Issue 02 · Volume 55 · February 2023
Endoscopy 2023年第2期现已上线,欢迎免费阅读本期三篇主编精选论文。
一些上消化道癌症是在内窥镜检查阴性后被诊断出来的:问题的严重程度是多少,为什么会发生这种情况?Kamran等人发现,1327例上消化道癌症中有6.7%是在内窥镜检查阴性后的6-36个月内被诊断出来的。他们的分析还显示,这些内窥镜检查后的癌症中有71%可能是可以避免的,并认为最初的内窥镜检查中的评估和决策不足是最合理的原因。
Gerges等人在一项包括40名患者的前瞻性多中心试验中发现,数字式单人胰腺镜对胰腺导管内的大型症状性结石进行引导碎石是有效且安全的。它与较少的疼痛有关,作者总结说,可以考虑将其作为慢性胰腺炎患者碎石的标准内镜技术的替代品。
在一项随机对照试验中,锚定内窥镜粘膜切除术(A-EMR)对于10-25毫米的非截断性息肉,在全切和R0切除方面都优于传统EMR。Oh等人推荐A-EMR作为切除大型非截断性结直肠息肉的标准方法。
欢迎阅读本期三篇精选论文及其它全部论文。
Original article
Kamran et al.
Missing upper gastrointestinal cancer (UGIC) at endoscopy may prevent curative treatment. Kamran et al have developed a root cause analysis system for potentially missed UGICs at endoscopy (post-endoscopy UGIC [PEUGIC]) to establish the most plausible explanations.
Original article
Gerges et al.
Digital single-operator pancreatoscopy (DSOP)-guided lithotripsy is a novel treatment modality for pancreatic endotherapy, with demonstrated technical success in retrospective series of between 88 % and 100 %. The aim of this prospective multicenter trial was to systematically evaluate DSOP in patients with chronic pancreatitis and symptomatic pancreatic duct stones.
Original article
Oh et al.
Colorectal polyps > 10 mm in size are often incompletely resected. Anchoring-endoscopic mucosal resection (A-EMR) is the technique of making a small incision at the oral side of the polyp using a snare tip after submucosal injection to avoid slippage during ensnaring. This study was performed to evaluate whether A-EMR could increase the complete resection rate for large colorectal polyps compared with conventional endoscopic mucosal resection (C-EMR).