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Endoscopy News: issue 4/2024 is ready! 2024-04-25


Endoscopy

Issue 04 · Volume 56 · April 2024


Endoscopy 2024年第4期现已上线。欢迎免费阅读本期主编精选的三篇论文。

在本期第一篇精选论文中,Mangiavillano等人比较了 264 例胰腺积液患者的不良出血事件,这些患者使用 Hot-Axios 或 Spaxus 管腔贴合金属支架进行引流。他们的倾向匹配分析发现,Hot-Axios组需要输血和/或介入治疗的出血风险更高(6.8% vs. 1.5%,P= 0.03),这表明所使用的支架类型可能与出血风险有关。

急性下消化道出血(ALGIB)的早期再出血率很高,但目前还没有标准化的内镜治疗方法。Aoki 等人假设,在对 ALGIB 进行最佳治疗时,可以考虑与近期出血迹象(SRH)相关的因素。他们在日本全国范围内对 2699 名 SRH 患者进行了研究,结果发现内镜治疗可显著降低右侧结肠和憩室出血的再出血率。有趣的是,在右结肠憩室出血方面,结扎术明显比剪切术更有效,但在其他原因引起的 ALGIB 方面则不然。

提高结肠镜检查能力的努力是否会对检查质量产生不利影响?本期第三篇精选论文提出了这一内镜检查服务问题。Lu 等人利用英国国家内镜数据库分析了3个月内完成的9万多例结肠镜检查。他们发现,在周末或由临时工/机构员工进行结肠镜检查的息肉检出率明显较低。作者呼吁进一步调查这些差异,并对提高服务能力的措施进行常规质量监控。

欢迎阅读本期三篇精选论文及其它全部论文。

Original article

Lumen-apposing metal stents for the treatment of pancreatic and peripancreatic fluid collections and bleeding risk: a propensity matched study

Benedetto Mangiavillano et al.

Endoscopic ultrasound (EUS)-guided drainage of symptomatic pancreatic fluid collections (PFCs) using the Hot-Axios device has recently been associated with a significant risk of bleeding. This adverse event (AE) seems to occur less frequently with the use of a different device, the Spaxus stent. The aim of the current study was to compare the rates of bleeding between the two stents.

Lumen-apposing metal.jpg


Original article

High risk stigmata and treatment strategy for acute lower gastrointestinal bleeding: a nationwide study in Japan

Tomonori Aoki et al.

The rebleeding risks and outcomes of endoscopic treatment for acute lower gastrointestinal bleeding (ALGIB) may differ depending on the bleeding location, type, and etiology of stigmata of recent hemorrhage (SRH) but have yet to be fully investigated. We aimed to identify high risk endoscopic SRH and to propose an optimal endoscopic treatment strategy.

High risk stigmata.jpg


Original article

Initiatives to increase colonoscopy capacity – is there an impact on polyp detection? A UK National Endoscopy Database analysis

Liya Lu et al.

To address mismatch between routine endoscopy capacity and demand, centers often implement initiatives to increase capacity, such as weekend working or using locums/agency staff (insourcing). However, there are concerns that such initiatives may negatively impact quality. We investigated polyp detection for weekend vs. weekday and insourced vs. standard procedures using data from the UK National Endoscopy Database.

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欧洲消化内镜学会(ESGE)及其附属学会的官方期刊。

Endoscopy为关于胃肠道内窥镜检查的最新技术和国际发展的重要期刊。在国际编委会的专家指导下,本刊提供高质量的内容,以满足全球内窥镜医师、外科医生、临床医生和研究人员的需求。

Endoscopy每年出版12期,内容包括高质量的综述论文、原创论文、前瞻性研究、有价值的诊断和治疗进展调查、以及对最重要的国内和国际会议进行的深入报道。文章经常辅以在线视频内容。

在Endoscopy上出版的所有论文都经过严格的同行评审。基于在线投稿和快速处理,保证了电子版和印刷版的出版速度。