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Endoscopic mucosal resection and open-lid submucosal biopsy for the diagnosis of diffuse infiltrative gastric cancer: a retrospective observational study.
Scand J Gastroenterol
December 2024
Department of Gastroenterology and Hepatology, Faculty of Life Sciences, Kumamoto University, Kumamoto, Japan.
Background And Study Aims: Diffuse infiltrative gastric cancer can be difficult to diagnose owing to a lack of endoscopic features in the superficial mucosa. Moreover, a forceps biopsy may not reveal a pathological diagnosis. We aimed to evaluate the diagnostic yield and safety of endoscopic mucosal resection (EMR) and 'open-lid submucosal biopsy', a technique wherein EMR followed by biopsy of the ulcer floor is performed for a pathological diagnosis.
View Article and Find Full Text PDFBackground: This study aimed to compare outcomes following antral preserving (AP) and antral resecting (AR) laparoscopic sleeve gastrectomy (LSG) in terms of weight loss, gastric emptying time, gastroesophageal reflux disease (GERD), resolution of associated medical problems, and complications.
Methods: Patients were prospectively randomized into two groups: the AR group (resection starting 2 cm from the pylorus) and the AP group (resection at 5 cm from the pylorus). Follow-up evaluations included assessments of weight loss using percentage of excess weight loss (%EWL) and percentage of total weight loss (%TWL), gastric emptying, GERD symptoms, associated medical problem resolution, residual gastric volume, and complications.
Mechanism behind reduced resection ability of bent snares during cold snare polypectomy.
Sci Rep
December 2024
Department of Molecular Gastroenterology and Hepatology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kawaramachi-Hirokoji, Kamigyo-ku, Kyoto, 602-8566, Japan.
Accidental bending of the snare sheath occasionally occurs during cold snare polypectomy (CSP). We aimed to demonstrate whether snare bending reduces resection ability and, if it does, what causes this reduction. Using currently available CSP snares and prototype snares, we investigated changes in the resection ability of bent snares as well as the stiffness of their sheaths and wire spindles.
View Article and Find Full Text PDFA preliminary study of further attempt at the development, testing and application of an auxiliary equipment for electronic colonoscopy.
Sci Rep
December 2024
Endoscopic Center, The Second Affiliated Hospital of Harbin Medical University, Harbin, 150000, China.
Colonoscopy is a valuable tool for colorectal cancer screening and health checkups, with increasing utilization annually. Assisted entry is a standard procedure during electronic colonoscopy. In China, most clinically assisted colonoscopy procedures involve a nurse directly applying abdominal pressure to the patient's abdomen.
View Article and Find Full Text PDFGastrointestinal Endoscopy.
Vet Clin North Am Exot Anim Pract
December 2024
Yaboumba, Paris, France. Electronic address:
This review explores the application of gastrointestinal endoscopy in exotic animals, a field with unique challenges due to the diverse anatomic and physiologic characteristics of species such as small mammals, birds, reptiles, and amphibians. The study outlines its indications, including diagnostic and therapeutic purposes, and discusses the specific equipment and techniques required. Despite the technical difficulties and anesthesia risks associated with these procedures, gastrointestinal endoscopy remains a valuable tool in exotic animal medicine.
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