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Usefulness of the maXium high-frequency surgical device in colorectal EMR.
Rev Esp Enferm Dig
January 2025
Gastroenterology, Yokkaichi Municipal Hospital.
Purpose: High-frequency surgical devices with various functionalities are widely used in Europe and Japan. In this study, we evaluated the effectiveness of the maXium HF surgical device manufactured by KLS Martin (Germany) during endoscopic mucosal resection (EMR).
Materials And Methods: The maXium device offers multiple preconfigured modes for incision and coagulation tailored to different surgical procedures.
Post-polypectomy colorectal bleeding: current strategies and the way forward.
Clin Endosc
November 2024
Department of Gastroenterology, Sheffield University Hospitals NHS Trust, Sheffield, United Kingdom.
Post-endoscopic mucosal resection (EMR) bleeding, or clinically significant post-EMR bleeding, is influenced by factors such as polyp size, right-sided colonic lesions, laterally spreading tumors, anticoagulant use, and comorbidities like cardiovascular or chronic renal disease. The optimal prophylactic therapy for post-EMR bleeding remains unknown, with no consensus on specific criteria for its application. Moreover, prophylactic measures, including clipping, suturing, and coagulation, have produced mixed results.
View Article and Find Full Text PDFJejunal flap interposition after total gastrectomy in managing patients with familial adenomatous polyposis: A report on the experience of a single centre.
J Minim Access Surg
January 2025
Department of Surgery and Physiology, Faculty of Medicine, University of Porto, Porto, Portugal.
Introduction: Patients with familial adenomatous polyposis (FAP) are characterised by the appearance of colorectal cancer if the disease is left to follow its natural course, which means they frequently undergo prophylactic colectomy at a young age. In these patients, duodenal cancer becomes the leading cause of death, which deems surveillance necessary. Gastric cancer, although rare, can also occur in these patients, and total gastrectomy is the usual treatment option.
View Article and Find Full Text PDFLow incidence of deep vein thrombosis after double-balloon endoscopy and colorectal submucosal dissection: Multicenter, prospective study.
Endosc Int Open
November 2024
Department of Gastroenterology and Metabolism, Nagoya City University Graduate School of Medical Sciences, Nagoya, Japan.
Article Synopsis
- The study investigated the risk of deep vein thrombosis (DVT) and pulmonary embolism (PE) after two specific endoscopic procedures: colorectal endoscopic submucosal dissection (ESD) and double-balloon endoscopy (DBE).
- A total of 238 patients were analyzed, finding that DVT occurred in only one patient, resulting in a very low overall incidence of 0.4%, with no cases of PE reported.
- The results suggest that the risk of DVT and PE following these endoscopic procedures is minimal, indicating they are relatively safe from this complication.
Mesenchymal Tumors of the Tubular Gastrointestinal Tract (Non-GIST): The GI Pathologist's Approach.
Adv Anat Pathol
November 2024
Department of Pathology, Henry Lee Moffitt Cancer Center & Research Institute, Tampa, FL.
Mesenchymal neoplasms of the gastrointestinal tract are rare compared with epithelial lesions. However, over the past few decades, the increasing volume of gastrointestinal endoscopy has expedited the recognition of several novel entities with varying clinical significance. Its spectrum extends from reactive changes and benign neoplasms to highly aggressive sarcomas.
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