Endoscopy: Advances in Endoscopic Management of Gastrointestinal Tract and Pancreatobiliary Disorders

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Gastroenterology & Hepatopancreatobiliary Medicine".

Deadline for manuscript submissions: 15 August 2024 | Viewed by 306

Special Issue Editor


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Guest Editor
Baptist Medical Center, Baptist Health, Jacksonville, FL, USA
Interests: gastroenterology and hepatology; endoscopy; gastrointestinal and biliopancreatic cancers; inflammatory bowel diseases (IBDs); irritable bowel syndrome (IBS); constipation and diarrhea; liver cirrhosis; colorectal cancer/polyps
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Special Issue Information

Dear Colleagues,

The field of gastrointestinal endoscopy has evolved from a diagnostic into a minimally invasive therapeutic modality over the past three decades. As advancements in techniques and instruments continue to progress rapidly, the significance of endoscopic therapies has become paramount in the management of various gastrointestinal diseases. With an increasing number of lesions being diagnosed by screening endoscopies, endoscopic mucosal resection is becoming the preferred approach for the resection of polyps and early malignancies. Endoscopic submucosal dissection allows for the en-bloc resection of larger lesions, including colorectal cancer. The evolving landscape of endoscopic capabilities, including the utilization of new instruments and the expanding roles of "third-space endoscopy" enables the safe resection of significant subepithelial lesions. The increasing use of endoscopic ultrasound has enabled the refinement of internal biliary drainage and ablation of pancreato-biliary neoplasms. The use of over-the-scope clips allows for the endoscopic closure of gastrointestinal tract defects which were traditionally treated surgically. Biotechnological advances have expanded stenting options with fully covered metal stents, plastic stents, as well as biodegradable stents. Endoscopic therapies continue to show promising potential in anti-reflux and bariatric procedures.

We are glad to announce this Special Issue dedicated to publishing the most recent therapeutic advances in the endoscopic management of gastrointestinal and pancreatobiliary diseases. We look forward to receiving your original research, review articles, and meta-analyses providing insights into clinical practice as well as advances in future innovations in advanced endoscopy.

Dr. Hemant Goyal
Guest Editor

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Keywords

  • gastrointestinal disease
  • gastrointestinal oncology
  • endoscopic retrograde cholangio-pancreatography
  • endoscopic mucosal resection
  • endoscopic submucosal dissection
  • endoscopic ultrasound
  • endoscopic ultrasound-guided biliary drainage
  • endoscopic sleeve gastroplasty
  • per-oral endoscopic myotomy
  • radiofrequency ablation
  • third-space endoscopy

Published Papers (1 paper)

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Research

12 pages, 2850 KiB  
Article
Dedicated Echoendoscope for Interventional Endoscopic Ultrasound: Comparison with a Conventional Echoendoscope
by Toshio Fujisawa, Shigeto Ishii, Yousuke Nakai, Hirofumi Kogure, Ko Tomishima, Yusuke Takasaki, Koichi Ito, Sho Takahashi, Akinori Suzuki and Hiroyuki Isayama
J. Clin. Med. 2024, 13(10), 2840; https://doi.org/10.3390/jcm13102840 - 11 May 2024
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Abstract
Background/Objective: Interventional endoscopic ultrasound (I-EUS) is technically difficult and has risks of severe adverse events due to the scarcity of dedicated endoscopes and tools. A new EUS scope was developed for I-EUS and was modified to increase the puncture range, reduce the [...] Read more.
Background/Objective: Interventional endoscopic ultrasound (I-EUS) is technically difficult and has risks of severe adverse events due to the scarcity of dedicated endoscopes and tools. A new EUS scope was developed for I-EUS and was modified to increase the puncture range, reduce the blind area, and overcome guidewire difficulties. We evaluated the usefulness and safety of a new EUS scope compared to a conventional EUS scope. Methods: All I-EUS procedures were performed at Juntendo University Hospital from April 2020 to April 2022. The primary outcomes included the procedure time and fluoroscopy time. The secondary outcomes included the technical success rate and the rates of procedure-related adverse events. Clinical data were retrospectively reviewed and statistically analyzed between the new and conventional EUS scopes. Results: In total, 143 procedures in 120 patients were analyzed. The procedure time was significantly shorter with the new EUS scope, but the fluoroscopy time was not different. Among the patients only undergoing EUS-guided biliary drainage (EUS-BD), 79 procedures in 74 patients were analyzed. Both the procedure time and fluoroscopy time were significantly shorter with the new EUS scope. Multivariate analysis revealed that a new EUS scope and use of covered metal stents could reduce the fluoroscopy time. The technical success rate and the adverse event rate were not significantly different between the total I-EUS and the EUS-BD only groups. However, the conventional scope showed stent deviation during stent placement, which did not happen with the new scope. Conclusions: The new EUS scope reduced procedure time for total I-EUS and fluoroscopy time for EUS-BD compared to a conventional EUS scope because of the improvement suitable for I-EUS. Full article
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