{"title":"A stitch in tine saves nine","authors":"Eric M. Pauli MD","doi":"10.1016/j.gie.2025.05.012","DOIUrl":"10.1016/j.gie.2025.05.012","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"102 4","pages":"Pages 536-537"},"PeriodicalIF":7.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109939","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 bit too heated: not all dysplastic Barrett’s esophagus should be treated","authors":"Arvind J. Trindade MD","doi":"10.1016/j.gie.2025.03.644","DOIUrl":"10.1016/j.gie.2025.03.644","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"102 4","pages":"Pages 548-549"},"PeriodicalIF":7.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109942","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":"Admit or discharge patients after gastric peroral endoscopic myotomy: Should I stay or should I go?","authors":"Douglas G. Adler MD, FACG, AGAF, FASGE","doi":"10.1016/j.gie.2025.05.005","DOIUrl":"10.1016/j.gie.2025.05.005","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"102 4","pages":"Pages 600-601"},"PeriodicalIF":7.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145109997","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":"Self-expandable metal stents and the risk of post-ERCP pancreatitis","authors":"Ying-Gang Xu MD, Bing Yu NM, Jia-Su Li MD","doi":"10.1016/j.gie.2025.04.024","DOIUrl":"10.1016/j.gie.2025.04.024","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"102 4","pages":"Page 620"},"PeriodicalIF":7.5,"publicationDate":"2025-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145104388","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}
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":"<p><strong>Background and aims: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}
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":"<p><strong>Background and aims: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>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.</p>","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}