Recent Advances and Challenges in Gastrointestinal Endoscopy

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Optical Diagnostics".

Deadline for manuscript submissions: 30 November 2024 | Viewed by 658

Special Issue Editor


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Guest Editor
Department of Gastroenterology, Tokyo Metropolitan Komagome Hospital, Tokyo, Japan
Interests: endoscopic diagnosis and treatment; esophageal cancer; gastric cancer; pharyngeal cancer
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Special Issue Information

Dear Colleagues,

Recent advances in endoscopic devices have facilitated the diagnosis of gastrointestinal cancers. Once thought to have poor prognoses, it is now possible to diagnose esophageal and pancreatic cancers in their early stages. However, the number of early stage cancers detected is still low, and there is a need for innovative developments and methods to overcome this issue. This is an extremely important matter as it will eventually contribute to improving the prognosis of the disease as a whole. 

In this Special Issue, we welcome abstracts on endoscopic approaches with a particular focus on the diagnosis of early stage and superficial cancers, including IEE, AI-assisted techniques, EUS, ERCP, and endoscopic diagnostics combined with CT or MRI. We also welcome reports analyzing the risk factors involved in carcinogenesis, with an emphasis on cancer diagnoses.

We hope, in particular, that many clinicians will contribute to this Special Issue and find it useful in their daily practice.

Dr. Toshiro Iizuka
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Diagnostics is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • diagnosis at an early stage
  • endoscopy
  • precancerous lesion

Published Papers (1 paper)

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Research

11 pages, 953 KiB  
Article
Direct Single-Operator Cholangioscopy and Intraductal Ultrasonography in Patients with Indeterminate Biliary Strictures: A Single Center Experience
by Marco Sacco, Marcantonio Gesualdo, Maria Teresa Staiano, Eleonora Dall’Amico, Stefania Caronna, Simone Dibitetto, Chiara Canalis, Alessandro Caneglias, Federica Mediati, Rosa Claudia Stasio, Silvia Gaia, Giorgio Maria Saracco, Mauro Bruno and Claudio Giovanni De Angelis
Diagnostics 2024, 14(13), 1316; https://doi.org/10.3390/diagnostics14131316 - 21 Jun 2024
Viewed by 495
Abstract
The evaluation of biliary strictures poses a challenge due to the low sensitivity of standard diagnostic approaches, but the advent of direct single-operator cholangioscopy (DSOC) has revolutionized this paradigm. Our study aimed to assess the diagnostic performance of DSOC and DSOC-targeted biopsies, intraductal [...] Read more.
The evaluation of biliary strictures poses a challenge due to the low sensitivity of standard diagnostic approaches, but the advent of direct single-operator cholangioscopy (DSOC) has revolutionized this paradigm. Our study aimed to assess the diagnostic performance of DSOC and DSOC-targeted biopsies, intraductal ultrasound (IDUS), and standard brush cytology in patients with indeterminate biliary strictures (IBS). We reviewed patients who underwent advanced diagnostic evaluation for IBS at our endoscopy unit from January 2018 to December 2022, all of whom had previously undergone at least one endoscopic attempt to characterize the biliary stricture. Final diagnoses were established based on surgical pathology and/or clinical and radiological follow-up spanning at least 12 months. A total of 57 patients, with a mean age of 67.2 ± 10.0 years, were included, with a mean follow-up of 18.2 ± 18.1 months. The majority of IBS were located in the distal common bile duct (45.6%), with malignancy confirmed in 35 patients (61.4%). DSOC and IDUS demonstrated significantly higher accuracies (89.5% and 82.7%, respectively) compared to standard cytology (61.5%, p < 0.05). Both DSOC visualization and IDUS exhibited optimal diagnostic yields in differentiating IBS with an acceptable safety profile. Full article
(This article belongs to the Special Issue Recent Advances and Challenges in Gastrointestinal Endoscopy)
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