Current Issue February 2018

The economic impact of using single-operator cholangioscopy for the treatment of difficult bile duct stones and diagnosis of indeterminate bile duct strictures (FREE ACCESS)

Pierre H. Deprez, Rodrigo Garces Duran, Tom Moreels et al.

This modeling study compared single-operator intraductal cholangioscopy (IDC) and endoscopic retrograde cholangiopancreatography (ERCP) for the management of difficult bile duct stones and the diagnosis of biliary strictures. The model determined that the IDC system performed better than ERCP for both clinical situations, by reducing both the number of procedures and the overall expenditure in hospitals. Prospective randomized studies are needed to confirm these findings.

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Surveillance colonoscopy in Austria: Are we following the guidelines? (FREE ACCESS)

Irina Gessl, Elisabeth Waldmann, Martha Britto-Arias et al.

Current guidelines for colorectal cancer screening contain postpolypectomy surveillance recommendations. The authors assessed the adherence of Austrian endoscopists to the guidelines, and whether a single reminder letter could improve adherence to guideline recommendations. They found poor baseline adherence to the guidelines and conclude that a single reminder letter is not enough to improve poor adherence.

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Impact of preprocedure simethicone on adenoma detection rate during colonoscopy: a multicenter, endoscopist-blinded randomized controlled trial (FREE ACCESS)

Yu Bai, Jun Fang, Sheng-Bing Zhao et al.

This randomized controlled trial involving 583 Chinese patients examined whether adding oral simethicone to bowel preparation with polyethylene glycol (PEG) could improve the adenoma detection rate. When compared with PEG alone, PEG plus simethicone improved the adenoma detection rate (21% vs. 14 %) and mean number of adenomas detected (2.2 vs. 1.6). The benefit was maintained after adjusting for bowel preparation quality, which was better in the intervention group.

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