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Current Issue July 2014

5-Fr vs. 3-Fr pancreatic stents for the prevention of post-ERCP pancreatitis in high-risk patients: a systematic review and network meta-analysis (FREE ACCESS)

Elham Afghani, Venkata S. Akshintala, Mouen A. Khashab, Joanna K. Law, Susan M. Hutfless, Katherine J. Kim, Anne Marie Lennon, Anthony N. Kalloo, Vikesh K. Singh

This systematic review and meta-analysis on six randomized trials  (561 patients) showed that 5-French stents (straight flanged or single-pigtail unflanged) are more efficacious than 3-French stents and better than no stent at all for the prevention of post-ERCP pancreatitis.  Read more.

Endotherapy for paraduodenal pancreatitis: a large retrospective case series (FREE ACCESS)

Marianna Arvanitakis, Johanne Rigaux, Emmanuel Toussaint, Pierre Eisendrath, Maria Antonietta Bali, Celso Matos, Pieter Demetter, Patrizia Loi, Jean Closset, Jacques Deviere, Myriam Delhay

A large series of 51 patients with paraduodenal pancreatitis is described. During a median follow-up of 54 months, clinical success after endotherapy as first-line treatment was 71%, and the survival rate was 94%.  Read more.

Comparison of prophylactic clip and endoloop application for the prevention of postpolypectomy bleeding in pedunculated colonic polyps: a prospective, randomized, multicenter study   (FREE ACCESS)

Jeong-Seon Ji, Seung-Woo Lee, Tae Ho Kim, Young-Seok Cho, Hyung-Keun Kim, Kang-Moon Lee, Sang-Woo Kim, Hwang Choi

In this multicenter study, 195 patients with pedunculated colorectal polyps with polyp heads larger than 10 mm and stalks larger than 5 mm were randomized to receive either clip or endoloop application to prevent bleeding. There was no difference in the risk of bleeding between the two methods. Endoloop placement was more difficult and failed more often than clip therapy.  Read more.