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Current Issue November 2015

Bleeding after endoscopic sphincterotomy or papillary balloon dilation among users of antithrombotic agents   (FREE ACCESS)

Tsuyoshi Hamada, Hideo Yasunaga, Yousuke Nakai, Hiroyuki Isayama, Hiroki Matsui,Hiromasa Horiguchi, Kiyohide Fushimi, Kazuhiko Koike

The risk of bleeding after endoscopic sphincterotomy or endoscopic papillary balloon dilation was retrospectively assessed in a large nationwide administrative database. Continuation of antiplatelet agents (in mono or dual therapy) was not found to induce an enhanced bleeding risk for endoscopic sphincterotomy or papillary balloon dilation. This contrasts with continuation of antithrombotic agents, which should be discontinued when endoscopic sphincterotomy or papillary balloon dilation is performed.

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A randomized comparison of cold snare polypectomy versus a suction pseudopolyp technique  (FREE ACCESS)


Said Din, Alex J. Ball, Stuart A. Riley, Panagiota Kitsanta, Shawinder Johal

Research on one of the most common therapeutic endoscopy interventions, namely polypectomy, has been relatively limited. It has recently been shown that there is a risk of incomplete resection even for the small lesions that comprise the majority of polyps. It is therefore important to investigate which method of cold snare polypectomy is optimal. British investigators randomized 112 patients with polyps 3–7 mm in size to conventional cold snare excision or to the recently described suction pseudopolyp technique. Both polypectomy techniques were found to be safe and highly effective, but further large multicenter trials are required.  

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Fecal immunochemical testing results and characteristics of colonic lesions    (FREE ACCESS)

Sascha C. van Doorn, Inge Stegeman, An K. Stroobants, Marco W. Mundt, Thomas R. de Wijkerslooth, Paul Fockens, Ernst J. Kuipers, Patrick M. Bossuyt, Evelien Dekker

This retrospective study from The Netherlands investigates the association between fecal hemoglobin concentration by fecal immunochemical test and the characteristics of advanced lesions detected at colonoscopy in 877 participants with positive fecal screening tests and 1256 individuals who underwent fecal testing prior to primary screening colonoscopy. Higher fecal hemoglobin concentrations were observed in individuals with carcinomas and advanced adenomas than in those with nonadvanced adenomas and serrated lesions.  

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