Current Issue: November 2019
by Keith Siau, Paul Dunckley, Mark Feeney et al.
A total of 818 ERCP direct observation of procedural skills (DOPS) assessments, in 109 trainees in 80 UK centers, provided DOPS validity and learning curve data. After 300 ERCP procedures, trainees reached the benchmark for selective cannulation (89%), but not for stenting (plastic 73%; metal 70%), sphincterotomy (80%), or sphincteroplasty (56%).
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by Heikki Karjula, Palle Nordblad Schmidt, Jyrki Mäkelä et al.
In patients with acute necrotizing pancreatitis, prophylactic pancreatic duct stenting did not improve outcomes, but, on the contrary, increased complications, especially pancreatic necrosis infections. The high infection rate resulted in the premature termination of this randomized study.
by Monique E. van Leerdam, Victorine H. Roos, Jeanin E. van Hooft et al.
Up to 35% of colorectal cancer (CRC) cases have a familial component. This ESGE Guideline provides an overview of the endoscopic management of individuals having a familial risk of CRC in whom a genetic cause has been excluded. Furthermore, it gives insight on the endoscopic management of individuals with Lynch syndrome, the most common hereditary CRC condition. The management of predisposing polyposis syndromes is covered in a separate ESGE Guideline.