Asian Journal of Endoscopic Surgery最新文献

{"title":"Risk Factors for Recurrence of Gastroesophageal Reflux Disease After Laparoscopic Nissen Fundoplication in Patients With Severe Motor and Intellectual Disabilities","authors":"Akinori Ichinose,&nbsp;Ken-ichiro Konishi,&nbsp;Shinya Takazawa,&nbsp;Tomohiro Sunouchi,&nbsp;Keisuke Suzuki,&nbsp;Mariko Yoshida,&nbsp;Jun Fujishiro","doi":"10.1111/ases.70085","DOIUrl":"https://doi.org/10.1111/ases.70085","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>Laparoscopic Nissen fundoplication (LNF) is the standard surgical treatment for gastroesophageal reflux disease (GERD) in patients with severe motor and intellectual disabilities (SMID). It is necessary to prevent the recurrence of GERD because it poses multiple clinical and surgical challenges for these patients. In Japan, the Endoscopic Surgical Skill Qualification System (ESSQS) has been established to ensure technical competency in laparoscopic surgery for pediatric patients. Our aim was to elucidate the risk factors for recurrence of GERD after LNF in pediatric patients with SMID.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Fifty patients with SMID who underwent LNF with gastrostomy for GERD at our institution between January 2009 and April 2022 were retrospectively investigated. Recurrence rate and risk factors were examined in univariate and multivariate analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>GERD recurred in 5 of the 50 patients (10.0%). In univariate analysis, operation time was significantly longer in the recurrence group than in the non-recurrence group (333 vs. 254 min, <i>p</i> = 0.01). No operations in the recurrence group were performed by an ESSQS-qualified surgeon (<i>p</i> = 0.28). In multivariate analysis, operation time was an independent risk factor for recurrence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Operation time was identified as a risk factor for recurrence of GERD after LNF in patients with SMID.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Evidence</h3>\u0000 \u0000 <p>II.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/ases.70085","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144148355","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Perioperative Outcomes Between Transperitoneal and Retroperitoneal Approaches for Robot-Assisted Partial Nephrectomy by Tumor Locations","authors":"Naoki Akagi,&nbsp;Riki Obayashi,&nbsp;Akihiro Yamamoto,&nbsp;Akihiko Nagoshi,&nbsp;Tasuku Fujiwara,&nbsp;Atsushi Igarashi,&nbsp;Yuto Hattori,&nbsp;Noboru Shibasaki,&nbsp;Mutsushi Kawakita,&nbsp;Toshinari Yamasaki","doi":"10.1111/ases.70086","DOIUrl":"https://doi.org/10.1111/ases.70086","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Robot-assisted partial nephrectomy is a common surgical technique for the management of small renal tumors and has extended its utility to challenging cases, including large or complex tumors. However, no previous reports have compared the surgical outcomes of the retroperitoneal and transperitoneal approaches for different renal tumor sites. We aimed to compare the perioperative outcomes between these approaches in robot-assisted partial nephrectomy based on tumor location.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Perioperative outcomes were systematically analyzed in 380 robot-assisted partial nephrectomy procedures performed at our institution between February 2015 and April 2023. Transperitoneal for anterior and retroperitoneal for posterior cases were defined as typical cases, whereas transperitoneal for posterior/lateral cases and retroperitoneal for anterior/lateral cases were defined as atypical. Case and patient characteristics were recorded and used for propensity score matching.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The overall distribution of the transperitoneal/retroperitoneal cases was 154/226. After matching, 37 anterior, 15 posterior, 26 lateral, 89 typical, and 39 atypical cases were identified. The retroperitoneal approach was superior to transperitoneal in terms of console time and trifecta achievement rate in the overall patient; retroperitoneal was superior in terms of operative time, console time, and trifecta achievement in atypical cases. In atypical cases of the retroperitoneal approach, a history of abdominal surgery and renal anatomy were the predominant determinants of approach selection. Posterior tumors located in the renal hilum, which protruded not dorsally but ventrally into the renal sinus, were a common reason to select the transperitoneal approach in atypical cases.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The retroperitoneal approach achieves shorter console times in any location except for anterior hilar tumors. Both approaches are safe and feasible.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144091435","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reconsidering the Scalpel: A Comparative Reflection on Endoscopic Sleeve Gastroplasty and Laparoscopic Sleeve Gastrectomy as Diverging Pathways in Modern Bariatric Care","authors":"Maira Ramzan,&nbsp;Muhammad Umer Javaid,&nbsp;Asraf Hussain","doi":"10.1111/ases.70083","DOIUrl":"https://doi.org/10.1111/ases.70083","url":null,"abstract":"","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143938937","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk of Life-Threatening Complications After Colorectal Cancer Surgery: A Japanese Multicenter Study","authors":"Rika Ono,&nbsp;Tetsuro Tominaga,&nbsp;Takashi Nonaka,&nbsp;Mitsutoshi Ishii,&nbsp;Makoto Hisanaga,&nbsp;Masato Araki,&nbsp;Yorihisa Sumida,&nbsp;Hiroaki Takeshita,&nbsp;Hidetoshi Fukuoka,&nbsp;Shosaburo Oyama,&nbsp;Kazuhide Ishimaru,&nbsp;Masaki Kunizaki,&nbsp;Terumitsu Sawai,&nbsp;Keitaro Matsumoto","doi":"10.1111/ases.70078","DOIUrl":"https://doi.org/10.1111/ases.70078","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>As the population ages, more surgeries are being performed on patients in poor general condition. Such patients are at greater risk of life-threatening postoperative complications and perioperative mortality.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This multicenter study investigated 4164 consecutive patients who underwent colorectal surgery between 2016 and 2023. Patients were divided into those who experienced life-threatening complications (LT group, <i>n</i> = 31) and those who did not (no-LT group, <i>n</i> = 4133). Clinical features were compared between groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thirty-one patients (0.7%) experienced life-threatening complications. Age was higher (80 years vs. 71 years, <i>p</i> = 0.011), body mass index was lower (19.7 kg/m² vs. 22.0 kg/m², <i>p</i> &lt; 0.001), poor performance status (performance status ≥ 3) was more frequent (54.8% vs. 10.4%, <i>p</i> &lt; 0.001), and open surgery was more frequent (25.8% vs. 9.0%, <i>p</i> &lt; 0.001) in the LT group. Multivariate analysis revealed high age (odds ratio 2.268, 95% confidence interval 1.079–4.763; <i>p</i> = 0.030), poor performance status (odds ratio 7.714, 95% confidence interval 3.622–11.251; <i>p</i> &lt; 0.001) and open surgery (odds ratio 1.792, 95% confidence interval 1.205–6.799; <i>p</i> = 0.016) as independent predictors of life-threatening complications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Patients with a risk of life-threatening complications should be given a detailed preoperative description of the risks, and indications and approaches to surgery should be thoroughly examined.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143938935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and Safety of Reduced Port Surgery for Colorectal Cancer","authors":"Shoichi Fujii,&nbsp;Yuma Suno,&nbsp;Shingo Ito,&nbsp;Shinsaku Kanazawa,&nbsp;Ryu Shimada,&nbsp;Tamuro Hayama,&nbsp;Keiji Matsuda,&nbsp;Yojiro Hashiguchi","doi":"10.1111/ases.70077","DOIUrl":"https://doi.org/10.1111/ases.70077","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Reduced port surgery (RPS) for colorectal cancer has been associated with favorable cosmetic outcomes; however, its safety and efficacy are inconclusive. The purpose of this study is to clarify the efficacy and safety of laparoscopic RPS for colorectal cancer.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A randomized controlled trial of laparoscopic multi-port surgery (MPS) and RPS for colorectal cancer except lower rectal cancer was conducted from 2014 to 2020. The eligibility criteria were elective surgery for clinical stages 0–III and D2 or D3 lymph node dissection. MPS was defined as 4- to 5-port and RPS as 1- to 2-port. Short- and long-term results and health-related quality of life (HRQOL) scores at 1 month and 1 year postoperatively were compared.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ninety-one patients (46 MPS; 45 RPS) were analyzed. The short-term results (MPS: RPS), operative time, blood loss, and incidence of early complications did not differ. There was a significant difference in the length of postoperative stay (11:9 days, <i>p</i> = 0.034). The long-term results showed no differences in the 5-year overall survival rates and cancer-specific survival rates. Regarding HRQOL, there were no differences in the eight subscales and two summary scores at 1 month and 1 year postoperatively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Short- and long-term outcomes and HRQOL scores of RPS for colorectal cancer were similar to those of MPS. RPS may be a potential therapeutic option for colorectal cancer.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143938936","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhanced Pancreatic Transection in Minimally Invasive Distal Pancreatectomy: The Synergy of Slow-Firing and Staple Line Suturing","authors":"Kazufumi Umemoto,&nbsp;Shoki Sato,&nbsp;Hiroyuki Yamamoto,&nbsp;Minoru Takada,&nbsp;Yoshiyasu Ambo,&nbsp;Satoshi Hirano","doi":"10.1111/ases.70084","DOIUrl":"https://doi.org/10.1111/ases.70084","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Minimally invasive distal pancreatectomy (MIDP) is increasingly performed for pancreatic body and tail lesions. However, postoperative pancreatic fistula (POPF) remains a major complication, with reported rates of 13%–36%. Despite various technical approaches, including reinforced staplers and pre-firing compression, results have been inconsistent.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We adopted a modified transection technique during MIDP using the ECHELON FLEX powered stapler with a slow-firing method, followed by staple line suturing. This retrospective study included 70 MIDP cases performed at Teine Keijinkai Hospital between January 2012 and August 2023. POPF was evaluated using the 2016 International Study Group of Pancreatic Surgery (ISGPS) criteria. Surgical outcomes were descriptively compared with a historical group in which reinforced staplers were used without suturing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among the 70 patients, 59 underwent pancreatic transection with the ECHELON FLEX and suturing. Clinically relevant POPF (Grade B or C) occurred in 5.1% of these patients. In contrast, the incidence was 45.5% in the 11 historical cases using reinforced staplers. No Grade C POPF was observed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The combination of slow-firing transection and staple line suturing may help reduce POPF in MIDP. This simple and reproducible technique is a promising strategy for safe pancreatic stump management.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143939498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Congenital Pleuro-Pleural Communication Presenting as a Simultaneous Bilateral Spontaneous Pneumothorax: A Case Report","authors":"Reo Ohtsuka,&nbsp;Tadasu Kohno,&nbsp;Sho Horiuchi,&nbsp;Akira Kohno","doi":"10.1111/ases.70079","DOIUrl":"https://doi.org/10.1111/ases.70079","url":null,"abstract":"<div>\u0000 \u0000 <p>Bilateral spontaneous pneumothorax is a rare condition that accounts for approximately 1% of all pneumothorax cases. Most cases are attributed to underlying lung disease or prior thoracic surgery, as congenital pleuro-pleural communication is rare. We report the case of a 15-year-old girl with bilateral pneumothorax who underwent video-assisted thoracoscopic surgery. Intraoperative air leak testing unexpectedly revealed congenital pleuro-pleural communication. A retrospective review of preoperative computed tomography suggested a potential bilateral pleural communication between the esophagus and aorta. No intervention was performed to close the communication because of the technical challenges of achieving an airtight seal. The patient's postoperative course was uneventful, with no recurrence after 6 months. This case emphasizes the need to consider congenital pleuro-pleural communication in cases of bilateral pneumothorax, particularly in patients without prior thoracic surgery or bilateral bullae.</p>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143926147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Quality of Life Following Laparoscopic Hiatal Hernia Repair and Anterior 180° Partial Fundoplication for Symptomatic Sliding Hiatal Hernia","authors":"Sze Li Siow,&nbsp;Ernest Cun Wang Ong","doi":"10.1111/ases.70074","DOIUrl":"https://doi.org/10.1111/ases.70074","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Laparoscopic hiatal hernia repair (LHHR) is the treatment of choice for symptomatic sliding hiatal hernia. This study evaluates health-related quality of life (HRQOL) outcomes following LHHR with anterior 180° partial fundoplication.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Forty consecutive patients underwent LHHR with anterior 180° partial fundoplication between June 2020 and December 2022. Patients were included based on one of the following criteria: persistent symptoms despite optimal medical therapy (55%), preference for a surgical solution over lifelong medication (37.5%), or complications including reflux oesophagitis/Barrett's esophagus (7.5%). HRQOL was assessed using the SF-36 questionnaire preoperatively and at 1, 6, and 12 months postoperatively.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Significant improvements were observed in physical functioning (66.3 ± 24.7 to 95.6 ± 7.7, <i>p</i> &lt; 0.001), bodily pain (38.1 ± 28.1 to 79.2 ± 18.6, <i>p</i> &lt; 0.001), general health (37.7 ± 16.2 to 66.1 ± 23.6, <i>p</i> &lt; 0.001), social function (62.5 ± 23.7 to 85.6 ± 16.1, <i>p</i> &lt; 0.001), and mental health (68.2 ± 21.4 to 83.7 ± 12.5, <i>p</i> &lt; 0.001) at 12 months. Role limitations due to physical health improved gradually, becoming significant at 12 months (60.0 ± 45.6 to 86.9 ± 16.8, <i>p</i> &lt; 0.001). Early improvements in vitality (<i>p</i> = 0.02) and role limitations due to emotional health (<i>p</i> = 0.331) showed some decline by 12 months. The median hospital stay was 3 days, with no major complications. At 1 year, 72.5% of patients were medication-free, while anatomical recurrence was observed in 7.5%. Patients with recurrence showed lower physical functioning (82.3 vs. 96.8, <i>p</i> = 0.02) and bodily pain scores (65.7 vs. 80.5, <i>p</i> = 0.04) but still demonstrated significant improvement from baseline. Body mass index, education level, age, and defect area did not influence outcomes (all <i>p</i> &gt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>LHHR with anterior 180° partial fundoplication significantly improves quality of life across multiple domains, with sustained benefits at 12 months post-surgery, particularly in physical function, pain, and social functioning. Most domains reached or surpassed population norms by 12 months, establishing this approach as an effective treatment for symptomatic sliding hiatal hernia.</p>\u0000 </section>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143926150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Small Bowel Obstruction due to Hemobezoar Following Roux-En-Y Gastric Bypass: A Case Report","authors":"Mohammad Reza Abdolhosseini,&nbsp;Seyed Ali Jazaeri,&nbsp;Seyed Sattar Darabi","doi":"10.1111/ases.70081","DOIUrl":"https://doi.org/10.1111/ases.70081","url":null,"abstract":"<div>\u0000 \u0000 <p>Roux-en-Y Gastric Bypass (RYGB) is a widely performed bariatric surgery with well-documented benefits, but it can lead to rare complications such as small bowel obstruction (SBO). While internal hernias and adhesions are common causes, hemobezoar formation is an extremely rare etiology. We report two cases of acute SBO due to hemobezoar following laparoscopic RYGB. Both patients presented with severe nausea within the early postoperative period. CT imaging revealed marked small bowel distension in both cases, prompting surgical intervention. Diagnostic laparoscopy confirmed the presence of obstructing hemobezoars at the jejunojejunostomy site, requiring evacuation and revision of the anastomosis. Both patients had an uneventful postoperative recovery. The formation of hemobezoar after RYGB is rare but should be considered in patients with unexplained early postoperative obstruction. Prompt imaging and laparoscopic intervention are crucial to preventing morbidity.</p>\u0000 </div>","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143926148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic Sleeve Gastroplasty vs. Laparoscopic Sleeve Gastrectomy: Balancing Efficacy and Safety","authors":"Jana K. Elsawwah,&nbsp;Faisal A. Shaikh,&nbsp;Zoltan H. Nemeth","doi":"10.1111/ases.70082","DOIUrl":"https://doi.org/10.1111/ases.70082","url":null,"abstract":"","PeriodicalId":47019,"journal":{"name":"Asian Journal of Endoscopic Surgery","volume":"18 1","pages":""},"PeriodicalIF":0.9,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143926149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}