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October 20-24, 2012 – 20th United European Gastroenterology Week (UEGW)
Welcome to the SFED!
Current Issue June 2012
Endoscopic ultrasound staging in gastric cancer: Does it help management decisions in the era of neoadjuvant treatment (FREE ACCESS)
A. Kutup, Y. K. Vashist, S. Groth, E. Vettorazzi, E. F. Yekebas, N. Soehendra, J. R. Izbicki
Retrospective study examining the accuracy of EUS staging for localized gastric cancer in 123 patients. The main outcome was the ability of EUS to distinguish those patients who might benefit from neoadjuvant chemotherapy (T1/2N0) from those who would not (T3/4/any N+). EUS underdiagnosed 27% in the early cancer group, who would have been undertreated, and 45% in the advanced cancer group, who would have been overtreated. The overall accuracy was poor, 45% for T staging and 72% for N staging.
The predictors for node metastasis in T1 colorectal cancer (FREE ACCESS)
J. H. Suh, K. S. Han, B. C. Kim, C. W. Hong, D. K. Sohn, H. J. Chang, M. J. Kim, S. C. Park, J. W. Park, H. S. Choi, J. H. Oh
Large retrospective series on the risk of lymph node metastases in surgically and endoscopically resected T1 colorectal cancers. In surgical cases several risk factors such as budding or absence of background adenoma were identified; none of the low risk endoscopic cases developed lymph node metastases on follow-up.
Standard diagnostic laparoscopy is superior to NOTES approaches: results of a blinded, randomized controlled porcine study (FREE ACCESS)
D. von Renteln, T. E. Gutmann, A. Schmidt, M. C. Vassiliou, H. U. Rudolph, K. Caca
NOTES approaches (transgastric and transcolonic) were compared with standard transabdominal access using both rigid and flexible instruments for diagnostic laparoscopy. A total of 48 peritoneoscopies were performed using randomly one of the four access routes in anesthesized pigs. Rigid standard laparoscopy provided better organ visualization, better lesion detection, and better biopsy capability than the transgastric and transcolonic NOTES approaches.
European Society of Gastrointestinal Endoscopy (ESGE) Guideline Development Policy (FREE ACCESS)
J.-M. Dumonceau, C. Hassan, A. Riphaus, T. Ponchon
Numerous scientific publications explore the field of gastrointestinal (GI) endoscopy (a Pubmed search currently yields >73000 results). Therefore, guidelines have become an indispensable tool for incorporating up-to-date knowledge into daily clinical care. Since the 1990s, the issuing of guidelines has been a central task of the European Society of Gastrointestinal Endoscopy (ESGE). Here, the ESGE clarifies the types of policy documents that it issues and the methodology used to produce them, taking into account recent methodological developments.
