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Current Issue April 2017

Hospital volume and adverse events following esophageal endoscopic submucosal dissection in Japan   (FREE ACCESS)

Hiroyuki Odagiri, Hideo Yasunaga, Hiroki Matsui et al.

This nationwide database study from Japan reviewed 12 899 esophageal ESD procedures and demonstrated a significant association between volume of esophageal ESD procedures and occurrence of complications. Further studies are needed to refine the risk factors contributing to the higher rate of adverse events among low-volume hospitals.

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Improved detection of right colon adenomas with additional retroflexion following two forward-view examinations: a prospective study   (FREE ACCESS)

Hyun Seok Lee, Seong Woo Jeon, Hye Yoon Park et al.

This large cohort study examined the yield of additional retroflexion in the ascending colon after two standard forward-view examinations in 1020 patients undergoing a screening or surveillance colonoscopy. Retroflexion detected 52 additional adenomas, corresponding to a 10% adenoma miss rate and thus supporting the performance of additional retroflexion in the proximal colon.

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Performance measures for lower gastrointestinal endoscopy: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative    (FREE ACCESS)

Michal F. Kaminski, Siwan Thomas-Gibson, Marek Bugajski et al.

The European Society of Gastrointestinal Endoscopy (ESGE) and United European Gastroenterology (UEG) present seven key performance measures for lower gastrointestinal endoscopy. The seven key metrics have the best evidence-based impact on clinical outcomes while being feasible to measure and susceptible to improvement. Adoption of these performance measures in all endoscopy services across Europe is recommended.

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