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Current Issue September 2016

Severity of endoscopically identified esophageal rings correlates with reduced esophageal distensibility in eosinophilic esophagitis  (FREE ACCESS)

Joan W. Chen, John E. Pandolfino, Zhiyue Lin et al.

It is difficult to predict the risk of food impaction in eosinophilic esophagitis (EoE). Chen et al. found a correlation between functional measurements of esophageal compliance made with an endoluminal imaging probe (EndoFLIP) and a previously validated score for EoE. In particular, the severity of rings correlated with decreased compliance and this may therefore serve as a predictor for food impaction in these patients.

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Quality of optical diagnosis of diminutive polyps and associated factors  (FREE ACCESS)

Heiko Pohl, Steve P. Bensen, Arifa Toor et al.

This study from the USA prospectively evaluated the quality of optical diagnosis using narrow-band imaging (NBI) in more than 1000 diminutive polyps. The negative predictive value for optical diagnosis of diminutive rectosigmoid adenomas was 95%, while the surveillance recommendations based on optical diagnosis agreed with those on pathological diagnosis in 93% of patients. The quality of optical diagnosis was not associated with endoscopists' prior experience. Benchmarks for quality of optical diagnosis can be achieved with only minimal training.

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

Raf Bisschops, Miguel Areia, Emmanuel Coron et al.

This is the first in a series of five articles describing performance measures developed under the auspices of the ESGE Quality Improvement Committee during the last three years with the support of United European Gastroenterology (UEG). The upper GI working group proposes 11 performance measures to assess and audit quality of upper gastrointestinal endoscopy.


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