Clinical Updates on Personalized Upper Gastrointestinal Endoscopy

A special issue of Journal of Personalized Medicine (ISSN 2075-4426). This special issue belongs to the section "Clinical Medicine, Cell, and Organism Physiology".

Deadline for manuscript submissions: 31 August 2025 | Viewed by 1934

Special Issue Editors


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Guest Editor
Department of Gastroenterology and Gastrointestinal Endoscopy, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, Scientific Institute San Raffaele, 20132 Milan, Italy
Interests: upper-GI motility disorders; eosinophilic esophagitis; achalasia; upper-GI endoscopy
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Guest Editor
Department of Gastroenterology and Gastrointestinal Endoscopy, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, Scientific Institute San Raffaele, 20132 Milan, Italy
Interests: operative endoscopy; luminal endoscopy; gastroparesis; post-surgical endoscopic treatment; sedation; surgical endoscopy
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

In recent years, advanced endoscopy has emerged as an effective, minimally invasive, personalized treatment for various clinical and surgical issues. Operative endoscopy has the power of personalizing and tailoring the treatment for diverse upper-GI conditions, from benign disorders such as achalasia, gastroparesis, GERD, and esophageal diverticula, thanks to the “third-space” revolution, up to the management of post-surgical complications such as post-operative fistulas and leakages. This Special Issue welcomes submissions focusing on the recent advances in personalized endoscopic treatment of different upper-GI benign and post-surgical conditions. Our objective is to present further evidence and reinforce the notion of operative endoscopy as a tailored, minimally invasive, and personalized approach in the management of upper-GI disorders, thereby enhancing patient outcomes.

Dr. Alberto Barchi
Dr. Francesco Vito Mandarino
Guest Editors

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Keywords

  • operative endoscopy
  • post-surgical complications
  • achalasia
  • Zenker diverticulum
  • GERD
  • gastroparesis

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Published Papers (2 papers)

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Research

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15 pages, 6985 KiB  
Article
Assessing Postural Stability in Gastrointestinal Endoscopic Procedures with a Belt-like Endoscope Holder Using a MoCap Camera System
by Tadej Durič, Jan Hejda, Petr Volf, Marek Sokol, Patrik Kutílek and Jan Hajer
J. Pers. Med. 2024, 14(12), 1132; https://doi.org/10.3390/jpm14121132 - 30 Nov 2024
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Abstract
Background/Objectives: As musculoskeletal injuries in gastroenterologists related to the performance of endoscopic procedures are on the rise, solutions and new approaches are needed to prevent these undesired outcomes. In our study, we evaluated an approach to ergonomic challenges in the form of a [...] Read more.
Background/Objectives: As musculoskeletal injuries in gastroenterologists related to the performance of endoscopic procedures are on the rise, solutions and new approaches are needed to prevent these undesired outcomes. In our study, we evaluated an approach to ergonomic challenges in the form of a belt-like endoscope holder designed to redistribute the weight of the endoscope across the whole body of the practitioner. The aim of the study was to determine how the use of this holder affected the body posture of practitioners during endoscopy. Methods: We designed a special endoscopic model that emulates basic endoscopic movement and maneuvers. With the use of the MoCap camera system, we recorded experienced endoscopists exercising a standardized set of tasks with and without the holder. Results: Following video and statistical analyses, the most significant differences were observed in the position of the left arm which pointed to a more relaxed arm position. Conclusions: The ergonomic benefits of the belt holder in this model merit testing in the clinical setting to evaluate its effectiveness and prevention of musculoskeletal injuries in GI endoscopy. Full article
(This article belongs to the Special Issue Clinical Updates on Personalized Upper Gastrointestinal Endoscopy)
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Review

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19 pages, 4580 KiB  
Review
The Endoscopic Management of Anastomotic Strictures After Esophagogastric Surgery: A Comprehensive Review of Emerging Approaches Beyond Endoscopic Dilation
by Giuseppe Dell’Anna, Jacopo Fanizza, Francesco Vito Mandarino, Alberto Barchi, Ernesto Fasulo, Edoardo Vespa, Lorella Fanti, Francesco Azzolini, Silvia Battaglia, Francesco Puccetti, Andrea Cossu, Ugo Elmore, Antonio Facciorusso, Armando Dell’Anna, Lorenzo Fuccio, Angelo Bruni, Sara Massironi, Vito Annese, Alberto Malesci, Gianfranco Donatelli, Riccardo Rosati and Silvio Daneseadd Show full author list remove Hide full author list
J. Pers. Med. 2025, 15(3), 111; https://doi.org/10.3390/jpm15030111 - 13 Mar 2025
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Abstract
Anastomotic strictures are a common complication following esophagogastric surgery, with prevalence varying depending on the type of surgery and anatomical site. These strictures can lead to debilitating symptoms such as dysphagia, pain, and malabsorption, significantly impacting patients’ quality of life. Endoscopic treatment of [...] Read more.
Anastomotic strictures are a common complication following esophagogastric surgery, with prevalence varying depending on the type of surgery and anatomical site. These strictures can lead to debilitating symptoms such as dysphagia, pain, and malabsorption, significantly impacting patients’ quality of life. Endoscopic treatment of anastomotic strictures has established a role as the first-line strategy in this setting instead of revision surgery, offering benefits in terms of lower morbidity. Various endoscopic methods are available for anastomotic stricture management, including balloon dilation, stent placement, the new lumen-apposing metal stent, and endoscopic incision techniques. However, there is currently no strong evidence and established guidelines for the optimal treatment strategy. Available data suggest that endoscopic treatments, when performed in tertiary referral centers, can provide favorable outcomes in terms of symptom relief and reduced need for rescue surgical intervention. Nonetheless, challenges remain regarding the management of recurrent strictures and procedural complications, underscoring the need for a personalized, multidisciplinary approach to optimize clinical outcomes. This review aims to provide an updated overview of endoscopic techniques and available evidence with a focus on the most recent technologies, supporting clinicians in effectively managing anastomotic strictures in complex clinical settings. Full article
(This article belongs to the Special Issue Clinical Updates on Personalized Upper Gastrointestinal Endoscopy)
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