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Medicina
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Endoscopic and Laparoscopic Interventions in Gastric Surgery
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Endoscopic and Laparoscopic Interventions in Gastric Surgery

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Gastroenterology & Hepatology".

Deadline for manuscript submissions: closed (30 August 2023) | Viewed by 3991

Special Issue Editor

Dr. Aurelio Mauro

E-Mail Website
Guest Editor
Gastroenterology and Endoscopy Unit, Fondazione IRCCS Policlinico San Matteo, Pavia, Italy
Interests: endoscopy; ERCP; upper gastrointestinal bleeding; gastroesophageal pathophysiology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Gastric interventions in the last two decades have dramatically improved with the expansion of minimally invasive procedures such as interventional endoscopy and laparoscopic surgery. Improvement in diagnostic examinations such as  high-quality upper-GI endoscopy has led to increased detection of preneoplastic lesions and early neoplastic lesions (i.e., high-grade dysplasia lesions, NET, early gastric cancer) for whom interventional endoscopy has a pivotal treatment role. Combined endoscopic and surgical approaches are also essential in specific situations such as the management of bariatric complications, GIST treatment, and peptic or caustic complications.

We are pleased to invite you to submit to this Special Issue, which aims to explore the most recent evidence in the literature about endoscopic and laparoscopic interventions in gastric diseases. For this Special Issue, original research articles, case reports, and reviews are welcome. Research areas may include (but are not limited to) the following: gastric preneoplastic and early neoplastic lesions, bariatric intervention, peptic and caustic complications, and advanced endoscopic therapies.

I look forward to receiving your contributions.

Dr. Aurelio Mauro
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Medicina is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • preneoplastic lesions
  • GIST
  • peptic ulcer complications
  • NET
  • bariatric surgery
  • submucosal dissection
  • operative endoscopy
  • laparoscopic surgery
  • combined laparoscopic-endoscopy procedures
  • gastroesophageal reflux disease

Published Papers (3 papers)

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Review

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11 pages, 862 KiB  
Review
Endoscopic Management of Bleeding in Altered Anatomy after Upper Gastrointestinal Surgery
by Giulia Gibiino, Cecilia Binda, Matteo Secco, Paolo Giuffrida, Chiara Coluccio, Barbara Perini, Stefano Fabbri, Elisa Liverani, Carlo Felix Maria Jung and Carlo Fabbri
Medicina 2023, 59(11), 1941; https://doi.org/10.3390/medicina59111941 - 2 Nov 2023
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Abstract
Postoperative non variceal upper gastrointestinal haemorrhage may occur early or late and affect a variable percentage of patients—up to about 2%. Most cases of intraluminal bleeding are an indication for urgent Esophagogastroduodenoscopy (EGD) and require endoscopic haemostatic treatment. In addition to the approach [...] Read more.
Postoperative non variceal upper gastrointestinal haemorrhage may occur early or late and affect a variable percentage of patients—up to about 2%. Most cases of intraluminal bleeding are an indication for urgent Esophagogastroduodenoscopy (EGD) and require endoscopic haemostatic treatment. In addition to the approach usually adopted in non-variceal upper haemorrhages, these cases may be burdened with difficulties in terms of anastomotic tissue, angled positions, and the risk of further complications. There is also extreme variability related to the type of surgery performed, in the context of oncological disease or bariatric surgery. At the same time, the world of haemostatic devices available in digestive endoscopy is increasing, meeting high efficacy rates and attempting to treat even the most complex cases. Our narrative review summarises the current evidence in terms of different approaches to endoscopic haemostasis in upper bleeding in altered anatomy after surgery, proposing an up-to-date guidance for endoscopic clinicians and at the same time, highlighting areas of future scientific research. Full article
(This article belongs to the Special Issue Endoscopic and Laparoscopic Interventions in Gastric Surgery)
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17 pages, 1828 KiB  
Review
Therapeutic Challenges for Gastric Neuroendocrine Neoplasms: Take It or Leave It?
by Federica Cavalcoli, Camilla Gallo, Lorenzo Andrea Coltro, Emanuele Rausa, Paolo Cantù, Pietro Invernizzi and Sara Massironi
Medicina 2023, 59(10), 1757; https://doi.org/10.3390/medicina59101757 - 1 Oct 2023
Cited by 2 | Viewed by 1292
Abstract
Background and Objectives: Gastric neuroendocrine neoplasms (gNENs) represent rare but increasingly recognized tumors. They are distinguished into three main clinical types (type-1, type-2, and type-3) according to gastrin level and at histological evaluation in well-differentiated G1, G2, or G3 lesions, as well [...] Read more.
Background and Objectives: Gastric neuroendocrine neoplasms (gNENs) represent rare but increasingly recognized tumors. They are distinguished into three main clinical types (type-1, type-2, and type-3) according to gastrin level and at histological evaluation in well-differentiated G1, G2, or G3 lesions, as well as poorly-differentiated lesions. Small type-1 and type-2 neoplasms with low proliferation indices demonstrated excellent survival without progression during an extended follow-up period, and for these reasons, active endoscopic observation or endoscopic resection are feasible options. On the other hand, surgery is the treatment of choice for more aggressive type-3, G3, or infiltrating neoplasms. The present study aims to comprehensively review and compare the available therapeutic strategies for gNENs. Materials and Methods: A computerized literature search was performed using relevant keywords to identify all of the pertinent articles with particular attention to gNEN endoscopic treatment. Results: In recent years, different endoscopic resective techniques (such as endoscopic mucosal dissection, modified endoscopic mucosal resection, and endoscopic full-thickness resection) have been developed, showing a high rate of complete resection for advanced and more aggressive lesions. Conclusions: Overall, gNENs represent a heterogeneous group of lesions with varying behavior which require personalized management. The non-operative approach for small type-1 gNENs seems to be feasible and should be promoted. A step-up approach with minimally invasive endoscopic therapies might be proposed, particularly for type-1 gNEN. On the other hand, it is important to recognize the negative prognostic factors in order to identify those rare cases requiring more aggressive approaches. A possible therapeutic algorithm for localized gNEN management is provided. Full article
(This article belongs to the Special Issue Endoscopic and Laparoscopic Interventions in Gastric Surgery)
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Other

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10 pages, 21035 KiB  
Case Report
Gastritis Cystica Profunda: A Rare Disease, a Challenging Diagnosis, and an Uncertain Malignant Potential: A Case Report and Review of the Literature
by Francesca De Stefano, Giorgio M. P. Graziano, Jacopo Viganò, Aurelio Mauro, Andrea Peloso, Jacopo Peverada, Raffaele Fellegara, Alessandro Vanoli, Giuseppe G. Faillace and Luca Ansaloni
Medicina 2023, 59(10), 1770; https://doi.org/10.3390/medicina59101770 - 4 Oct 2023
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Abstract
Gastritis cystica profunda (GCP) has been defined as a rare submucosal benign gastric lesion with cystic gland growth. Due to its unclear etiopathogenesis, this lesion is often misdiagnosed and mistaken for other gastric masses. Currently, a standardized treatment for GCP lesions is still [...] Read more.
Gastritis cystica profunda (GCP) has been defined as a rare submucosal benign gastric lesion with cystic gland growth. Due to its unclear etiopathogenesis, this lesion is often misdiagnosed and mistaken for other gastric masses. Currently, a standardized treatment for GCP lesions is still missing. Here, we illustrate a case of a patient admitted to our general surgery department for melena and general discomfort. No history of peptic ulcer or gastric surgery was present. Upper GI endoscopy was performed, showing a distal gastric lesion with a small ulceration on the top. CT-scan and endoscopic ultrasound confirmed the presence of the lesion, compatible with a gastric stromal tumor, without showing any eventual metastasis. Surgical gastric resection was performed. Histological findings were diagnostic for GCP, with cistically ectasic submucosal glands, chronic inflammation, eosinophilic infiltration and foveal hyperplasia. GCP is a very exceptional cause of upper-GI bleeding with specific histological features. Its diagnosis as well as its therapy are challenging, resulting in several pitfalls. Even though it is a rare entity, GCP should always be considered in the differential diagnosis of gastric submucosal lesions. Full article
(This article belongs to the Special Issue Endoscopic and Laparoscopic Interventions in Gastric Surgery)
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