yang Liao, Haitao Zhang, Weixing Yang, Zhongqiong Wang, Muhan Lü, Xiaowei Tang","doi":"10.1016/j.gie.2025.10.007","DOIUrl":"https://doi.org/10.1016/j.gie.2025.10.007","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":7.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274311","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":"Randomized Controlled Trial Comparing the Clinical Efficacy of a Bipolar Current Knife versus Monopolar Current Knife During Esophageal PerOral Endoscopic Myotomy: A Multicenter Non-inferiority Study.","authors":"Salmaan Jawaid, Mohan Ramchandani, Pradev Inavolu, Zaheer Nabi, Eduardo Albéniz Arbizu, Mai Khalaf, Michael Mercado, Zacharias Tsiamoulos, Fares Ayoub, Tara Keihanian, Haydee Cueto, Mohamed O Othman","doi":"10.1016/j.gie.2025.09.055","DOIUrl":"https://doi.org/10.1016/j.gie.2025.09.055","url":null,"abstract":"<p><strong>Background and aims: </strong>With injection, dissection and coagulation capability, use of a novel BC (Bipolar Current Knife) during POEM may be advantageous. This randomized controlled trial (RCT) compared the clinical outcomes of BC vs MC (Monopolar Current Knife) during E-POEM.</p><p><strong>Methods: </strong>A non-inferiority RCT study evaluating BC vs MC during E-POEM at three centers. Primary outcome was technical success: ability to perform the entire procedure with the intended knife.</p><p><strong>Results: </strong>Technical (96% vs 100%, p=0.15) and clinical success (92.7% vs 92.7%) was similar between BC (n=52)/MC (n=52). Tunneling speed (0.65 vs 0.85 cm/min, p=0.24) was similar but procedure times (62.9 vs 53.2, p=0.04, D= 0.41) were slightly shorter in MC. 77% of patients in BC completed the entire procedure with one instrument vs none in MC. Only one major adverse event occurred in BC (managed endoscopically) (1.9%) CONCLUSION: The 3-in-1 function of a novel bipolar RFA knife can facilitate POEM with one device.</p>","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":7.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274350","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":"Double-balloon enteroscope assisted endoscopic sigmoidocecoanastomosis in a patient with intestinal pseudoobstruction.","authors":"Přemysl Falt, Ondřej Urban","doi":"10.1016/j.gie.2025.10.008","DOIUrl":"https://doi.org/10.1016/j.gie.2025.10.008","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":7.5,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145274317","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}