Objective: This study aims to evaluate the safety and efficacy of "water-jet" hemostasis during endoscopic submucosal dissection.
Methods: In this prospective single-arm clinical study, 10 patients aged 18-60 years with gastric or intestinal mucosal lesions who were admitted to Fujian Medical University Xiamen Humanity Hospital (Xiamen, P. R. China) between June 2022 and June 2023 and met the absolute indications for endoscopic treatment were finally analyzed. The primary outcomes of this study are the incidence rates of adverse events and R0 resection, and the secondary outcomes are length of hospital stay and short- and long-term outcomes.
Results: Successful hemostasis was achieved in all the included cases. In one case, the "water-jet" hemostasis failed to stop bleeding in one blood vessel, so the hemostatic forceps were used instead. No adverse events occurred in all cases. Pathologic results showed R0 resection in all samples.
Conclusion: The "water-jet" method is safe and feasible for hemostasis in endoscopic submucosal dissection.
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http://dx.doi.org/10.1093/gastro/goae088 | DOI Listing |
J Gastroenterol
December 2024
Department of Gastroenterological Endoscopy, Tokyo Medical University, Shinjuku-ku, Tokyo, Japan.
Background: Despite accumulating evidence and recommendations for management of colonic diverticular bleeding (CDB), the changes in its clinical management and outcomes remain unknown.
Methods: We performed a retrospective tendency analysis on a biennial basis, a propensity score-matched cohort study between the first and latter half groups, and mediation analyses to compare the diagnostic and treatment methods between January 2010 and December 2019 (CODE BLUE-J Study).
Results: A total of 6575 patients with CDB were included.
Harefuah
July 2024
Department of Urology, Chaim Sheba Medical Center, Tel Hashomer, Ramat-Gan, Israel, Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Gastroenterol Rep (Oxf)
September 2024
Department of Gastroenterology, Xiamen Humanity Hospital, Fujian Medical University, Xiamen, Fujian, P. R. China.
Curr Opin Gastroenterol
September 2024
Department of Medicine, Maimonides Medical Center, New York.
Purpose Of Review: This review is focused on diagnostic and management strategies for colonic diverticular bleeding (CDB). It aims to present the current state of the field, highlighting the available techniques, and emphasizing findings that influence the choice of therapy.
Recent Findings: Recent guidelines recommend nonurgent colonoscopy (>24 h) for CDB.
Eur Urol Focus
July 2024
Department of Urology, Ng Teng Fong General Hospital, Singapore.
Background And Objective: Aquablation is included in the European Association Urology guidelines as an alternative surgical technique for prostate resection. The evidence summary states that it is subjectively and objectively as effective as transurethral resection of the prostate (TURP) and enucleation, but concerns remain regarding postoperative bleeding. Our aim was to provide an evidence-based overview of the trials, triumphs, and technical challenges of Aquablation.
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