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Current Issue June 2017

Conversion of external percutaneous transhepatic biliary drainage to endoscopic ultrasound-guided hepaticogastrostomy after failed standard internal stenting for malignant biliary obstruction  (FREE ACCESS)

Woo Hyun Paik, Nah Kyum Lee, Yousuke Nakai et al.

A case series of 16 patients with malignant distal biliary obstruction suggests that conversion of percutaneous transhepatic biliary drainage (PTBD) to endoscopic ultrasound-guided hepaticogastrostomy after failed internalization of PTBD can be performed with high technical and clinical success, and low risk of adverse events.

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Narrow band imaging in diagnosing deep submucosal colorectal cancers: a systematic review and meta-analysis  (FREE ACCESS)

Qing-Wei Zhang, La-Mei Teng, Xin-Tian Zhang et al.

This meta-analysis of 17 studies examined the ability of magnification endoscopy (with narrow-band imaging [NBI] or chromoendoscopy) to predict submucosal colorectal cancer. Although slightly better test characteristics were demonstrated with chromoendoscopy than with NBI, the specificity was similar (98% vs. 97%), suggesting that the presence of invasive imaging criteria with either method is a good predictor for submucosal cancer.

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Role of endoscopy in primary sclerosing cholangitis: European Society of Gastrointestinal Endoscopy (ESGE) and European Association for the Study of the Liver (EASL) Clinical Guideline  (FREE ACCESS)

Lars Aabakken, Tom H. Karlsen, Jörg Albert et al.

This Clinical Guideline produced jointly by ESGE and EASL addresses the specific role of endoscopy (endoscopic retrograde cholangiopancreatography [ERCP] and colonoscopy) in the handling of primary sclerosing cholangitis (PSC). Despite the predominating diagnostic role of magnetic resonance cholangiography (MRC), ERCP remains crucial for diagnostic sampling for dysplasia or cholangiocarcinoma, as well as for treatment of dominant strictures. Moreover, strict surveillance of PSC-associated colitis is underlined.


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