{"title":"Remimazolam and a New Era of Sedation for Colonoscopy.","authors":"Yasushi Yamasaki","doi":"10.1111/den.70161","DOIUrl":"10.1111/den.70161","url":null,"abstract":"","PeriodicalId":72813,"journal":{"name":"Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society","volume":"38 5","pages":"e70161"},"PeriodicalIF":4.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824247","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":"Addressing Ethical, Legal, and Social Issues on Artificial Intelligence Together With Patients' Perspectives: Prerequisites for Responsible Social Implementation in Endoscopy.","authors":"Yosuke Tsuji, Mitsuhiro Fujishiro","doi":"10.1111/den.70168","DOIUrl":"10.1111/den.70168","url":null,"abstract":"","PeriodicalId":72813,"journal":{"name":"Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society","volume":"38 5","pages":"e70168"},"PeriodicalIF":4.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13174909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147944175","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}
Francesco Azzolini, Giuseppe Dell'Anna, Maurizio Spandre, Francesco Pugliese, Alberto Barchi, Ernesto Fasulo, Giulia Testa, Rukaia Barà, Lorenzo Dioscoridi, Francesco Frigo, Daniele Arese, Durante Donnarumma, Mattia Corradi, Dario Esposito, Maria Chiara Verga, Edoardo Vespa, Jacopo Fanizza, Gabriele Altieri, Vito Annese, Gianfranco Donatelli, Antonio Facciorusso, Lorenzo Fuccio, Franco Coppola, Massimiliano Mutignani, Silvio Danese, Francesco Vito Mandarino
{"title":"Submucosal Injection-Guided Septotomy (SING) for the Treatment of Zenker's Diverticulum: A Multicenter Study of Over 100 Procedures (With Video).","authors":"Francesco Azzolini, Giuseppe Dell'Anna, Maurizio Spandre, Francesco Pugliese, Alberto Barchi, Ernesto Fasulo, Giulia Testa, Rukaia Barà, Lorenzo Dioscoridi, Francesco Frigo, Daniele Arese, Durante Donnarumma, Mattia Corradi, Dario Esposito, Maria Chiara Verga, Edoardo Vespa, Jacopo Fanizza, Gabriele Altieri, Vito Annese, Gianfranco Donatelli, Antonio Facciorusso, Lorenzo Fuccio, Franco Coppola, Massimiliano Mutignani, Silvio Danese, Francesco Vito Mandarino","doi":"10.1111/den.70156","DOIUrl":"10.1111/den.70156","url":null,"abstract":"<p><strong>Background and aim: </strong>We present the first experience with the submucosal injection-guided septotomy (SING) technique, which integrates the principles of flexible endoscopic septotomy with submucosal endoscopy, applied in different phases of the procedure for the treatment of Zenker's diverticulum (ZD).</p><p><strong>Methods: </strong>Prospectively collected data from consecutive ZD patients treated with SING at three Italian centers (October 2019-August 2024) were analyzed. The primary outcome was clinical success (CS; Kothari-Haber Score < 2 at 3 months), whereas secondary outcomes included technical success (TS), procedural time, adverse events (AEs), hospital stay, and time to recurrence (Kaplan-Meier method). We also performed subgroup analysis according to ZD dimension (large vs. small) and to soft diverticuloscope use.</p><p><strong>Results: </strong>A total of 102 patients underwent SING (median age 74 years [IQR 68-81]; 69.7% male). Median diverticulum depth was 30 mm (IQR 25-40) and baseline KHS score 4 (IQR 3-6). CS was achieved in 98% (95% CI 93.6%-99.8%), with 7% (95% CI 2.9%-13.9%) experiencing symptom recurrence over a median follow-up of 370 days (IQR 297-747). Recurrence-free probabilities were 93.5% at 6 months, 92.0% at 12 months, and 92.0% at 24 months. TS was 100%, median procedural time 30 min (IQR 25-45), and AEs occurred in 3 patients (2.9%), all managed endoscopically.</p><p><strong>Conclusions: </strong>SING is a safe and effective endoscopic treatment for ZD. Prospective comparative studies with standard techniques are warranted.</p>","PeriodicalId":72813,"journal":{"name":"Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society","volume":"38 5","pages":"e70156"},"PeriodicalIF":4.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147790457","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":"Initial Experience With Percutaneous Laser Lithotripsy Using a Novel Short-Type Digital 11-Fr Cholangioscope in a Patient With Retained Bile Duct Stones and Surgically Altered Anatomy.","authors":"Il Sang Shin, Jong Ho Moon, Yun Nah Lee","doi":"10.1111/den.70155","DOIUrl":"10.1111/den.70155","url":null,"abstract":"","PeriodicalId":72813,"journal":{"name":"Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society","volume":"38 5","pages":"e70155"},"PeriodicalIF":4.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824263","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":"Colorectal Endoscopic Submucosal Dissection Using a Single Multifunctional Knife With a High-Pressure Waterjet System.","authors":"Koyo Kido, Yohei Ikenoyama, Hayato Nakagawa","doi":"10.1111/den.70164","DOIUrl":"10.1111/den.70164","url":null,"abstract":"","PeriodicalId":72813,"journal":{"name":"Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society","volume":"38 5","pages":"e70164"},"PeriodicalIF":4.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13274756/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857589","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":"Endoscopic Submucosal Resection With Ligation (ESMR-L) for a Neuroendocrine Tumor of the Major Duodenal Papilla.","authors":"Yukihisa Fujinaga, Tomihiro Iwata, Jun-Ichi Hanatani","doi":"10.1111/den.70175","DOIUrl":"10.1111/den.70175","url":null,"abstract":"","PeriodicalId":72813,"journal":{"name":"Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society","volume":"38 5","pages":"e70175"},"PeriodicalIF":4.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147977612","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":"How Many Biopsies Are Enough? Rethinking Biopsy and Surveillance Strategies for Barrett's Esophagus in Asia.","authors":"Yuto Shimamura, Yugo Iwaya","doi":"10.1111/den.70166","DOIUrl":"10.1111/den.70166","url":null,"abstract":"","PeriodicalId":72813,"journal":{"name":"Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society","volume":"38 5","pages":"e70166"},"PeriodicalIF":4.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13158544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147870561","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}
Jun Nakamura, Takuto Hikichi, Tsunetaka Kato, Takumi Yanagita
{"title":"A Step Toward Practical Magnetic Countertraction in Colorectal Endoscopic Submucosal Dissection.","authors":"Jun Nakamura, Takuto Hikichi, Tsunetaka Kato, Takumi Yanagita","doi":"10.1111/den.70160","DOIUrl":"10.1111/den.70160","url":null,"abstract":"","PeriodicalId":72813,"journal":{"name":"Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society","volume":"38 5","pages":"e70160"},"PeriodicalIF":4.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824215","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":"Ultrathin Endoscope-Guided Reintervention for Stent Obstruction Associated With Silicone Cover Detachment After EUS-Guided Hepaticogastrostomy (With Video).","authors":"Seiji Fujigaki, Misaki Yokoi, Tsuyoshi Sanuki","doi":"10.1111/den.70165","DOIUrl":"10.1111/den.70165","url":null,"abstract":"","PeriodicalId":72813,"journal":{"name":"Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society","volume":"38 5","pages":"e70165"},"PeriodicalIF":4.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147846853","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":"Ciprofol May Represent a Useful Sedative Option for Gastrointestinal Endoscopy.","authors":"Takeshi Yamamura, Masanao Nakamura, Hiroki Kawashima","doi":"10.1111/den.70162","DOIUrl":"10.1111/den.70162","url":null,"abstract":"","PeriodicalId":72813,"journal":{"name":"Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society","volume":"38 5","pages":"e70162"},"PeriodicalIF":4.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13136776/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824305","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}