Current Issue: October 2019
by Rasoul Sotoudehmanesh, Ali Ali-Asgari, Morteza Khatibian et al.
Randomized controlled trial in more than 400 patients at high risk for post-ERCP pancreatitis (PEP) failed to show noninferiority or inferiority in severity or incidence of PEP between patients receiving pharmacological prophylaxis alone vs. those receiving pharmacological prophylaxis and pancreatic duct stenting. Larger trials are needed.
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by Kirles Bishay, Devon Boyne, Mohammad Yaghoobi et al.
An endoscopic ultrasound-guided transmural approach was found to be as effective as an ERCP-guided transpapillary approach for primary decompression of malignant biliary obstruction, in a meta-analysis that included 396 patients.
by Pedro Pimentel-Nunes, Mathieu Pioche, Eduardo Albéniz et al.
Endoscopic submucosal dissection (ESD) is a technically demanding procedure with the potential for serious adverse events. Because of this, dissemination of the technique in Europe has been slow. This ESGE Position Statement comprehensively addresses, for the first time in Europe, the major steps in the ESD training program, presenting several practice recommendations.