Gastrointestinal endoscopy最新文献_第7页

A stitch in tine saves nine 一针及时省九针

IF 7.5 1区医学

Gastrointestinal endoscopy Pub Date : 2025-09-22 DOI: 10.1016/j.gie.2025.05.012

Eric M. Pauli MD

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A bit too heated: not all dysplastic Barrett’s esophagus should be treated 有点太热了：不是所有的巴雷特食管发育不良都应该治疗

IF 7.5 1区医学

Gastrointestinal endoscopy Pub Date : 2025-09-22 DOI: 10.1016/j.gie.2025.03.644

Arvind J. Trindade MD

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Response 响应

IF 7.5 1区医学

Gastrointestinal endoscopy Pub Date : 2025-09-22 DOI: 10.1016/j.gie.2025.02.011

Cynthia Florencio de Mesquita, Vanio Antunes, Natalia Junkes Milioli MD, Matheus Vanzin Fernandes MD, Tulio L Correa MD, Otavio Cosendey Martins, Radhika Chavan MD, DNB, Stefano Baraldo MD

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Admit or discharge patients after gastric peroral endoscopic myotomy: Should I stay or should I go? 胃经口内窥镜切肌术患者入院或出院：我应该留下还是离开？

IF 7.5 1区医学

Gastrointestinal endoscopy Pub Date : 2025-09-22 DOI: 10.1016/j.gie.2025.05.005

Douglas G. Adler MD, FACG, AGAF, FASGE

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Self-expandable metal stents and the risk of post-ERCP pancreatitis 自膨胀金属支架与ercp后胰腺炎的风险

IF 7.5 1区医学

Gastrointestinal endoscopy Pub Date : 2025-09-22 DOI: 10.1016/j.gie.2025.04.024

Ying-Gang Xu MD, Bing Yu NM, Jia-Su Li MD

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Response 响应

IF 7.5 1区医学

Gastrointestinal endoscopy Pub Date : 2025-09-22 DOI: 10.1016/j.gie.2025.06.002

Mark Radetic MD, Bashar Qumseya MD, MPH

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Information for readers 读者资讯

IF 7.5 1区医学

Gastrointestinal endoscopy Pub Date : 2025-09-22 DOI: 10.1016/S0016-5107(25)01874-7

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ASGE Update ASGE更新

IF 7.5 1区医学

Gastrointestinal endoscopy Pub Date : 2025-09-22 DOI: 10.1016/S0016-5107(25)01871-1

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Endosonography guided Coloenterostomy for Palliative Management of Peritoneal Carcinomatosis. 超声引导下结肠肠造口术对腹膜癌的姑息性治疗。

IF 7.5 1区医学

Gastrointestinal endoscopy Pub Date : 2025-09-16 DOI: 10.1016/j.gie.2025.09.013

Alexander Weich, Laura Retzbach, Viktor Hartung, Markus Brand, Theodor Kudlich, Dorothea Henniger, Andreas Wannhoff, Karel Caca, Alexander Meining

{"title":"Endosonography guided Coloenterostomy for Palliative Management of Peritoneal Carcinomatosis.","authors":"Alexander Weich, Laura Retzbach, Viktor Hartung, Markus Brand, Theodor Kudlich, Dorothea Henniger, Andreas Wannhoff, Karel Caca, Alexander Meining","doi":"10.1016/j.gie.2025.09.013","DOIUrl":"https://doi.org/10.1016/j.gie.2025.09.013","url":null,"abstract":"Background and aims: Small-bowel ileus (SBI) accompanying peritoneal carcinomatosis is often decisive for the prognosis. Conventional palliative care procedures deliver unsatisfying results. Our purpose was to evaluate the impact of endosonographic coloenterostomy (CE) on symptoms, oncologic management, Quality of Life (QoL), and survival.Methods: After screening, 17 patients with various peritoneally metastasized neoplasms suffering from SBI were treated by CE. Biometrics, imaging, technical and clinical data, symptoms, QoL by EORTC_QLQ_C30, adverse events and the ability to tolerate oncologic treatment and enteral nutrition were recorded at predefined time points and compared to a propensity score matched historical cohort (n=29) that had been treated with percutaneous endoscopic gastrostomy (PEG) for the same indication.Results: CE was technically and clinically successful in 16/17 (94.0%). Clinical symptoms (vomiting, abdominal pain, stool frequency) as well as QoL improved significantly. Enteral nutrition was possible in 14/17 (82.3%) patients. Mean follow-up time was 83 days (range 2 to 287). 9/17 patients (53.0%) could be re-exposed to systemic oncologic treatment and 6/7 (85.0%) of patients requiring oral opioid-based pain medication could receive it again. As compared to the cohort treated with PEG, there was a significant benefit in symptom-controlled survival (5 vs. 57 days, p<0.001) as well as in overall survival (14 vs. 86 days, p<0.001) irrespective of tumour entity.Conclusion: EUS-guided CE for palliative management of SBI caused by peritoneal carcinomatosis is feasible and safe. The intervention boasts a high clinical success rate with immediate symptom relief and significant improvement of symptom-compensated and overall survival.","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":7.5,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145085789","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}

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Transmural Gallbladder Drainage Using a Novel Endosonographic-Guided Suture Device. 一种新型超声引导下的经壁胆囊引流装置。

IF 7.5 1区医学

Gastrointestinal endoscopy Pub Date : 2025-09-15 DOI: 10.1016/j.gie.2025.09.016

Jad P AbiMansour, Manik Aggarwal, Hadi Abou Zeid, Elizabeth Rajan, Andrew C Storm

{"title":"Transmural Gallbladder Drainage Using a Novel Endosonographic-Guided Suture Device.","authors":"Jad P AbiMansour, Manik Aggarwal, Hadi Abou Zeid, Elizabeth Rajan, Andrew C Storm","doi":"10.1016/j.gie.2025.09.016","DOIUrl":"https://doi.org/10.1016/j.gie.2025.09.016","url":null,"abstract":"Background and aims: Interventional endoscopic ultrasound (EUS) has allowed for the endoscopic management of conditions that previously required abdominal surgery, including transmural drainage of the gallbladder (EUS-GBD). These procedures are technically demanding and can be associated with serious adverse events. The aim of this study was to establish the feasibility and safety of a novel endosonography-guided suturing device which allows apposition of the gastrointestinal lumen and gallbladder for EUS-GBD, reducing technical demands and improving safety.Methods: A pre-clinical survival study was conducted utilizing 6 domestic pigs. Animals were randomized in a 2:1 fashion to undergo EUS-GBD with the suturing device preceding freehand lumen apposing metal stent (LAMS) deployment or LAMS alone. Ease of device use, stent deployment, technical success, and intraprocedural adverse events were recorded. The animals were survived for 30 days followed by euthanasia, necropsy, and histologic analysis.Results: Technical success was achieved in all animals (4 suture+LAMS, 2 LAMS only). Suture fixation significantly decreased distance from the gastrointestinal lumen to the gallbladder (17.6 to 6.7mm, p =0.001), allowing for successful LAMS deployment in all 4 cases without adverse event. One intraprocedural stent maldeployment was reported in the control group. No adverse events were identified in either group during the survival period or on necropsy.Conclusion: This study demonstrates the safety and effectiveness of a novel device which allowed for endoscopic anchoring of the gallbladder to the gastrointestinal lumen. This facilitated successful completion of EUS-GBD and may have implications for other interventional EUS procedures.","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":" ","pages":""},"PeriodicalIF":7.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080202","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}

引用次数: 0