8 documents found, page 1 of 1
Delphi consensus statement for the management of delayed post-polypectomy bleeding
Rodríguez de Santiago, Enrique; de la Iglesia, Sandra Pérez; de Frutos, Diego; Marín-Gabriel, José Carlos; Mangas-SanJuan, CarolinaBackground: Delayed post-polypectomy bleeding (DPPB) is the most common adverse event following colonic polypectomy, yet its management remains highly heterogeneous and lacks standardization. A considerable number of colonoscopies performed for DPPB may be unnecessary and do not result in hemostatic intervention.Objectives: To develop evidence-based statements to guide clinical decision-making in DPPB.Design: M...
Western outcomes of circumferential endoscopic submucosal dissection for early ...
de Santiago, Enrique Rodríguez; van Tilburg, Laurelle; Deprez, Pierre H.; Pioche, Mathieu; Pouw, Roos E.; Bourke, Michael J.; Seewald, StefanBackground and Aims: Circumferential endoscopic submucosal dissection (cESD) in the esophagus has been reported to be feasible in small Eastern case series. We assessed the outcomes of cESD in the treatment of early esophageal squamous cell carcinoma (ESCC) in Western countries. Methods: We conducted an international study at 25 referral centers in Europe and Australia using prospective databases. We included a...
X-tackling the path to closure: post-endoscopic submucosal dissection defect re...
Neves, João A. Cunha; Chaves, Jéssica; Ribeiro, Mário Dinis; Libânio, DiogoMucosal defect closure after endoscopic submucosal dissection (ESD) may reduce the likelihood of delayed bleeding and perforation [1]. Several devices are currently available for the closure of mucosal defects, including through-the-scope (TTS) and over-the-scope (OTS) clips, and OTS endoscopic suturing devices. However, defect closure can be technically demanding, with TTS clips typically limited to defects up...
Perspectives and awareness of endoscopy healthcare professionals on sustainable...
Neves, João A. Cunha; Santiago, Enrique Rodriguez de; Pohl, Heiko; Lorenzo-Zúñiga, Vicente; Cunha, Miguel F.; Voiosu, Andrei M.; Römmele, ChristophBackground Gastrointestinal (GI) endoscopy is one of healthcare's main contributors to climate change. We aimed to assess healthcare professionals' attitudes and the perceived barriers to implementation of sustainable GI endoscopy. Methods The LEAFGREEN web-based survey was a cross-sectional study conducted by the European Society of Gastrointestinal Endoscopy (ESGE) Green Endoscopy Working Group. The questionn...
The environmental impact of small-bowel capsule endoscopy
Pioche, Mathieu; Neves, João A. Cunha; Pohl, Heiko; Lê, Minh-Quyen; Grau, Raphaelle; Dray, Xavier; Yzet, Clara; Mochet, Mikael; Jacques, JérémieIntroduction The environmental impact of endoscopy, including small-bowel capsule endoscopy (SBCE), is a topic of growing attention and concern. This study aimed to evaluate the greenhouse gas (GHG) emissions (kgCO(2)) generated by an SBCE procedure. Methods Life cycle assessment methodology (ISO 14040) was used to evaluate three brands of SBCE device and included emissions generated by patient travel, bowel pr...
Environmental impact of single-use versus reusable gastroscopes
Pioche, Mathieu; Pohl, Heiko; Neves, João A. Cunha; Laporte, Arthur; Mochet, Mikael; Rivory, Jérôme; Grau, Raphaelle; Jacques, Jérémie; Grinberg, DanielIntroduction The environmental impact of endoscopy is a topic of growing interest. This study aimed to compare the carbon footprint of performing an esogastroduodenoscopy (EGD) with a reusable (RU) or with a single-use (SU) disposable gastroscope.Methods SU (Ambu aScope Gastro) and RU gastroscopes (Olympus, H190) were evaluated using life cycle assessment methodology (ISO 14040) including the manufacture, distr...
Curative criteria for endoscopic treatment of gastric cancer
Neves, João A. Cunha; Delgado-Guillena, Pedro G.; Queirós, Patrícia; Libânio, Diogo; Rodríguez de Santiago, EnriqueEndoscopic treatment, particularly endoscopic submucosal dissection, has become the primary treatment for early gastric cancer. A comprehensive optical assessment, including white light endoscopy, image-enhanced endoscopy, and magnification, are the cornerstones for clinical staging and determining the resectability of lesions. This paper discusses factors that influence the indication for endoscopic resection ...
Charting a greener path: ESGE and ESGENA’s vision for sustainable gastrointesti...
Neves, João A. Cunha; Santiago, Enrique Rodríguez deAs the climate crisis casts an ever-growing shadow over our planet, it is imperative for all sectors, including healthcare, to reassess their impact on the environment and redefine their practices. Healthcare, a field intrinsically linked to the well-being of humanity, finds itself at a crossroads.