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Current Issue May 2017

Early adverse events and long-term outcomes of endoscopic sphincterotomy in a pediatric population: a single-center experience  (FREE ACCESS)

Jin Min Cho, In Sook Jeong, Hyun Jin Kim et al.

Few studies have evaluated the short-term and long-term outcomes after endoscopic sphincterotomy in children. In this large study from Korea, that included 294 sphincterotomies, the authors found that the procedure had a high level of technical success and low rates of early adverse events and long-term complications.

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Extracorporeal shock wave lithotripsy is safe and effective for pediatric patients with chronic pancreatitis  (FREE ACCESS)

Dan Wang, Ya-Wei Bi, Jun-Tao Ji, Lei Xin

This study evaluated the efficacy and safety of pancreatic extracorporeal shock wave lithotripsy in 72 pediatric patients with chronic pancreatitis. Complete pain relief was achieved in 77.6% of patients and adverse events occurred in 11.1%. These results were similar to those achieved in a matched control group of adult patients.

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Water exchange for screening colonoscopy increases adenoma detection rate: a multicenter, double-blinded, randomized controlled trial  (FREE ACCESS)

Sergio Cadoni, Přemysl Falt, Emanuele Rondonotti et al.

This randomized controlled trial compared three different colon intubation techniques with respect to adenoma detection in 1224 patients. Compared with standard air insufflation, water exchange yielded a significantly higher overall adenoma detection rate (ADR; 49.3% vs. 40.4%), right colon ADR (24.0% vs. 16.9%) and advanced ADR (6.1% vs. 2.5%), and mean number of adenomas per procedure (0.88 vs. 0.72). Although the ADR using water immersion was numerically greater than that with air insufflation and lower than that with water exchange, these differences were not significant.

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