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Current Issue February 2016

Pilot randomized crossover study comparing the efficacy of transnasal disposable endosheath with standard endoscopy to detect Barrett's esophagus   (FREE ACCESS)

Mohammed K. Shariff, Sibu Varghese, Maria O'Donovan, Zarah Abdullahi, Xinxue Liu, Rebecca C. Fitzgerald, Massimiliano di Pietro

This pilot study assessed the diagnostic performance of a disposable transnasal endoscope for the endoscopic diagnosis of Barrett's esophagus. Standard endoscopy was used as the endoscopic gold standard. The two devices showed similar diagnostic accuracy. These findings merit further assessment of this endoscope as a screening tool in a primary care setting.

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Endoscopic ultrasound-guided choledochoduodenostomy vs. transpapillary stenting for distal biliary obstruction    (FREE ACCESS)

Kazumichi Kawakubo, Hiroshi Kawakami, Masaki Kuwatani, Yoshimasa Kubota, Shuhei Kawahata, Kimitoshi Kubo, Naoya Sakamoto

This retrospective study from Japan compared first-line endoscopic ultrasound-guided choledochoduodenostomy with endoscopic retrograde cholangiopancreatography-guided transpapillary bile duct stenting in 82 patients with distal malignant biliary obstruction. The success rate with regard to bile duct drainage was similar in both groups, but only patients undergoing transpapillary stenting developed pancreatitis. The results are highly interesting, but randomized studies are needed to confirm the findings.
 

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Repeat peroral endoscopic myotomy: a salvage option for persistent/recurrent symptoms   (FREE ACCESS)

Quan-Lin Li, Li-Qing Yao, Xiao-Yue Xu, Jun-Yu Zhu, Mei-Dong Xu, Yi-Qun Zhang, Wei-Feng Chen, Ping-Hong Zhou

Symptoms may recur or persist after peroral endoscopic myotomy (POEM) for achalasia. This retrospective study from China investigates the use of repeat POEM in 15 patients with persistent or recurrent symptoms. The myotomy was performed opposite to the site of the initial POEM, with no major complications and favorable clinical outcomes during a mean followup period of 11 months. High resolution manometry at 1 month showed a reduction in mean lower esophageal sphincter pressure from 25mmHg to 9.5mmHg.

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