World Journal of Gastrointestinal Endoscopy最新文献_第2页

Impact of index admission cholecystectomy vs interval cholecystectomy on readmission rate in acute cholangitis: National Readmission Database survey 指标入院胆囊切除术与间歇期胆囊切除术对急性胆管炎再入院率的影响：全国再入院数据库调查

World Journal of Gastrointestinal Endoscopy Pub Date : 2024-06-16 DOI: 10.4253/wjge.v16.i6.350

A. Sohail, Ahmed Shehadah, Ammad J. Chaudhary, Khadija Naseem, Amna Iqbal, Ahmad Khan, Shailendra Singh

{"title":"Impact of index admission cholecystectomy vs interval cholecystectomy on readmission rate in acute cholangitis: National Readmission Database survey","authors":"A. Sohail, Ahmed Shehadah, Ammad J. Chaudhary, Khadija Naseem, Amna Iqbal, Ahmad Khan, Shailendra Singh","doi":"10.4253/wjge.v16.i6.350","DOIUrl":"https://doi.org/10.4253/wjge.v16.i6.350","url":null,"abstract":"BACKGROUND\u0000 Elective cholecystectomy (CCY) is recommended for patients with gallstone-related acute cholangitis (AC) following endoscopic decompression to prevent recurrent biliary events. However, the optimal timing and implications of CCY remain unclear.\u0000 AIM\u0000 To examine the impact of same-admission CCY compared to interval CCY on patients with gallstone-related AC using the National Readmission Database (NRD).\u0000 METHODS\u0000 We queried the NRD to identify all gallstone-related AC hospitalizations in adult patients with and without the same admission CCY between 2016 and 2020. Our primary outcome was all-cause 30-d readmission rates, and secondary outcomes included in-hospital mortality, length of stay (LOS), and hospitalization cost.\u0000 RESULTS\u0000 Among the 124964 gallstone-related AC hospitalizations, only 14.67% underwent the same admission CCY. The all-cause 30-d readmissions in the same admission CCY group were almost half that of the non-CCY group (5.56% vs 11.50%). Patients in the same admission CCY group had a longer mean LOS and higher hospitalization costs attributable to surgery. Although the most common reason for readmission was sepsis in both groups, the second most common reason was AC in the interval CCY group.\u0000 CONCLUSION\u0000 Our study suggests that patients with gallstone-related AC who do not undergo the same admission CCY have twice the risk of readmission compared to those who undergo CCY during the same admission. These readmissions can potentially be prevented by performing same-admission CCY in appropriate patients, which may reduce subsequent hospitalization costs secondary to readmissions.","PeriodicalId":506333,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141335812","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}

引用次数: 0

Long-term impact of artificial intelligence on colorectal adenoma detection in high-risk colonoscopy 人工智能对高风险结肠镜检查中大肠腺瘤检测的长期影响

World Journal of Gastrointestinal Endoscopy Pub Date : 2024-06-16 DOI: 10.4253/wjge.v16.i6.335

Kenneth Chow, Matthew T Bell, Nicholas Cumpian, Maryanne Amour, Ryan H Hsu, Viktor Eysselein, Neetika Srivastava, M. Fleischman, S. Reicher

{"title":"Long-term impact of artificial intelligence on colorectal adenoma detection in high-risk colonoscopy","authors":"Kenneth Chow, Matthew T Bell, Nicholas Cumpian, Maryanne Amour, Ryan H Hsu, Viktor Eysselein, Neetika Srivastava, M. Fleischman, S. Reicher","doi":"10.4253/wjge.v16.i6.335","DOIUrl":"https://doi.org/10.4253/wjge.v16.i6.335","url":null,"abstract":"BACKGROUND\u0000 Improved adenoma detection rate (ADR) has been demonstrated with artificial intelligence (AI)-assisted colonoscopy. However, data on the real-world application of AI and its effect on colorectal cancer (CRC) screening outcomes is limited.\u0000 AIM\u0000 To analyze the long-term impact of AI on a diverse at-risk patient population undergoing diagnostic colonoscopy for positive CRC screening tests or symptoms.\u0000 METHODS\u0000 AI software (GI Genius, Medtronic) was implemented into the standard procedure protocol in November 2022. Data was collected on patient demographics, procedure indication, polyp size, location, and pathology. CRC screening outcomes were evaluated before and at different intervals after AI introduction with one year of follow-up.\u0000 RESULTS\u0000 We evaluated 1008 colonoscopies (278 pre-AI, 255 early post-AI, 285 established post-AI, and 190 late post-AI). The ADR was 38.1% pre-AI, 42.0% early post-AI (P = 0.77), 40.0% established post-AI (P = 0.44), and 39.5% late post-AI (P = 0.77). There were no significant differences in polyp detection rate (PDR, baseline 59.7%), advanced ADR (baseline 16.2%), and non-neoplastic PDR (baseline 30.0%) before and after AI introduction.\u0000 CONCLUSION\u0000 In patients with an increased pre-test probability of having an abnormal colonoscopy, the current generation of AI did not yield enhanced CRC screening metrics over high-quality colonoscopy. Although the potential of AI in colonoscopy is undisputed, current AI technology may not universally elevate screening metrics across all situations and patient populations. Future studies that analyze different AI systems across various patient populations are needed to determine the most effective role of AI in optimizing CRC screening in clinical practice.","PeriodicalId":506333,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"2 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141335415","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}

引用次数: 0

Surgical strategies for challenging common bile duct stones in the endoscopic era: A comprehensive review of current evidence 内镜时代挑战胆总管结石的手术策略：当前证据的全面回顾

World Journal of Gastrointestinal Endoscopy Pub Date : 2024-06-16 DOI: 10.4253/wjge.v16.i6.305

Tharathorn Suwatthanarak, V. Chinswangwatanakul, A. Methasate, Chainarong Phalanusitthepha, Minoru Tanabe, Keiichi Akita, T. Akaraviputh

{"title":"Surgical strategies for challenging common bile duct stones in the endoscopic era: A comprehensive review of current evidence","authors":"Tharathorn Suwatthanarak, V. Chinswangwatanakul, A. Methasate, Chainarong Phalanusitthepha, Minoru Tanabe, Keiichi Akita, T. Akaraviputh","doi":"10.4253/wjge.v16.i6.305","DOIUrl":"https://doi.org/10.4253/wjge.v16.i6.305","url":null,"abstract":"While endoscopic retrograde cholangiopancreatography (ERCP) remains the primary treatment modality for common bile duct stones (CBDS) or choledocholithiasis due to advancements in instruments, surgical intervention, known as common bile duct exploration (CBDE), is still necessary in cases of difficult CBDS, failed endoscopic treatment, or altered anatomy. Recent evidence also supports CBDE in patients requesting single-step cholecystectomy and bile duct stone removal with comparable outcomes. This review elucidates relevant clinical anatomy, selection indications, and outcomes to enhance surgical understanding. The selection between trans-cystic (TC) vs trans-choledochal (TD) approaches is described, along with stone removal techniques and ductal closure. Detailed surgical techniques and strategies for both the TC and TD approaches, including instrument selection, is also provided. Additionally, this review comprehensively addresses operation-specific complications such as bile leakage, stricture, and entrapment, and focuses on preventive measures and treatment strategies. This review aims to optimize the management of CBDS through laparoscopic CBDE, with the goal of improving patient outcomes and minimizing risks.","PeriodicalId":506333,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"4 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141335642","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}

引用次数: 0

Organ and function preservation in gastrointestinal cancer: Current and future perspectives on endoscopic ablation 胃肠道癌症的器官和功能保护：内窥镜消融术的现状与未来展望

World Journal of Gastrointestinal Endoscopy Pub Date : 2024-06-16 DOI: 10.4253/wjge.v16.i6.282

Youssef Y Soliman, Megan Soliman, Shravani Reddy, James Lin, Toufic Kachaamy

{"title":"Organ and function preservation in gastrointestinal cancer: Current and future perspectives on endoscopic ablation","authors":"Youssef Y Soliman, Megan Soliman, Shravani Reddy, James Lin, Toufic Kachaamy","doi":"10.4253/wjge.v16.i6.282","DOIUrl":"https://doi.org/10.4253/wjge.v16.i6.282","url":null,"abstract":"The escalating prevalence of gastrointestinal cancers underscores the urgency for transformative approaches. Current treatment costs amount to billions of dollars annually, combined with the risks and comorbidities associated with invasive surgery. This highlights the importance of less invasive alternatives with organ preservation being a central aspect of the treatment paradigm. The current standard of care typically involves neoadjuvant systemic therapy followed by surgical resection. There is a growing interest in organ preservation approaches by way of minimizing extensive surgical resections. Endoscopic ablation has proven to be useful in precursor lesions, as well as in palliative cases of unresectable disease. More recently, there has been an increase in reports on the utility of adjunct endoscopic ablative techniques for downstaging disease as well as contributing to non-surgical complete clinical response. This expansive field within endoscopic oncology holds great potential for advancing patient care. By addressing challenges, fostering collaboration, and embracing technological advancements, the gastrointestinal cancer treatment paradigm can shift towards a more sustainable and patient-centric future emphasizing organ and function preservation. This editorial examines the evolving landscape of endoscopic ablation strategies, emphasizing their potential to improve patient outcomes. We briefly review current applications of endoscopic ablation in the esophagus, stomach, duodenum, pancreas, bile ducts, and colon.","PeriodicalId":506333,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"5 15","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141335689","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}

引用次数: 0

Still elusive: Developments in the accurate diagnosis of indeterminate biliary strictures 仍然难以捉摸：准确诊断不确定胆道狭窄的新进展

World Journal of Gastrointestinal Endoscopy Pub Date : 2024-06-16 DOI: 10.4253/wjge.v16.i6.297

Lynn Affarah, Philip Berry, S. Kotha

引用次数: 0

Pleomorphic leiomyosarcoma of the maxilla with metastasis to the colon: A case report 上颌骨多形性白肌瘤转移至结肠：病例报告

World Journal of Gastrointestinal Endoscopy Pub Date : 2024-06-16 DOI: 10.4253/wjge.v16.i6.361

Asma Alnajjar, Abdulrahman Alfadda, A. M. Alqaraawi, Bader A. Alajlan, Jean Paul Atallah, Hussah Fahad AlHussaini

引用次数: 0

Endoscopic ultrasound-guided pancreatic fluid collection drainage: Where are we? 内窥镜超声引导下的胰腺积液引流术：进展如何？

World Journal of Gastrointestinal Endoscopy Pub Date : 2024-06-16 DOI: 10.4253/wjge.v16.i6.273

Anupam Kumar Singh, M. Manrai, Rakesh Kochhar

引用次数: 0

Giant Brunner's gland hyperplasia of the duodenum successfully resected en bloc by endoscopic mucosal resection: A case report 十二指肠巨型布鲁纳氏腺增生症通过内镜粘膜切除术成功切除：病例报告

World Journal of Gastrointestinal Endoscopy Pub Date : 2024-06-16 DOI: 10.4253/wjge.v16.i6.368

Makomo Makazu, A. Sasaki, Chikamasa Ichita, Chihiro Sumida, T. Nishino, Miki Nagayama, Shinichi Teshima

{"title":"Giant Brunner's gland hyperplasia of the duodenum successfully resected en bloc by endoscopic mucosal resection: A case report","authors":"Makomo Makazu, A. Sasaki, Chikamasa Ichita, Chihiro Sumida, T. Nishino, Miki Nagayama, Shinichi Teshima","doi":"10.4253/wjge.v16.i6.368","DOIUrl":"https://doi.org/10.4253/wjge.v16.i6.368","url":null,"abstract":"BACKGROUND\u0000 Duodenal Brunner's gland hyperplasia (BGH) is a therapeutic target when complications such as bleeding or gastrointestinal obstruction occur or when malignancy cannot be ruled out. Herein, we present a case of large BGH treated with endoscopic mucosal resection (EMR).\u0000 CASE SUMMARY\u0000 An 83-year-old woman presented at our hospital with dizziness. Blood tests revealed severe anemia, esophagogastroduodenoscopy showed a 6.5 cm lesion protruding from the anterior wall of the duodenal bulb, and biopsy revealed the presence of glandular epithelium. Endoscopic ultrasonography (EUS) demonstrated relatively high echogenicity with a cystic component. The muscularis propria was slightly elevated at the base of the lesion. EMR was performed without complications. The formalin-fixed lesion size was 6 cm × 3.5 cm × 3 cm, showing nodular proliferation of non-dysplastic Brunner's glands compartmentalized by fibrous septa, confirming the diagnosis of BGH. Reports of EMR or hot snare polypectomy are rare for duodenal BGH > 6 cm. In this case, the choice of EMR was made by obtaining information on the base of the lesion as well as on the internal characteristics through EUS.\u0000 CONCLUSION\u0000 Large duodenal lesions with good endoscopic maneuverability and no evident muscular layer involvement on EUS may be resectable via EMR.","PeriodicalId":506333,"journal":{"name":"World Journal of Gastrointestinal Endoscopy","volume":"1 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141335840","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}

引用次数: 0

Impact of glucagon-like peptide receptor agonists on endoscopy and its preoperative management: Guidelines, challenges, and future directions 胰高血糖素样肽受体激动剂对内窥镜检查及其术前管理的影响：指南、挑战和未来方向

World Journal of Gastrointestinal Endoscopy Pub Date : 2024-06-16 DOI: 10.4253/wjge.v16.i6.292

Sahib Singh, V. C. Suresh Kumar, Ganesh Aswath

引用次数: 0

Beyond boundaries: Feasibility of curved linear array echoendoscope in appendiceal neoplasm detection 超越界限：曲面线性阵列回波内窥镜在阑尾肿瘤检测中的可行性

World Journal of Gastrointestinal Endoscopy Pub Date : 2024-05-16 DOI: 10.4253/wjge.v16.i5.232

Gehad Daba, Ahmed Altonbary

引用次数: 0