Endoscopic Techniques in Digestive and Gynecological Diseases

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

Deadline for manuscript submissions: 11 August 2024 | Viewed by 1880

Special Issue Editors


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Guest Editor
1. Gastroenterology Department, Centro Hospitalar Universitário de São João, Porto, Portugal
2. Faculty of Medicine, University of Porto, Porto, Portugal
Interests: inflammatory bowel disease; applied artificial intelligence; capsule endoscopy; neurogastroenterology; coloproctology
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Guest Editor
Faculty of Medicine, University of Porto, Porto, Portugal
Interests: endoscopic techniques; urogynecology; female urinary incontinence; pelvic floor dysfunction; gynecology

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Guest Editor
1. Gastroenterology Department, Centro Hospitalar Universitário de São João, Porto, Portugal
2. Faculty of Medicine, University of Porto, Porto, Portugal
Interests: gastroenterology; hepatology; liver transplantation; hepatocellular carcinoma; gastrointestinal diseases; biliary tract diseases; inflammatory bowel diseases
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Welcome to our Special Issue on "Endoscopic Techniques in Digestive and Gynecological Diseases". This compilation delves into new medical innovations, exploring the instrumental role of endoscopy in revolutionizing the diagnosis and treatment of conditions affecting the digestive and gynecological systems. Gastroenterology's arsenal boasts procedures such as upper gastrointestinal endoscopy, colonoscopy, and endoscopic ultrasound, offering precise visualization and targeted interventions. Simultaneously, gynecology harnesses the power of hysteroscopy, laparoscopy, and specialized imaging techniques to address a spectrum of female reproductive health challenges. This collection unveils the latest advancements, breakthroughs, and multidisciplinary approaches that illuminate the path toward enhanced patient outcomes, underscoring the pivotal role of endoscopic techniques in sha** the future of medical practice for digestive and gynecological ailments. Please submit your manuscript to this Special Issue, where cutting-edge research converges with clinical excellence to redefine the standards of care in these dynamic medical domains.

Prof. Dr. Miguel Mascarenhas
Prof. Dr. Teresa Mascarenhas
Prof. Dr. Guilherme Macedo
Guest Editors

Manuscript Submission Information

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Keywords

  • endoscopy
  • gastroenterology
  • gynecology
  • colonoscopy
  • colposcopy
  • artificial intelligence
  • capsule endoscopy
  • upper endoscopy
  • hysteroscopy
  • pancreatobiliary endoscopy

Published Papers (2 papers)

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Research

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11 pages, 531 KiB  
Article
Risk Factors for Post-Endoscopic Submucosal Dissection Electrocoagulation Syndrome in Patients with Colorectal Neoplasms: A Multicenter, Large-Scale, Retrospective Cohort Study by the Honam Association for the Study of Intestinal Disease (HASID)
by Hyo-Yeop Song, Seong-Jung Kim, Jun Lee, Byung Chul **, Dong Hyun Kim, Hyun-Soo Kim, Hyung-Hoon Oh, Young-Eun Joo, Dae-Seong Myung, Sang-Wook Kim and Geom-Seog Seo
J. Clin. Med. 2024, 13(13), 3932; https://doi.org/10.3390/jcm13133932 - 4 Jul 2024
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Abstract
Background and Objectives: Colorectal endoscopic submucosal dissection (ESD) is an effective technique for removing colorectal neoplasms with large or cancerous lesions. However, there are few studies on post-ESD electrocoagulation syndrome (PECS), a complication of colorectal ESD. Therefore, this study aimed to investigate the [...] Read more.
Background and Objectives: Colorectal endoscopic submucosal dissection (ESD) is an effective technique for removing colorectal neoplasms with large or cancerous lesions. However, there are few studies on post-ESD electrocoagulation syndrome (PECS), a complication of colorectal ESD. Therefore, this study aimed to investigate the various risk factors for PECS after colorectal ESD. Materials and Methods: We retrospectively analyzed the medical records of 1413 lesions from 1408 patients who underwent colorectal ESD at five tertiary hospitals between January 2015 and December 2020. We investigated the incidence and risk factors associated with PECS. Based on the data, we developed a risk-scoring model to predict the risk of PECS after colorectal ESD. Results: The incidence rate of PECS was 2.6% (37 patients). In multivariate analysis, the use of anti-platelet agents (odds ratio (OR), 2.474; 95% confidence interval (CI), 1.088–5.626; p < 0.031), a lesion larger than 6 cm (OR 3.755; 95% CI, 1.237–11.395; p = 0.028), a deep submucosal invasion (OR 2.579; 95% CI, 1.022–6.507; p = 0.045), and an ESD procedure time ≥ 60 min (OR 2.691; 95% CI, 1.302–5.560; p = 0.008) were independent risk factors of PECS after colorectal ESD. We developed a scoring model for predicting PECS using these four factors. As the score increased, the incidence of PECS also increased, from 1.3% to 16.6%. PECS occurred more frequently in the high-risk group (≥2) (1.8% vs. 12.4%, p < 0.001). Conclusions: In this study, the risk factors for PECS after colorectal ESD were the use of anti-platelet agents, a lesion larger than 6 cm, a deep submucosal invasion, and an ESD procedure time ≥ 60 min. The risk-scoring model developed in this study using these factors could be effective in predicting and preventing PECS. Full article
(This article belongs to the Special Issue Endoscopic Techniques in Digestive and Gynecological Diseases)

Review

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21 pages, 345 KiB  
Review
Revolutionizing Women’s Health: A Comprehensive Review of Artificial Intelligence Advancements in Gynecology
by Marta Brandão, Francisco Mendes, Miguel Martins, Pedro Cardoso, Guilherme Macedo, Teresa Mascarenhas and Miguel Mascarenhas Saraiva
J. Clin. Med. 2024, 13(4), 1061; https://doi.org/10.3390/jcm13041061 - 13 Feb 2024
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Abstract
Artificial intelligence has yielded remarkably promising results in several medical fields, namely those with a strong imaging component. Gynecology relies heavily on imaging since it offers useful visual data on the female reproductive system, leading to a deeper understanding of pathophysiological concepts. The [...] Read more.
Artificial intelligence has yielded remarkably promising results in several medical fields, namely those with a strong imaging component. Gynecology relies heavily on imaging since it offers useful visual data on the female reproductive system, leading to a deeper understanding of pathophysiological concepts. The applicability of artificial intelligence technologies has not been as noticeable in gynecologic imaging as in other medical fields so far. However, due to growing interest in this area, some studies have been performed with exciting results. From urogynecology to oncology, artificial intelligence algorithms, particularly machine learning and deep learning, have shown huge potential to revolutionize the overall healthcare experience for women’s reproductive health. In this review, we aim to establish the current status of AI in gynecology, the upcoming developments in this area, and discuss the challenges facing its clinical implementation, namely the technological and ethical concerns for technology development, implementation, and accountability. Full article
(This article belongs to the Special Issue Endoscopic Techniques in Digestive and Gynecological Diseases)
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