Gastrointestinal Endoscopy: Clinical Advances in Diagnosis and Treatment, 2nd Edition

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Gastroenterology & Hepatopancreatobiliary Medicine".

Deadline for manuscript submissions: 31 March 2025 | Viewed by 135

Special Issue Editors


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Guest Editor
1. Instituto de Investigação e Inovação em Saúde, University of Porto, 4200-135 Porto, Portugal
2. Gastroenterology Department, Centro Hospitalar S. João, 4200-319 Porto, Portugal
Interests: gastric premalignant lesions; esophageal cancer; colorectal cancer; therapeutic endoscopy
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Guest Editor
Division of Gastroenterology, Department of Internal Medicine, St. Marianna University School of Medicine, Kawasaki 216-8511, Japan
Interests: endoscopic submucosal dissection; endoscopic imaging; colorectal cancer
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Special Issue Information

Dear Colleagues,

We are pleased to invite you to contribute to this Special Issue, titled “Gastrointestinal Endoscopy: Clinical Advances in Diagnosis and Treatment, 2nd Edition”, the follow-up to the first volume, in which we published six papers. For more details, please visit https://www.mdpi.com/journal/jcm/special_issues/7T1X2BQXO4.

Endoscopy is of the utmost importance in the diagnosis and treatment of gastrointestinal lesions. In recent decades, the appearance of new technologies and better imaging, together with the development of training programs, has allowed for an earlier detection of gastrointestinal lesions and provided opportunities for minimally invasive endoscopic treatment. In fact, endoscopic resection is the mainstay treatment for premalignant and early malignant lesions of the gastrointestinal tract. There is now solid evidence about the efficacy and safety of techniques, such as endoscopic mucosal resection (EMR) or endoscopic submucosal dissection (ESD), for the treatment of epithelial neoplasia along the gastrointestinal tract, as well as other techniques, such as full-thickness resection (EFTR), endoscopic intermuscular, or subserosal dissection (EID/ ESSD), which expand our endoscopic toolkit for the management of these lesions. In addition, the use of endoscopy in the treatment of subepithelial lesions is already established, using the techniques previously mentioned or other variants such as submucosal tunneling endoscopic resection (STER).

Besides its use in the digestive tract, endoscopy is extremely important for the diagnosis and treatment of hepatobiliopancreatic conditions. Its role in the evaluation of the pancreas and biliary ducts, in the management of cystic and solid pancreatic lesions, and in hepatobiliary pathology is well established, and it has been applied with increasing complexity and efficacy.

In this Special Issue, we welcome any original research, technical notes, or review articles in the field of diagnostic or therapeutic gastrointestinal endoscopy.

Prof. Dr. Joao Santos-Antunes
Prof. Dr. Tadateru Maehata
Guest Editors

Manuscript Submission Information

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Keywords

  • diagnostic endoscopy
  • therapeutic endoscopy
  • gastrointestinal neoplasia
  • endoscopic mucosal resection
  • endoscopic submucosal dissection
  • early cancer
  • subepithelial lesions

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Published Papers (1 paper)

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Research

10 pages, 558 KiB  
Article
Comparative Study of Endoscopic Treatment for Intrahepatic and Common Bile Duct Stones Using Peroral Cholangioscopy
by Yuri Sakamoto, Yohei Takeda, Taro Yamashita, Yuta Seki, Shiho Kawahara, Takayuki Hirai, Noriyuki Suto, Takuya Shimosaka, Wataru Hamamoto, Hiroki Koda, Takumi Onoyama, Kazuya Matsumoto, Kazuo Yashima, Hajime Isomoto and Naoyuki Yamaguchi
J. Clin. Med. 2024, 13(18), 5422; https://doi.org/10.3390/jcm13185422 (registering DOI) - 12 Sep 2024
Abstract
Objectives: Although peroral cholangioscopy has improved the endoscopic treatment of difficult stones, the treatment of intrahepatic stones remains challenging. The incidence of cholangitis is high when peroral cholangioscopy is used to treat intrahepatic stones. This study aimed to investigate the efficacy and [...] Read more.
Objectives: Although peroral cholangioscopy has improved the endoscopic treatment of difficult stones, the treatment of intrahepatic stones remains challenging. The incidence of cholangitis is high when peroral cholangioscopy is used to treat intrahepatic stones. This study aimed to investigate the efficacy and safety of endoscopic treatment with peroral cholangioscopy for intrahepatic and common bile duct stones. Methods: Patients aged ≥20 years, who underwent endoscopic treatment with peroral cholangioscopy for intrahepatic or common bile duct stones at Tottori University Hospital from January 2016 to December 2022, were retrospectively evaluated to determine the efficacy and safety of the treatment. Results: Overall, 70 patients were included in this study: 22 in the intrahepatic stone group and 48 in the common bile duct stone group. Stones were smaller (8 vs. 17.5 mm, p < 0.001) and more numerous (p = 0.016) in the intrahepatic stone group than in the common bile duct stone group. Although the common bile duct stone group exhibited a higher rate of complete stone clearance in the first session, no significant differences were observed in the final results. The intrahepatic stone group had a higher incidence of cholangitis (36% vs. 8%, p = 0.007); however, all cases were mild. Conclusions: Endoscopic treatment with peroral cholangioscopy for intrahepatic stones may be associated with a higher incidence of cholangitis than that for common bile duct stones. Since saline irrigation may contribute to the development of cholangitis, it is important to be aware of intraductal bile duct pressure when performing peroral cholangioscopy. Full article
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