Endoscopy
Issue 07 · Volume 57 · July 2025
Submit Your E-Videos
E-Videos是Endoscopy的开放获取在线专栏,专注于报道胃肠内镜领域具有研究价值的病例和新技术。所有文章均附有高质量视频,并采用知识共享署名许可协议(CC-BY)进行出版。
Endoscopy 2025年第7期现已上线。欢迎免费阅读本期主编精选的三篇论文。
内镜下切除结直肠息肉可显著降低结直肠癌死亡率。本期精选的两篇免费阅读论文为非蒂状结直肠息肉的内镜管理提供了有价值的信息。
Mandarino等人回顾性评估了边缘热消融(MTA)对大型非抬举性结直肠病变切除后的影响。研究纳入300例澳大利亚患者,其中103例在MTA实施前,197例在实施后。所有患者均接受了内镜黏膜切除术(EMR)联合冷钳除术与圈套器尖端软凝固术(CAST)。结果显示,MTA使复发率从19%降至5%,支持将该技术推广至EMR联合CAST的治疗场景。
关于中等大小(10-20毫米)非蒂状结直肠息肉(NPCPs)分片EMR术后的复发率,此前尚不明确。Maas等人开展了一项荷兰真实世界回顾性研究(涵盖5个中心、389例患者、426处NPCPs),发现总体复发率为8.2%(35/426),其中明确识别到 resection scars 的病例复发率为13.4%(35/262)。所有复发病变均为小型且无高级别上皮内瘤变。
经口内镜下肌切开术(POEM)已成为食管贲门失弛缓症及相关疾病的一线治疗方案。本期第三篇精选论文是欧洲胃肠道内镜学会(ESGE)发布的POEM立场声明(第一部分)。该声明建立了POEM培训的标准化课程框架,明确了关键先决条件、理论知识、技术技能及培训里程碑,并为学员、导师及培训中心提供了推荐规范。第二部分将详细阐述POEM操作的技术指南。
欢迎阅读本期三篇精选论文及其它全部论文。
Original article
Francesco Vito Mandarino et al.
Background: Nonlifting large nonpedunculated colorectal polyps (NL-LNPCPs) account for 15% of LNPCPs and are effectively managed by endoscopic mucosal resection (EMR) with adjunctive cold-forceps avulsion with adjuvant snare-tip soft coagulation (CAST). Recurrence rates >10% at surveillance colonoscopy are however a significant limitation. We aimed to compare the outcomes of CAST plus margin thermal ablation (MTA) versus CAST alone for NL-LNPCPs.
Original article
Michiel H. J. Maas et al.
Background: Guidelines are equivocal on the need for early surveillance colonoscopy (ESC) after piecemeal endoscopic mucosal resection (pEMR) of 10–20-mm nonpedunculated colorectal polyps (NPCPs). This study assessed recurrence rates and associated factors at ESC following hot-snare pEMR of 10–20-mm NPCPs.
Position Statement
Enrique Rodríguez de Santiago et al.
Peroral endoscopic myotomy (POEM) is an advanced endoscopic procedure that has become a first-line treatment for esophageal achalasia and other esophageal spastic disorders. Structured training is essential to optimize the outcomes of this technique. The European Society of Gastrointestinal Endoscopy (ESGE) has recognized the need to formalize and enhance training in POEM. This Position Statement presents the results of a systematic review of the literature and a formal Delphi process, providing recommendations for an optimal training program in POEM that aims to produce endoscopists competent in this procedure. In a separate document (POEM curriculum Part II), we provide technical guidance on how to perform the POEM procedure based on the best available evidence.
欧洲胃肠道内镜学会(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。