Manuele Furnari, Andrea Telese, Alexander Hann, Andrea Lisotti, Ivo Boškoski and Leonardo Henry Eusebi* Pages 850 - 865 ( 16 )
Endoscopy is in a period of continuous innovations in terms of image quality, endoscopes, post-processing software and lastly, application of Artificial Intelligence. Therapeutic boundaries have expanded, widening the grey zone between endoscopy and surgery, and increasing endoscopic approaches in clinical scenarios where, until a few years ago, surgery was the only option.New scopes and accessories have made it easier to access critical areas such as the biliary tree and the small bowel intestine. In the field of hepato-pancreato-biliary endoscopy (HPB), it is now possible to directly access the biliary ducts or cystic lesions though dedicated stents and scopes, rather than having to rely only on fluoroscopy and ultrasound, increasing the diagnostic and therapeutic options by applying a three-dimensional approach. This narrative review will give an overview of some of the most relevant emerging fields in luminal and HPB endoscopy, highlighting advantages and main limitations of the techniques, and providing considerations for future development.
Artificial intelligence, enteroscopy, bariatric endoscopy, radiofrequency ablation, cholangioscopy, luminal opposing metal stents.
Department of Internal Medicine, Gastroenterology Unit, Policlinico IRCCS "San Martino", University of Genoa, Genoa, Department of Gastroenterology, University College Hospital NHS Foundation Trust, London, Interventional and Experimental Endoscopy (InExEn), Internal Medicine II, University Hospital Wuerzburg, Wuerzburg, Gastroenterology Unit, Hospital of Imola, University of Bologna, Bologna, Digestive Endoscopy Unit, Fondazione Policlinico Universitario Agostino Gemelli IRCSS, Rome, Department of Medical and Surgical Sciences, University of Bologna, Bologna