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Gastrointestinal endoscopy最新文献

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Moving the needle on colorectal endoscopic submucosal dissection in the West 动针在西方结肠内镜下粘膜下剥离中的应用。
IF 7.5 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gastrointestinal endoscopy
Pub Date : 2026-03-01 Epub Date: 2026-02-26 DOI: 10.1016/j.gie.2025.10.033
Jeffrey D. Mosko MD, MSc
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引用次数: 0
Endoscopic tunneled stricturotomy versus surgical conversion to Roux-en-Y gastric bypass for the management of stenosis after sleeve gastrectomy 内镜下隧道狭窄切开术与roux-en-y胃旁路术治疗袖胃切除术后狭窄的比较。
IF 7.5 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gastrointestinal endoscopy
Pub Date : 2026-03-01 Epub Date: 2025-08-15 DOI: 10.1016/j.gie.2025.08.012
Trent Walradt MD, Daniel Szvarca MD, Christopher C. Thompson MD

Background and Aims

Stenosis after laparoscopic sleeve gastrectomy (LSG) is common. Endoscopic balloon dilation is first-line therapy but often requires multiple sessions and may fail. Surgical conversion to Roux-en-Y gastric bypass is effective but invasive. Endoscopic tunneled stricturotomy offers a less-invasive alternative. We compared clinical success, adverse events, and length of stay between endoscopic and surgical treatments for post-LSG stenosis.

Methods

This retrospective, matched cohort study included patients treated with endoscopic stricturotomy (ENDO) group or Roux-en-Y gastric bypass conversion (SURG) group, matched 1:1 by age, sex, body mass index, time from LSG, and previous treatments. The Fisher exact and t tests were used.

Results

In 24 patients (12/group), the rate of adverse events was lower in ENDO (0% vs 41.7%, P = .04). Length of stay was shorter in ENDO (1.21 vs 2.57 days, P = .03). Clinical success was 83.3% (ENDO) versus 100% (SURG) (P = .48).

Conclusions

Endoscopic stricturotomy is a safe, effective alternative for refractory post-LSG stenosis.
背景与目的：腹腔镜袖式胃切除术（LSG）后狭窄是常见的。内窥镜球囊扩张术是一线治疗，但通常需要多次治疗，而且可能会失败。手术转换为Roux-en-Y胃旁路术（RYGB）是有效的，但有侵入性。内镜隧道狭窄切开术提供了一种侵入性较小的选择。我们比较了内镜和手术治疗后lsg狭窄的临床成功率、不良事件（ae）和住院时间（LOS）。方法：这项回顾性、匹配队列研究纳入了内镜下狭窄切开术（ENDO）或RYGB转换（SURG）治疗的患者，按年龄、性别、BMI、LSG治疗时间和既往治疗进行1:1匹配。使用费雪精确检验和t检验。结果：24例患者（12例/组）中，ENDO的AE发生率较低（0% vs 41.7%, P = 0.04）。ENDO组的LOS较短（1.21天vs 2.57天，P = 0.03）。临床成功率为83.3% (ENDO) vs 100% (SURG) （P = 0.48）。结论：内镜下狭窄切开术是治疗难治性lsg后狭窄的一种安全、有效的方法。
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引用次数: 0
Red dichromatic imaging–guided peroral endoscopic myotomy: a safer approach to achalasia with concurrent esophageal varices (with video) 红色二色成像引导下经口内窥镜肌切开术：一种治疗贲门失弛缓症并发食管静脉曲张的更安全的方法（附视频）。
IF 7.5 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gastrointestinal endoscopy
Pub Date : 2026-03-01 Epub Date: 2025-09-04 DOI: 10.1016/j.gie.2025.08.057
Chen-Huan Yu MD, Kuo-Hsin Chen MD, Jiann-Ming Wu MD, Chao-Yu Liu MD, MSc, Tzong-Hsi Lee MD, Chen-Shuan Chung MD, MSc
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引用次数: 0
Sequential lumen-apposing metal stent and septotomy technique for endoscopic anastomosis creation and revision in patients with previous upper gastrointestinal surgery 序贯腔旁置金属支架和中隔切开术在上消化道手术患者的内镜吻合建立和修复中的应用。
IF 7.5 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gastrointestinal endoscopy
Pub Date : 2026-03-01 Epub Date: 2025-10-10 DOI: 10.1016/j.gie.2025.10.003
Casey R. Lamb MD , Sara R. Zelman MD , Nicholas S. Hannon MD , Jeffrey M. Adler MD , Thadeus L. Trus MD

Background and Aims

We present an endoscopic technique for the creation or revision of upper GI anastomoses using endoscopic ultrasound guidance, sequential deployment of lumen-apposing metal stents, and septotomy after tract maturation. We also present our case series of 4 patients in whom we have successfully used this technique for both reversal of postbariatric surgical anatomy and management of anastomotic strictures.

Methods

Three patients with previous bariatric surgery underwent reversal of their gastric anatomy with endoscopic anastomosis creation, and 1 patient with a duodenal anastomotic stricture underwent anastomotic revision using our sequential lumen-apposing metal stent and septotomy technique.

Results

There were no immediate procedure-related adverse events in any of the cases. All procedures achieved technical and at least partial clinical success.

Conclusions

Our technique is safe, effective, and feasible for durable endoscopic anastomosis creation or revision in appropriately selected patients with prior upper GI surgery.
背景和目的：我们提出了一种内镜下的技术来创建或修改上消化道（UGI）吻合术，使用内镜超声（EUS）引导，连续部署腔内金属支架（LAMS），并在管道成熟后进行中隔切开术。我们还介绍了我们的4例病例系列，其中我们成功地利用该技术逆转了减肥后手术解剖和处理吻合口狭窄。方法：3例既往减肥手术患者行胃解剖反转内镜吻合术，1例十二指肠吻合口狭窄患者行序贯LAMS和中隔切开术吻合口修复术。结果：所有病例均未发生与手术相关的不良事件。所有的手术都取得了技术上和至少部分临床上的成功。结论：我们的技术是安全、有效和可行的，可以在适当选择的既往上消化道手术的患者中进行持久的内镜吻合术创建或修复。
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引用次数: 0
Whether the long-term success of peroral endoscopic myotomy with concomitant endoscopic fundoplication can be replicated 是否可以复制经口内窥镜下肌切开术合并内镜下眼底复制术的长期成功
IF 7.5 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gastrointestinal endoscopy
Pub Date : 2026-03-01 Epub Date: 2025-10-30 DOI: 10.1016/j.gie.2025.08.023
Lan Wang BS, Han Zhang MD
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引用次数: 0
Response 响应。
IF 7.5 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gastrointestinal endoscopy
Pub Date : 2026-03-01 Epub Date: 2025-11-11 DOI: 10.1016/j.gie.2025.09.028
Aman Yadav MD, Alexander Huelsen MD
{"title":"Response","authors":"Aman Yadav MD,&nbsp;Alexander Huelsen MD","doi":"10.1016/j.gie.2025.09.028","DOIUrl":"10.1016/j.gie.2025.09.028","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"103 3","pages":"Pages 631-632"},"PeriodicalIF":7.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145488265","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}
引用次数: 0
Response 响应。
IF 7.5 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gastrointestinal endoscopy
Pub Date : 2026-03-01 Epub Date: 2025-11-11 DOI: 10.1016/j.gie.2025.09.027
Masau Sekiguchi MD, PhD, Marcus Westerberg PhD, Christian Löwbeer MD, PhD, Anna Forsberg MD, PhD
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引用次数: 0
Anorectal dysfunction after endoscopic submucosal dissection for rectal lesions 内镜下粘膜下剥离治疗直肠病变后的肛肠功能障碍。
IF 7.5 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gastrointestinal endoscopy
Pub Date : 2026-03-01 Epub Date: 2026-02-26 DOI: 10.1016/j.gie.2025.07.045
Wafa A. Aldhaleei MD, MSc, MPH
{"title":"Anorectal dysfunction after endoscopic submucosal dissection for rectal lesions","authors":"Wafa A. Aldhaleei MD, MSc, MPH","doi":"10.1016/j.gie.2025.07.045","DOIUrl":"10.1016/j.gie.2025.07.045","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"103 3","pages":"Pages 551-552"},"PeriodicalIF":7.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147321620","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}
引用次数: 0
Radiation matters: evaluating radiation dosage as a predictor of argon plasma coagulation outcome in radiation-associated vascular ectasias 辐射问题：评估辐射剂量作为辐射相关血管扩张中氩等离子凝血结果的预测因子。
IF 7.5 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gastrointestinal endoscopy
Pub Date : 2026-03-01 Epub Date: 2026-02-26 DOI: 10.1016/j.gie.2025.08.025
Manish Manrai MBBS, MD (Med), DM (Gastroenterology), FICP, FRCP (Edin), FISG, FINASL
{"title":"Radiation matters: evaluating radiation dosage as a predictor of argon plasma coagulation outcome in radiation-associated vascular ectasias","authors":"Manish Manrai MBBS, MD (Med), DM (Gastroenterology), FICP, FRCP (Edin), FISG, FINASL","doi":"10.1016/j.gie.2025.08.025","DOIUrl":"10.1016/j.gie.2025.08.025","url":null,"abstract":"","PeriodicalId":12542,"journal":{"name":"Gastrointestinal endoscopy","volume":"103 3","pages":"Pages 563-564"},"PeriodicalIF":7.5,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147321621","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}
引用次数: 0
Refining endoscopic diagnosis in ulcerative colitis: the emerging role of lesion-border distinctness combined with pit pattern analysis 改进溃疡性结肠炎的内镜诊断：病灶边界清晰结合窝型分析的新作用。
IF 7.5 1区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Gastrointestinal endoscopy
Pub Date : 2026-03-01 Epub Date: 2026-02-26 DOI: 10.1016/j.gie.2025.09.035
Yutaka Saito MD, PhD
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引用次数: 0
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