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Current Issue December 2014

Evaluating the Endoscopic Reference Score for eosinophilic esophagitis: moderate to substantial intra- and interobserver reliability (FREE ACCESS)

Bram D. van Rhijn, Marijn J. Warners, Wouter L. Curvers, Anja U. van Lent, Noor L. Bekkali, R. Bart Takkenberg, Jaap J. Kloek, Jacques J. G. H. M. Bergman, Paul Fockens, Albert J. Bredenoord 

This is a prospective validation of a previously described eosinophilic esophagitis scoring system. It provides further validation of the endoscopic scoring system and suggests that a structured scoring system may be useful to characterize the endoscopic findings of eosinophilic esophagitis. Read more.

Urgent ERCP with pancreatic stent placement or replacement for salvage of post-ERCP pancreatitis (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.

Core biopsy needle versus standard aspiration needle for endoscopic ultrasound-guided sampling of solid pancreatic masses: a randomized parallel-group study (FREE ACCESS)

Yun Nah Lee, Jong Ho Moon, Hee Kyung Kim, Hyun Jong Choi, Moon Han Choi, Dong Choon Kim, Tae Hoon Lee, Sang-Woo Cha, Young Deok Cho, Sang-Heum Park

In this single center study, 116 patients with solid pancreatic masses were randomly assigned to undergo endoscopic ultrasound-guided sampling with either a standard aspiration needle or a new needle featuring a core trap at its tip. No difference in the diagnostic accuracy was found between the needles (94.8% and 98.3 %, respectively); however, the median number of needle passes required to establish the diagnosis was significantly lower with the core needle.  Read more.