Current Issue November 2018

Gastric peroral endoscopic myotomy for the treatment of refractory gastroparesis: a multicenter international experience (FREE ACCESS)

Michel Kahaleh, Jean-Michel Gonzalez, Ming-ming Xu, Iman Andalib, Monica Gaidhane, Amy Tyberg, Monica Saumoy, Alberto Jose Baptista Marchena, Marc Barthet

Summary:
In a multicenter cohort study, the authors report that 85% of patients with gastroparesis had symptomatic improvement after gastric peroral endoscopic pyloromyotomy (GPOEM), which was evidenced by an improvement in gastric emptying time on scintigraphy. G-POEM appears to be a promising new treatment in selected patients with gastroparesis.

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Reliability and accuracy of a novel classification system using peroral cholangioscopy for the diagnosis of bile duct lesions (FREE ACCESS)

Carlos Robles-Medranda, Manuel Valero, Miguel Soria-Alcivar, Miguel Puga-Tejada, Roberto Oleas, Jesenia Ospina-Arboleda, Haydee Alvarado-Escobar, Jorge Baquerizo-Burgos, Carlos Robles-Jara, Hannah Pitanga-Lukashok

Summary:
In a large study including 171 patients undergoing direct cholangioscopy for various types of bile duct lesions, a novel classification system was developed to classify lesions as neoplastic or non-neoplastic

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Performance measures for ERCP and endoscopic ultrasound: a European Society of Gastrointestinal Endoscopy (ESGE) Quality Improvement Initiative (FREE ACCESS)

Dirk Domagk, Kofi W. Oppong, Lars Aabakken

Summary:
The European Society of Gastrointestinal Endoscopy (ESGE) and United European Gastroenterology (UEG) present a short list of performance measures for endoscopic ultrasound and ERCP, comprising seven key measures and one minor metric. A systematic and scientifically based methodology was applied to substantiate the proposed measures with available evidence where possible. Adoption of these performance measures in all endoscopy services across Europe is recommended.

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