Digestive Endoscopy最新文献

WEO Newsletter: WEO Update from Lars Aabakken, MD President of WEO

IF 5 2区医学

Digestive Endoscopy Pub Date : 2025-03-06 DOI: 10.1111/den.15012

{"title":"WEO Newsletter: WEO Update from Lars Aabakken, MD President of WEO","authors":"","doi":"10.1111/den.15012","DOIUrl":"https://doi.org/10.1111/den.15012","url":null,"abstract":"WEO has made significant strides as a global organization for the endoscopists. 2024 was another year of progress and increasing collaborations with other endoscopic societies.WEO remains committed to the promotion of quality endoscopic education and practice throughout the world. 2024 was no exception and we have continued to evolve and conduct educational meetings not just in person but virtually and in hybrid formats to ensure we reach out to a wider audience and needs. This also keeps our environmental sustainability goals in mind.What is needed today is the democratization of access to GI endoscopy especially to the developing world to improve global health. WEO in its part has expanded its efforts towards training and endoscopy facilitation in developing areas, in South America, in South-East Asia, and extensively in sub-Saharan Africa, building on an increasing number of official WEO training centers across the region. Since the easing of restrictions due to the recent COVID pandemic, this work is now a priority and WEO will increase its efforts towards this goal. WEO is aiming to contribute its part to make endoscopic education and training available to all and in doing so improve health care access and outcomes. As a part of our commitment and to streamline our efforts further WEO has decided to organize ENDO 2026 in Cape Town, South Africa, in conjunction with the South African societies, SAGES, SASES, and ASSA (South African Gastroenterology Society, South African Society of Endoscopic Surgeons, Association of Surgeons of South Africa). It is our hope that all our physician and industry partners will continue to support this initiative.What we are as an organization today and how we continue to grow is mostly due to the efforts of several volunteer faculty, members, member societies and of course our industry partners. As the old African quote says “It takes a village to raise a child” WEO as an organization is indebted to the contributions of everyone involved for its growth and mission. Collaboration with sister societies has been our key pillar and WEO will forge stronger bonds with these organizations, individual members and our industry partners. While it is not easy to list all of the WEO activities, some of the key activities are listed below. WEO encourages everyone to contribute their ideas and join forces in creating globally uniform standards, access and delivery of endoscopic care.The Promoting Best Standards of Practice Series of educational broadcasts included four webinars organized by the WEO Standards of Practice Committee 2024.Video Capsule Endoscopy Network (VCEN) 2024: Launched this year, the program developed by Jean-Francois Rey, featured three webinars from March to October, culminating in the WEO Capsule Endoscopy Global Summit on November 30 in Chongquing, China, with Lars Aabakken as conference president.A VCE session and hands-on training was organized at EN","PeriodicalId":159,"journal":{"name":"Digestive Endoscopy","volume":"37 3","pages":"311-313"},"PeriodicalIF":5.0,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/den.15012","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143565064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Response to: Site of puncture in endoscopic ultrasound-guided fine needle biopsy: Does it change diagnostic outcome?

IF 5 2区医学

Digestive Endoscopy Pub Date : 2025-01-24 DOI: 10.1111/den.14997

Sung Woo Ko, Tae Jun Song

引用次数: 0

WEO Newsletter: Towards a Green Endoscopy WEO通讯：迈向绿色内窥镜。

IF 5 2区医学

Digestive Endoscopy Pub Date : 2025-01-09 DOI: 10.1111/den.14987

{"title":"WEO Newsletter: Towards a Green Endoscopy","authors":"","doi":"10.1111/den.14987","DOIUrl":"10.1111/den.14987","url":null,"abstract":"Cesare Hassan1,2 Maddalena Menini1 and Alessandro Repici1,21IRCCS Humanitas Research Hospital, Via Alessandro Manzoni 56, Rozzano, 20089, Milan, Italy and 2Department of Biomedical Sciences, Humanitas University, Via Rita Levi Montalcini 4, Pieve Emanuele, 20090, Milan, ItalyCorrespondence: Cesare Hassan, Humanitas Research Hospital and University, Via Manzoni 56, 20089 Rozzano (Milano) Italy, Tel: +39 (0)282247385, Fax: +390282242595, Email: [email protected]When we think of endoscopy, we think of innovation, advanced techniques, patient safety, and more. But have we ever stopped to reflect on the environmental price of these accomplishments? Could our practices be harmful to the planet's health?To put the issue into perspective, healthcare contributes between 1% and 5% of global environmental impacts, depending on the metric considered, and surpasses 5% in certain national contexts.1Digestive endoscopy is far from blameless as it is a resource-demanding activity with a substantial but insufficiently evaluated environmental footprint.2 Endoscopy is believed to be the third-largest producer of waste within the healthcare sector.3From the gallons of water and kilowatts of energy used in scope reprocessing to the mountains of single-use plastics discarded daily, our practices are leaving a footprint that can no longer be ignored.A single reusable endoscope, over its lifecycle, emits several kilograms of CO2 for every procedure it undergoes—an unsettling irony for a tool designed to save lives. And while single-use devices are often marketed as convenient and hygienic, they create a staggering amount of non-biodegradable waste.As endoscopists, we pride ourselves on our ability to solve complex problems, yet we seem reluctant to address one staring us in the face: the unsustainable environmental impact of our work. One could argue that environmentally friendly practices should focus on other sectors rather than healthcare, as patient safety – and healthcare quality - must always come first. Similarly, it could be argued that healthcare workers should direct their attention to advancing care rather than worrying about “recycling waste.”However, these views are outdated. What could be more urgent than securing our survival on this planet? And is it truly the case that green endoscopy initiatives would compromise the quality of care? Often, energy-intensive and environmentally harmful practices arise not from necessity but from a lack of awareness—or simple negligence and inattention.It's easy to dismiss these issues as beyond our control, but that mindset is part of the problem. The encouraging news is that practical, sustainable solutions are within reach. Leading societies in Gastrointestinal Endoscopy emphasize sustainability ","PeriodicalId":159,"journal":{"name":"Digestive Endoscopy","volume":"37 1","pages":"132-134"},"PeriodicalIF":5.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/den.14987","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142959754","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Tropical sprue differentiated from celiac disease: First case report in Japan 与乳糜泻鉴别的热带口泻：日本首例报告。

IF 5 2区医学

Digestive Endoscopy Pub Date : 2025-01-01 DOI: 10.1111/den.14988

Shuji Kochi, Yumi Oshiro, Kazufumi Dohmen

引用次数: 0

Rituximab-associated colitis mimicking ulcerative colitis 利妥昔单抗相关结肠炎模拟溃疡性结肠炎。

IF 5 2区医学

Digestive Endoscopy Pub Date : 2024-12-25 DOI: 10.1111/den.14982

Yoshihiro Yokoyama, Hiroki Kurumi, Hiroshi Nakase

引用次数: 0

Tribute to our reviewers 向我们的审稿人致敬

IF 5 2区医学

Digestive Endoscopy Pub Date : 2024-12-12 DOI: 10.1111/den.14932

引用次数: 0

WEO Newsletter: Current state and future development of robotic endoscopy WEO 通讯：机器人内窥镜的现状和未来发展。

IF 5 2区医学

Digestive Endoscopy Pub Date : 2024-12-12 DOI: 10.1111/den.14971

{"title":"WEO Newsletter: Current state and future development of robotic endoscopy","authors":"","doi":"10.1111/den.14971","DOIUrl":"10.1111/den.14971","url":null,"abstract":"Hon Chi YIP MBChB (CUHK), FRCS(Edin)1 and Philip Wai Yan, CHIU MD (CUHK), MBChB (CUHK), FRCS(Edin)21Division of Upper GI & Metabolic Surgery, Department of Surgery, Faculty of Medicine, The Chinese University of Hong Kong and 2Multi-Scale Medical Robotics Center, InnoHKDevelopment of flexible robotic endoscopy has proven to be a much more challenging task than rigid robotic surgical system. The main hurdles that need to be overcome for such a platform include the requirement of much smaller instruments within the GI lumen, as well as the intuitive movement of these instruments within a tortuous gastrointestinal tract. Existing robotic endoscopic systems could be divided into two main types: completely robotized endoscopic systems and robotic add-on system for existing endoscopic platforms. Among these systems, only a few have successfully reported results of human trials, while the majority of the others still remain at pre-clinical stage.EndoMaster EASE system is a robotic endoscopic platform that consists of an endoscope mounted to a patient side cart, where two 4 mm robotic instruments (one electrosurgical dissector and one grasper) could be inserted into the target site through the endoscopy channel. The primary endoscopic surgeon controls the robotic instruments from the console unit, with both instruments allowing movement up to 9 Degree of Freedom (DOF). The prototype of the system was first applied in 5 human cases of gastric ESD in 2011 (1). Following system modification into a fully robotic endoscopic platform, a prospective single arm study was recently reported for 43 patients who underwent colorectal ESD using the system (2). Technical success was achieved in 86.1% of the patients, with en-bloc resection rate of 94.6% among those with successful procedure. While the results of the trial are encouraging, further questions remain including the need to downsize the system, the cost and benefit when compared with conventional ESD, etc.EndoQuest Robotics Endoluminal Surgical (ELS) System is another robotic endoscopic platform that has reached the stage of clinical trials. Targeting solely at transanal endoscopic procedure at the sigmoid and rectum, the system consists of a 2.2 cm diameter 4-DOF Steerable Overtube (Previously named as Colubriscope), which allows insertion of one 6 mm flexible endoscope and two 6 mm robotic instruments with 7-DOF.The system has demonstrated feasibility of partial thickness colorectal resection and suture closure in an ex-vivo animal study (3). Human clinical trial is currently underway for resection of lesions in sigmoid and rectum, and the results are eagerly awaited.Flex Robotic System (Medrobotics) utilizes a robotized endoscope with two flexible mechanical arms. The 28 mm diameter flexible robotic endoscope is controlled at the console with a joystick, with two working chan","PeriodicalId":159,"journal":{"name":"Digestive Endoscopy","volume":"36 12","pages":"1394-1397"},"PeriodicalIF":5.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/den.14971","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic Pressure Study Integrated System: Promising tool for evaluating the esophagogastric junction, but why not use it in the stomach as well? 内窥镜压力研究综合系统：评估食管胃交界处的理想工具，但为什么不在胃部也使用它呢？

IF 5 2区医学

Digestive Endoscopy Pub Date : 2024-11-28 DOI: 10.1111/den.14964

Antoine Debourdeau, Jean-Michel Gonzalez, Veronique Vitton

{"title":"Endoscopic Pressure Study Integrated System: Promising tool for evaluating the esophagogastric junction, but why not use it in the stomach as well?","authors":"Antoine Debourdeau, Jean-Michel Gonzalez, Veronique Vitton","doi":"10.1111/den.14964","DOIUrl":"10.1111/den.14964","url":null,"abstract":"We extend our sincere congratulations to Dr. Nishikawa and his team for their pioneering work on the Endoscopic Pressure Study Integrated System (EPSIS) for the diagnosis of achalasia and gastroesophageal reflux disease.1 This innovative approach holds great promise for advancing our understanding and diagnostic capabilities in esophageal motility disorders.Although the authors focused on the esophagogastric junction, we believe EPSIS has broader applications. It could be highly beneficial for studying functional dyspepsia and gastroparesis. The EPSIS device measures gastric pressure, making it a promising tool for assessing gastric body compliance during routine endoscopy.Gastric compliance disorders are a significant pathophysiological aspect of functional dyspepsia. Studies have shown reduced gastric compliance in functional dyspepsia, with barostats indicating a rapid increase in gastric pressure with lower balloon volumes. However, measuring this with a gastric barostat is challenging due to the device's limited availability and poor patient tolerance.2Interestingly, there is a continuum between functional dyspepsia and gastroparesis, with overlapping profiles in 40% of cases.3 Although gastric peroral endoscopic myotomy (G-POEM) effectively treats gastroparesis, about 45% of patients face long-term failure, with unclear underlying causes.Our recent research indicates that gastric distensibility is significantly reduced in nonresponders to G-POEM, as evidenced by gastric volumetry.4 Additionally, gastric emptying scintigraphy meal repartition analysis shows poor utilization of the gastric body and fundus as meal storage areas in nonresponders to G-POEM, which may be related to poor relaxation of the gastric body and fundus.5We believe EPSIS, as described in this study,1 could be useful in confirming these indicators in the pretherapeutic assessment of gastroparetic patients. This could help to determine if impaired gastric accommodation predicts G-POEM failure. We look forward to further developments in this field and how EPSIS can be integrated into broader clinical practice.Authors declare no conflict of interest for this article.","PeriodicalId":159,"journal":{"name":"Digestive Endoscopy","volume":"37 2","pages":"199"},"PeriodicalIF":5.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/den.14964","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142741586","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Usefulness of the right lateral decubitus push method in endoscopic submucosal dissection for upper gastric lesions 右侧卧位推动法在内镜下黏膜下剥离上胃病变中的实用性。

IF 5 2区医学

Digestive Endoscopy Pub Date : 2024-11-25 DOI: 10.1111/den.14945

Takuya Matsunaga, Naoyuki Tominaga, Shinichi Ogata

{"title":"Usefulness of the right lateral decubitus push method in endoscopic submucosal dissection for upper gastric lesions","authors":"Takuya Matsunaga, Naoyuki Tominaga, Shinichi Ogata","doi":"10.1111/den.14945","DOIUrl":"10.1111/den.14945","url":null,"abstract":"Endoscopic submucosal dissection (ESD) for lesions in the gastric fundus and greater curvature remains challenging owing to difficulties in achieving tangential access with conventional endoscopy, despite the widespread adoption of ESD. Recent reports highlight the need for improved techniques in managing lesions, such as “fundic gland-type gastric cancer” in these regions. Our institution previously introduced the “right lateral decubitus push method” (RPM), wherein the patient is positioned in the right lateral decubitus position, allowing tangential access to the lesion by advancing the endoscope (Fig. 1). This method facilitates a horizontal approach, stabilizes endoscopic operations by increasing the contact area between the endoscope and the gastric wall, and is simple to perform and cost-effective. RPM also permits the use of traction methods1 and multibending endoscopes.2 However, the method increases the risk of the gastric contents flooding the esophagogastric junction,3 necessitating frequent oral suction or the use of an overtube to prevent aspiration pneumonia.4, 5 The feasibility and maneuverability of RPM should be assessed preoperatively in each patient, as the method may not be suitable for all patients. We retrospectively compared the treatment outcomes of 16 cases in which ESD was performed using RPM for lesions from the gastric fundus to the upper greater curvature from January 2010 to December 2020, with 10 cases receiving conventional methods (cESD) (Table 1). Although there were no statistically significant differences in treatment outcomes between the groups, the RPM group showed lower rates of postoperative bleeding and intraoperative perforation, as well as shorter operative times versus the cESD group. Aspiration pneumonia was not observed, likely owing to preventive measures. RPM enabled safe and complete ESD for challenging lesions in the gastric fundus and greater curvature that were difficult to access with conventional left lateral decubitus ESD (Video S1). RPM offers a viable alternative for difficult gastric ESDs, improving accessibility and stability during the procedure.Authors declare no conflict of interest for this article.Approval of the research protocol by an Institutional Reviewer Board: This study was performed with the approval of the Saga Medical Centre Koseikan Ethics Committee (Approval number: 21-03-01-02).Informed Consent: In this study, informed consent was obtained from patients using the opt-out method..Registry and the Registration No. of the study/trial: N/A.Animal Studies: N/A.","PeriodicalId":159,"journal":{"name":"Digestive Endoscopy","volume":"37 3","pages":"300-301"},"PeriodicalIF":5.0,"publicationDate":"2024-11-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/den.14945","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endoscopic ultrasound-guided gallbladder drainage for acute cholecystitis 内镜超声引导下的急性胆囊炎胆囊引流术。

IF 5 2区医学

Digestive Endoscopy Pub Date : 2024-11-18 DOI: 10.1111/den.14946

Jacquelyn Chi Ying Fok, Anthony Yuen Bun Teoh, Shannon Melissa Chan

引用次数: 0