Current Issue September 2018

Endoscopic submucosal dissection for early esophageal cancer in elderly patients with relative indications for endoscopic treatment (FREE ACCESS)

Zhi-Peng Qi, Tao Chen, Bing Li, Zhong Ren, Li-Qing Yao, Qiang Shi, Shi-Lun Cai, Yun-Shi Zhong, Ping-Hong Zhou

Summary:
The outcome of endoscopic submucosal dissection for esophageal cancer with relative indications for endoscopic treatment (i. e., invasion of the muscularis mucosae or superficial submucosa) was studied in patients aged ≥ 60 years. No difference in 5-year progression-free survival was found compared with patients who had absolute indications. This suggests that in older patients, close follow-up and no additional treatment seems appropriate.

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Effects of two instrument-generation changes on adenoma detection rate during screening colonoscopy: results from a prospective randomized comparative study (FREE ACCESS)

Katharina Zimmermann-Fraedrich, Stefan Groth, Susanne Sehner, Stefan Schubert, Jens Aschenbeck, Michael Mayr, Alireza Aminalai, Andreas Schröder, Jens-Peter Bruhn, Michael Bläker, Thomas Rösch, Guido Schachschal

Summary:

Adenoma detection rate (ADR) was compared between two colonoscope generations, the latest (Olympus 190) vs. the last but one (Olympus 165), in a private practice setting. Amongst 1221 patients, ADR showed a nonsignificant improvement (32% vs. 28%) although, overall significantly, more adenomas were found in the Olympus 190 group.

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Endoscopic biliary stenting: indications, choice of stents, and results: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline – Updated October 2017 (FREE ACCESS)

Jean-Marc Dumonceau, Andrea Tringali, Ioannis S. Papanikolaou et al.

Summary:

Compared with the previous edition, this Guideline marks a shift toward recommendation of self-expandable metal stents in additional situations: for preoperative biliary drainage and palliation of extrahepatic malignant biliary obstruction, for palliative drainage of malignant hilar obstruction, and for the treatment of some types of benign biliary stricture.

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