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Current Issue November 2014

Self-expandable metal stents for obstructing colonic and extracolonic cancer: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline (FREE ACCESS)

Jeanin E. van Hooft, Emo E. van Halsema, Geoffroy Vanbiervliet, Regina G. H. Beets-Tan, John M. DeWitt, Fergal Donnellan, Jean-Marc Dumonceau, Robert G. T. Glynne-Jones, Cesare Hassan, Javier Jiménez-Perez, Søren Meisner, V. Raman Muthusamy, Michael C. Parker, Jean-Marc Regimbeau, Charles Sabbagh, Jayesh Sagar, Pieter J. Tanis, Jo Vandervoort, George J.Webster, Gianpiero Manes, Marc A. Barthet, Alessandro Repici Read more.

Effect of a quality program with adverse events identification on airway management during overtube-assisted enteroscopy (FREE ACCESS)

Luis F. Lara, Andrew Ukleja, Ronnie Pimentel, Roger J. Charles

In a monitored program of endoscopy practice, the authors identified a high rate of respiratory adverse events during overtube-assisted enteroscopy, with hypoxemia representing 9 out of 15 (60%) adverse events. Therefore, in a change of practice, patients now receive tracheal intubation; no respiratory adverse event has occurred in the last 197 overtube-assisted enteroscopies performed at their institution.  Read more.

Competence development in ERCP: the learning curve of novice trainees (FREE ACCESS)

Vivian E. Ekkelenkamp, Arjun D. Koch, Erik A. J. Rauws, Gerard J. J. M. Borsboom, Robert A. de Man, Ernst J. Kuipers

At present most authorities evaluate competence in endoscopic retrograde cholangiopancreatography (ERCP) on the basis of threshold numbers of procedures performed; such assessment has inherent limitations. Dutch researchers evaluated a novel approach, using continuous self-assessment expressed on a learning curve, that more accurately reflected the progressive acquisition of competence.  Read more.