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Current Issue November 2016

Major perioperative adverse events of peroral endoscopic myotomy: a systematic 5-year analysis  (FREE ACCESS)

Xiao-Cen Zhang, Quan-Lin Li, Mei-Dong Xu et al.

Large case series reporting a complication rate of 3.3% in 1680 peroral endoscopic myotomy (POEM) procedures performed over a 5-year period. One of the major findings was that complications decreased to 1.9% after CO2 insufflation had been introduced. These results may be used to increase the accuracy of information given to patients prior to POEM.

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Efficacy of a multifactorial strategy for bowel preparation in diabetic patients undergoing colonoscopy: a randomized trial  (FREE ACCESS)

Marco Antonio Alvarez-Gonzalez, Juana A. Flores-Le Roux, Agustin Seoane et al.

This randomized trial compared bowel preparation using a diabetes-specific protocol (combination of education, blood glucose handling, dietary plan) with a conventional protocol (written instructions only) in patients with diabetes. Both groups received 4L split-dose laxative. Adequate bowel preparation was more common in the specific protocol group (93%) than in the conventional group (80 %). A multifactorial approach in patients at increased risk of inadequate preparation might substantially improve the quality of bowel preparation before colonoscopy.

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Advanced endoscopic imaging: European Society of Gastrointestinal Endoscopy (ESGE) Technology Review  (FREE ACCESS)

James E. East, Jasper L. Vleugels, Philip Roelandt et al.

This Technology Review considers the clinical utility of the following advanced imaging modalities to enhance visualization throughout the GI tract: narrowed-spectrum endoscopy (narrow band imaging [NBI], flexible spectral imaging color enhancement [FICE], and i-Scan digital contrast [ISCAN]); autofluorescence imaging (AFI); and confocal laser endomicroscopy (CLE). The importance of using validated classification systems and necessity for specific training are emphasized.

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