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Current Issue September 2014

Development and initial validation of an endoscopic part-task training box (FREE ACCESS)

Christopher C. Thompson, Pichamol Jirapinyo, Nitin Kumar, Amy Ou, Andrew Camacho, Balazs Lengyel, Michele B. Ryan

This study evaluated an endoscopy simulator that assesses fundamental endoscopic skills and can eventually be used to assess the competency of trainees. The final training box evaluated knob control, torque, retroflexion, polypectomy, and navigation and loop reduction. Overall, 82% of participants considered the simulator capable of differentiating between ability levels, and 93% thought the simulator should be used to assess endoscopic skills before procedures in patients.  Read more.

Endoscopic flushing with pronase improves the quantity and quality of gastric biopsy: a prospective study (FREE ACCESS)

Sun-Young Lee, Hye S. Han, Jae M. Cha, Yu K. Cho, Gwang H. Kim, Il-Kwun Chung

Flushing gastric mucosa with 50mL of pronase (a proteolytic enzyme), decreases the thickness of mucus, increases the depth of biopsy, and improves anatomical orientation and diagnostic assessment, provided the endoscopist waits for 5 minutes after pronase application.  Read more.

Over-the-scope clip-assisted method for resection of full-thickness submucosal lesions of the gastrointestinal tract   (FREE ACCESS)

Shabnam Sarker, Juan Pablo Gutierrez, Leona Council, Jason D. Brazelton, Kondal R. Kyanam Kabir Baig, Klaus Mönkemüller

This retrospective case series described the use of an over-the-scope clip (OTSC) for resection of eight submucosal lesions. The authors concluded that OTSC clips may be a valid method for resection of submucosal lesions up to 20mm in size and not involving the muscularis propria.  Read more.