New Advances in Digestive Endoscopy

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

Deadline for manuscript submissions: 31 December 2025 | Viewed by 465

Special Issue Editor


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Guest Editor
Department of Medical Oncology, Institut Bergonié, Comprehensive Cancer Center, 33076 Bordeaux, France
Interests: cholangiocarcinoma; esophageal diseases; biliary tract diseases; hepatocellular carcinoma; pancreatic diseases; liver diseases; liver cirrhosis; cirrhosis; gastrointestinal diseases; endoscopy

Special Issue Information

Dear Colleagues,

This Special Issue aims to explore the latest advancements and innovations in digestive endoscopy, a field that has witnessed rapid progress in recent years due to technological advancements, refined techniques, and an enhanced understanding of digestive disorders.

A key development in this field is the introduction of advanced imaging technologies, such as confocal laser endomicroscopy and narrow-band imaging, which enable the performance of real-time histological assessment during endoscopy, thereby improving the early detection and characterization of neoplastic lesions. These techniques have significantly enhanced our ability to differentiate benign from malignant conditions and guide targeted biopsies, reducing the need for invasive surgical procedures.

Another significant advancement is the evolution of minimally invasive therapeutic endoscopic procedures, including endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD); these procedures can be utilized for the management of early gastrointestinal cancers, emphasizing improvements in safety, efficacy, and patient outcomes. Furthermore, the application of endoscopic ultrasound (EUS)-guided interventions, including EUS-guided fine-needle aspiration (FNA) for tissue sampling, EUS with the possibility of biliary drainage (Hot Axios) and SpyGlass for the exploration of indeterminate biliary strictures, and EUS-guided pancreatic drainage, underscores the expanding therapeutic horizon of digestive endoscopy.

Innovations in robotic and artificial intelligence (AI)-assisted endoscopy are also important. The integration of robotic platforms has facilitated more precise and ergonomically advantageous endoscopic maneuvers, while AI algorithms are being developed to enhance image analysis, lesion detection, and procedural guidance, promising to revolutionize the field through increased automation and the personalization of care.

In conclusion, we aim to assemble a diverse array of papers that provide a comprehensive overview of the innovations that are transforming diagnostic accuracy, therapeutic efficacy, and patient care in digestive endoscopy.

We look forward to receiving your contributions.

Dr. Dominique Béchade
Guest Editor

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Keywords

  • digestive endoscopy
  • colonoscopy
  • endoscopic ultrasound
  • interventional endoscopy
  • EUS-Guided Fine-Needle Aspiration (EUS-FNA)
  • EUS-Fine Needle Biopsy (EUS-FNB)
  • Endoscopic Retrograde Cholangiopancreatography (ENCR)

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Published Papers (1 paper)

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14 pages, 7365 KiB  
Article
Improvement of Colonoscopic Image Quality Using a New LED Endoscopic System with Specialized Noise Reduction
by Naohisa Yoshida, Masahiro Okada, Yoshikazu Hayashi, Reo Kobayashi, Ken Inoue, Osamu Dohi, Yoshito Itoh, Ryohei Hirose, Lucas Cardoso, Kohei Suzuki, Tomonori Yano and Hironori Yamamoto
Diagnostics 2025, 15(12), 1569; https://doi.org/10.3390/diagnostics15121569 - 19 Jun 2025
Viewed by 293
Abstract
Background/Objectives: A new LED endoscopy system featuring advanced noise-reduction technology, the EP-8000 with the EC-860ZP colonoscope (Fujifilm), was introduced in 2024. We evaluated the improvements in colonoscopic image quality of this system, comparing it with a previous system/scope (VP-7000/EC-760ZP). Methods: This is a [...] Read more.
Background/Objectives: A new LED endoscopy system featuring advanced noise-reduction technology, the EP-8000 with the EC-860ZP colonoscope (Fujifilm), was introduced in 2024. We evaluated the improvements in colonoscopic image quality of this system, comparing it with a previous system/scope (VP-7000/EC-760ZP). Methods: This is a multicenter, observational study. From January 2024 to February 2025, 150 patients undergoing colonoscopy at two institutions were enrolled. Images of the cecum and lesions were captured using white light imaging (WLI), blue light imaging (BLI), and linked color imaging (LCI) under similar conditions. Participants were divided into three groups: Group 1 (EP-8000+EC-860ZP; 50 cases), Group 2 (EP-8000+EC-760ZP; 50 cases), and Group 3 (VP-7000+EC-760ZP; 50 cases). Cecal and lesion images were evaluated for brightness, halation, and visibility using a four-point scale (1 = poor to 4 = excellent) by endoscopists and original values by image-analysis software. Results: In cecal images, the endoscopists’ scores in Group 1 were significantly better than in Group 3 for brightness (WLI: 3.71 ± 0.55 vs. 3.51 ± 0.58, p < 0.001, BLI: 3.15 ± 0.85 vs. 2.23 ± 0.92, p < 0.001; LCI: 3.83 ± 0.42 vs. 3.54 ± 0.58, p < 0.001) and for halation (WLI: 3.60 ± 0.51 vs. 3.18 ± 0.59, p < 0.001, BLI: 2.99 ± 0.69 vs. 2.71 ± 0.78, p < 0.001; LCI: 3.33 ± 0.60 vs. 3.10 ± 0.58, p < 0.001). Software analysis confirmed that Group 1 had superior brightness values compared with Group 3 for WLI, BLI, and LCI, as well as lower halation values for WLI and LCI. Regarding lesion images, brightness, halation, and visibility for WLI, BLI, and LCI were superior in Group 1 than in Group 3. Conclusions: The new LED system provided improvements in brightness, halation, and lesion visibility. Full article
(This article belongs to the Special Issue New Advances in Digestive Endoscopy)
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