Current Issue - Silder
Current Issue: May 2022
This month's highlight articles
Difficult biliary cannulation in ERCP procedures with or without trainee involvement: a comparative study
The 5–5–1 criteria (>5 minutes spent attempting to cannulate, >5 cannulation attempts, > 1 unintended pancreatic duct cannulation) have been proposed by the European Society of Gastrointestinal Endoscopy to define difficult ERCP cannulation. This study from China proposes that when a trainee is involved in ERCP cannulation, these criteria should be adapted to 15–10–2, which has a performance similar to that of the 5–5–1 criteria used for non-trainee procedures.
Continuous monitoring of colonoscopy performance in the Netherlands: first results of a nationwide registry
Measuring performance is essential for high quality colonoscopy. National registries have the potential to collect these data with minimum effort from the endoscopist. This study reports on the Dutch experience of linking registries for colonoscopy quality and adverse events, allowing calculation of national estimates of cecal intubation rate and adverse events, such as bleeding, perforation, and mortality.
Efficacy and safety of cap-assisted endoscopic mucosal resection for treatment of nonlifting colorectal polyps
Snare, avulsion, and thermal techniques have all been described for removal of benign nonlifting colorectal polyps but are associated with higher recurrence rates compared to their use for easily lifted polyps. In this study, cap-assisted endoscopic mucosal resection (EMR-C) for nonlifting polyps was shown to be effective with few adverse events. Although recurrence rates were similar to those with other approaches, and one third of polyps required an adjunctive technique, EMR-C seems to be another helpful tool for a tricky problem.