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Current Issue February 2017

Detection of lesions in dysplastic Barrett's esophagus by community and expert endoscopists   (FREE ACCESS)

Dirk W. Schölvinck, Kim van der Meulen, Jacques J. G. H. M. Bergman et al.

This study examined patients with Barrett's esophagus referred for management of high grade dysplasia or early adenocarcinoma. Repeat examination by expert endoscopists detected significantly more patients with a visible lesion (87% vs. 60%) compared with examination by community endoscopists. Among patients with previously non-visible neoplasia, a lesion was detected in 76% by the expert endoscopists. Because the presence of a visible lesion affects endoscopic therapy, the results support the practice of referring Barrett's patients with neoplasia to expert centers..

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Endoscopic ultrasound-guided biliary access versus precut papillotomy in patients with failed biliary cannulation: a retrospective study  (FREE ACCESS)

Alexander Lee, Anupam Aditi, Yasser M. Bhat et al.

This study retrospectively compared the outcomes of two large cohorts of patients who were undergoing therapeutic biliary endoscopic retrograde cholangiopancreatography (ERCP). The ERCP failure rate was lower in the cohort in which EUS-guided biliary access or precut papillotomy was performed in the same session compared with the cohort in which only precut papillotomy was available after failed standard cannulation (1.0% vs. 3.6%)..

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Endoscopic management of Barrett's esophagus: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement  (FREE ACCESS)

Bas Weusten, Raf Bisschops, Emanuel Coron et al.

This new Position Statement from the European Society of Gastrointestinal Endoscopy (ESGE) provides practical guidance to endoscopists taking care of patients with Barrett's esophagus (BE). Statements include, among others, recommendations on surveillance intervals and management of dysplastic BE, and guidance on who not to survey and in whom surveillance could be stopped. In addition, it provides criteria for referral of patients to a BE expert center, as well as requirements that should be met by BE expert centers..

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