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Current Issue July 2016

Persistent residual contamination in endoscope channels; a fluorescence epimicroscopy study  (FREE ACCESS)

Rodolphe C. Hervé, Charles W. Keevil

This study used fluorescence epimicroscopy to examine working channels from endoscopes, and found considerable amounts of protein and biofilm after cleaning. Calls for sustained precautions and efforts for improved methods for the reprocessing of nonautoclavable, reusable surgical instruments are important.

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Magnetic compression anastomosis for patients with a disconnected bile duct after living donor related liver transplantation: a pilot study  (FREE ACCESS)

Galip Ersoz, Fatih Tekin, Halil Bozkaya, Mustafa Parildar, Ilker Turan, Zeki Karasu, Omer Ozutemiz, Oktay Tekesin

Treating disconnected bile duct syndrome after living-donor related transplantation is challenging. The authors present the rendezvous percutaneous–endoscopic magnetic compression anastomosis technique, which was used to connect the disconnected bile ducts of six patients who could not be treated with either percutaneous or endoscopic procedures. The procedure was successful in all patients, with biliary recanalization observed between 13–42 days after the magnet placement procedure.

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Papillary cannulation and sphincterotomy techniques at ERCP: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline  (FREE ACCESS)

Pier Alberto Testoni, Alberto Mariani, Lars Aabakken, Marianna Arvanitakis, Erwan Bories, Guido Costamagna, Jacques Devière, Mario Dinis-Ribeiro, Jean-Marc Dumonceau, Marc Giovannini, Tibor Gyokeres, Michael Hafner, Jorma Halttunen, Cesare Hassan, Luis Lopes, Ioannis S. Papanikolaou, Tony C. Tham, Andrea Tringali, Jeanin van Hooft, Earl J. Williams

This is the first ESGE Clinical Guideline on achieving successful cannulation at ERCP. Relevant issues regarding cannulation techniques and biliary and pancreatic sphincterotomy of the major and minor papilla, either in normal or altered anatomy, have been identified and analyzed in 12 sections, by 20 experts representing 13 European countries. A practical algorithm is provided for performance of biliary cannulation at ERCP.

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