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Endoscopy | Issue 11/2022主编精选免费论文 2022-11-10

Endoscopy 影响因子已更新为

10.437

     Impact Factor 2021


Issue 11 · Volume 54 · November 2022

Endoscopy最新一期现已上线,欢迎免费阅读本期三篇主编精选论文。

胃出口梗阻 (GOO) 是恶性消化肿瘤的常见并发症,可严重影响患者的生活质量。在对214名患者的多中心倾向评分匹配研究中,van Wanrooij等人发现,与十二指肠支架置入术相比,通过超声内镜引导下胃肠造瘘术 (EUS-GE) 治疗显示出更高的临床成功率和更低的支架功能障碍率,安全性相似。本研究表明,在恶性胃出口梗阻患者中,在可能的情况下,EUS-GE应优于十二指肠支架植入术。欢迎阅读本期Endoscopy第一篇精选论文。

本期第二篇精选论文是Didden等人关于136例疑似 T1 期结直肠癌息肉患者的内镜下全层切除术 (EFTR) 的报告。病变的R0率≤15毫米为90%,但病变为16-20毫米,降至71.4%作者指出,EFTR对这些病变的性能应取决于入路、移动性、壁柔韧性和粘膜下浸润深度。对于> 20毫米的病变,不建议使用EFTR。

食管胃静脉曲张破裂出血 (EGVH) 需要紧急评估和处理。新的ESGE指南为急性出血发作的管理以及EVGH的一级和二级预防提供了指导。欢迎阅读本期第三篇精选论文。

欢迎阅读本期三篇精选论文及其它全部论文。

Original Article

Endoscopic ultrasound-guided gastroenterostomy versus duodenal stenting for malignant gastric outlet obstruction: an international, multicenter, propensity score-matched comparison

van Wanrooij RoyL J et al.

Endoscopic duodenal stenting is the current standard treatment for malignant gastric outlet obstruction (GOO) in patients with limited life expectancy. However, duodenal stenting is prone to stent dysfunction. Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) is a novel technique with potentially superior stent patency. Van Wanrooij et al. compared clinical success, safety, and stent dysfunction of EUS-GE and duodenal stenting in patients with malignant GOO using propensity score matching.

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Original Article

Relevance of polyp size for primary endoscopic full-thickness resection of suspected T1 colorectal cancers

Didden Paul et al.

En bloc local excision of suspected T1 colorectal cancer (CRC) provides optimal tumor risk assessment with curative intent. Endoscopic full-thickness resection (eFTR) with an over-the-scope device has emerged as a local excision technique for T1 CRCs, but data on the upper size limit for achieving a histological complete (R0) resection are lacking. Didden et al. aimed to determine the influence of polyp size on the R0 rate. 

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Guideline

Endoscopic diagnosis and management of esophagogastric variceal hemorrhage: European Society of Gastrointestinal Endoscopy (ESGE) Guideline

Gralnek Ian M et al.

This Guideline is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE) and addresses the role of gastrointestinal endoscopy in the diagnosis and management of esophagogastric variceal hemorrhage.

Endoscopic diagnosis and management.jpg