by Stefano Francesco Crinò, Maria Cristina Conti Bellocchi, Roberto Di Mitri et al.
This randomized crossover study of 210 individuals with pancreatic and nonpancreatic lesions compared wet-suction versus stylet slow-pull techniques for endoscopic ultrasound-guided fine-needle biopsy with a Franseen or fork-tip needle. Tissue cores, defined as intact tissue of ≥ 550 μm in length, were obtained more frequently with the wet-suction technique (71.4% vs. 61.4 %; P=0.03). Diagnostic accuracy was similarly high, regardless of sampling technique.
by Michael X. Ma, David J. Tate, Mayenaaz Sidhu et al.
Among 586 large nonpedunculated colorectal polyps (LNPCPs, ≥20mm), pre-resection biopsy (PRB) had a sensitivity of 21% for detecting high grade dysplasia. When the endoscopic mucosal resection (EMR) specimen showed cancer, PRB had only detected dysplasia. PRB was also associated with more submucosal fibrosis and intraprocedural bleeding. As PRB did not reliably detect advanced histology and may affect the EMR procedure, it should be used cautiously.
by Ivo Boškoski, Valerio Pontecorvi, Mostafa Ibrahim et al.
The exponential rise of obesity and the growing need for less invasive treatments form the basis of this paper. This is the first ESGE curriculum for training in bariatric endoscopy and the endoscopic treatment of bariatric surgical complications. The recommendations made here clarify how training in these fields should be provided in Europe.