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Clinical Application of Endoscopic Surgery in Gastrointestinal Diseases

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: closed (30 January 2025) | Viewed by 1526

Special Issue Editors


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Guest Editor
Gastroenterology, Hepatology and Nutrition Service, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA
Interests: ESD; ERCP; intervention EUS; POEM; G-POEM; Z-POEM; SBE; DBE; RFA cryotherapy

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Guest Editor
Department of Endoscopic Research and International Education, Jichi Medical University, Shimotsuke, Japan
Interests: double-balloon enteroscopy; crohn’s disease; capsule endoscopy; endoscopic balloon dilation; peutz-jeghers syndrome; endoscopic ischemic polypectomy; endoscopic submucosal dissection

Special Issue Information

Dear Colleagues,

The field of endoscopic procedures has been experiencing continuous advancement over the years, encompassing both diagnostic and therapeutic aspects. In the realm of diagnosis, technologies such as image-enhanced endoscopy (IEE), artificial intelligence (AI), magnified endoscopy, and endoscopic ultrasound (EUS)/EUS-guided fine needle aspiration (EUS-FNA) have undergone significant innovation in recent years. Furthermore, in response to emerging infectious concerns, the field of single-use endoscopy has seen notable growth.

On the therapeutic front, techniques for the removal of gastrointestinal neoplasms, including polypectomy, endoscopic mucosal resection (EMR), endoscopic submucosal dissection (ESD), and third space endoscopy (peroral myotomy, G-POEM, Z-POEM, and STER), as well as interventional EUS and ERCP, have rapidly evolved. Additionally, modalities such as endoscopic ablation (e.g., RFA, cryotherapy, and photodynamic therapy) and closure/suturing methods have been continuously refined with multiple innovations each year. Consequently, the diversity of procedures involved in endoscopic training poses challenges for both fellows and young attending gastroenterologists.

The aim of this Special Issue is to delve into endoscopy training and mentoring across the entire spectrum of endoscopy, covering a wide range of topics, and discuss strategies to enhance our daily practice of gastroenterology.

Dr. Makoto Nishimura
Prof. Dr. Hirotsugu Sakamoto
Guest Editors

Manuscript Submission Information

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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

  • endoscopy training
  • GI Fellowship
  • advanced GI fellowship
  • mentoring GI training
  • diagnostic endoscopy training
  • advanced endoscopy training
  • AI diagnosis
  • third space endoscopy training

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Published Papers (1 paper)

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Research

14 pages, 731 KiB  
Article
Factors Associated with the Severity of ERCP-Related Complications: A Retrospective Single-Centre Study
by Kristel Goubert, Helena Degroote, Martine De Vos, Maxim Khalenkow and Pieter Hindryckx
J. Clin. Med. 2024, 13(23), 7481; https://doi.org/10.3390/jcm13237481 - 9 Dec 2024
Viewed by 1108
Abstract
Objectives: Risk factors for post-endoscopic retrograde cholangiopancreatography (ERCP) complications have been extensively studied and are well established; most complications are mild and self-limiting. This study aims to identify patients at risk of severe early post-ERCP complications. Methods: We conducted a retrospective cohort study [...] Read more.
Objectives: Risk factors for post-endoscopic retrograde cholangiopancreatography (ERCP) complications have been extensively studied and are well established; most complications are mild and self-limiting. This study aims to identify patients at risk of severe early post-ERCP complications. Methods: We conducted a retrospective cohort study with data from 2810 ERCP procedures performed at Ghent University Hospital between 2016 and 2022. Patient records and a maintained ERCP registry were used to identify all ERCP-related complications and possible risk factors. The AGREE classification was used to determine the severity of the complication. Univariate and multivariate logistic regression analyses were performed to identify independent predictors of severe complications. Results: Out of 2810 procedures, 223 cases (7.9%) had post-ERCP complications, with severe complications occurring in 20.3% of cases. The most common severe complication was haemorrhage (22/49 severe complications, 44.9%), with perforation having the highest probability of being severe (10/15 cases, 67%). Independent predictors of severe complications included anticoagulative therapy (OR 6.3, 95% CI 1.4–28.3, p = 0.016) and high procedural difficulty (Schutz category 3: OR 11.5, 95% CI 2.4–54.6, p = 0.002; category 4: OR 5.9, 95% CI 1.4–23.5, p = 0.012). Conclusions: Patients on anticoagulation and those undergoing complex ERCP procedures (Schutz 3 or 4) are at particular risk of severe procedure-related complications. Full article
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