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Current Issue June 2016

Endoscopic treatment of food intolerance after a banded gastric bypass: inducing band erosion for removal using a plastic stent  (FREE ACCESS)

Josemberg Marins Campos, Rena C. Moon, Galeno E. J. Magalhães Neto, Andre F. Teixeira, Muhammad A. Jawad, Lyz Bezerra Silva, Manoel Galvão Neto, Álvaro Antônio B. Ferraz

This prospective study of 41 patients with banded Roux-en-Y gastric bypass (RYGB) demonstrated the feasibility of endoscopic removal of the ring by using temporary placement of a self-expandable plastic stent to induce intragastric erosion. Successful ring removal was possible in the majority of patients. Nine patients (22%) required endoscopic dilation for a fibrotic stricture after stent removal.

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Early precut sphincterotomy for difficult biliary access to reduce post-ERCP pancreatitis: a randomized trial  (FREE ACCESS) 

Alberto Mariani, Milena Di Leo, Nicola Giardullo, Antonella Giussani, Mario Marini, Federico Buffoli, Livio Cipolletta, Franco Radaelli, Paolo Ravelli, Giovanni Lombardi, Vittorio D'Onofrio, Raffaele Macchiarelli, Elena Iiritano, Marco Le Grazie, Giuseppe Pantaleo, Pier Alberto Testoni

This randomized trial from Italy investigated the efficacy of early precut sphincterotomy in preventing post-ERCP pancreatitis (PEP) in difficult ERCPs. Early precut decreased the risk of PEP from 12.1% to 5.4 %.

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Developing a score chart to improve risk stratification of patients with colorectal adenoma  (FREE ACCESS)

Else-Mariëtte B. van Heijningen, Iris Lansdorp-Vogelaar, Frank van Hees, Ernst J. Kuipers, Katharina Biermann, Harry de Koning, Marjolein van Ballegooijen, Ewout W. Steyerberg, for the SAP Study Group

The authors developed and validated a score chart to identify adenoma patients who were at risk for advanced neoplasia. Size, proximal location, villous histology, and number of adenomas were identified as predictors and incorporated in the score chart. A model taking into account this score chart, and age, sex, and time between surveillance colonoscopies, performed marginally better (c-statistics 0.71) compared with previous models. The score chart has been integrated into the Dutch Surveillance guideline allowing estimates of absolute risk of advanced colorectal neoplasia through an online calculator.

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