Med. praxi. 2025;22(2):111-118 | DOI: 10.36290/med.2025.009

Technologies used in digestive endoscopy in diagnosis and treatment

MUDr. Peter Slodička^{1, 2}, MUDr. Vít Navrátil, Ph.D.^{1, 2}, MUDr. Vincent Dansou Zoundjiekpon, Ph.D.^{1, 2}, doc. MUDr. Lumír Kunovský, Ph.D.^{1, 2, 3, 4, 5}

¹ II. interní klinika - gastroenterologická a geriatrická, Fakultní nemocnice Olomouc

² Lékařská fakulta Univerzity Palackého v Olomouci, Olomouc

³ Chirurgická klinika, Fakultní nemocnice, Brno

⁴ Lékařská fakulta Masarykovy univerzity, Brno

⁵ Gastroenterologické oddělení a digitální endoskopie, Masarykův onkologický ústav, Brno

Digestive endoscopy, a key method for the diagnosis and treatment of diseases of the gastrointestinal tract, is constantly evolving. New developments in this field include advances in technology, new diagnostic techniques, and innovations in therapeutic approaches. Modern endoscopic equipment now offers higher image resolution thanks to advanced optics and camera systems, which allow better identification and characterization of pathological changes in the gastrointestinal tract. New techniques, such as endoscopic ultrasonography (EUS), are expanding diagnostic capabilities by allowing visualization of deep structures and examination of surrounding tissues. Cholangioscopy appropriately complements endoscopic retrograde cholangiopancreatography (ERCP) in the diagnosis of biliary strictures of uncertain etiology and allows their targeted biopsy. Enteroscopy has brought a significant extension of diagnostic and therapeutic procedures targeting the small intestine. In therapeutic approaches, we have seen the development of minimally invasive methods that allow the removal of lesions and the treatment of various gastrointestinal diseases without the need for open surgical intervention. These innovations not only increase the accuracy of diagnosis but also expand treatment options, thus contributing to better patient care. The future of digestive endoscopy will likely focus on further improvements in endoscopic techniques to optimize outcomes and minimize invasiveness.

Keywords: new digestive endoscopy techniques, EUS, cholangioscopy, ESWL, G­‑POEM, enteroscopy.

Received: October 10, 2024; Revised: January 28, 2025; Accepted: February 17, 2025; Published: April 30, 2025  Show citation