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Current Issue January 2017

Duodenal endoscopic submucosal dissection is feasible using the pocket-creation method  (FREE ACCESS)

Yoshimasa Miura, Satoshi Shinozaki, Yoshikazu Hayashi et al.

This study evaluated the safety and efficacy of duodenal endoscopic submucosal dissection (ESD) using the pocketcreation method (PCM) for 28 lesions compared with the conventional method for 17 lesions. En bloc resection was more frequent (100% vs. 88 %; P = 0.07) and the perforation rate was lower (7% vs. 29 %; P = 0.046) with the PCM compared with the conventional method. Nonetheless, ESD of duodenal lesions should be performed by well-trained expert endoscopists with extensive experience in ESD who areable to recognize the need for immediate surgical intervention.

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Reassessment colonoscopy to diagnose serrated polyposis syndrome in a colorectal cancer screening population  (FREE ACCESS)

Liseth Rivero-Sanchez, Maria Lopez-Ceron, Sabela Carballal et al.

This retrospective study shows that the rate of diagnosis of serrated polyposis syndrome (SPS) in a fecal immunochemical test (FIT)-based screening program triples when colonoscopy is repeated within 1 year in selected individuals with serrated lesions on their baseline colonoscopy. Factors associated with SPS diagnosis were five or more proximal serrated lesions or two or more sessile serrated polyps of ≥ 10mm in size on the baseline colonoscopy and the use of chromoendoscopy and/or high definition endoscopy during the reassessment colonoscopy.

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Pediatric gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) Guideline Executive summary  (FREE ACCESS)

Andrea Tringali, Mike Thomson, Jean-Marc Dumonceau et al.

This first joint Clinical Guideline from the European Society of Gastrointestinal Endoscopy (ESGE) and the European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) is the work of a panel of 28 pediatric and non-pediatric endoscopists representing 12 European countries. Indications for diagnostic and therapeutic pediatric endoscopy are evaluated. Timings and indications for pediatric endoscopy in an emergency setting (i.e., foreign bodies and corrosive ingestions) are extensively analyzed. Also, the role of biliopancreatic endoscopy in infants and children is discussed. This Guideline aims to provide a practical tool for approaching the pediatric patient requiring an endoscopic procedure.

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