Current Issue - Silder
Current Issue: March 2021
This month's highlight articles
In 787 nonemergency endoscopic variceal ligation (EVL) procedures performed in 444 patients with liver cirrhosis, serum bilirubin levels and size of varices, rather than standard coagulation tests, were associated with upper gastrointestinal bleeding after ligation. This calls for future studies evaluating novel strategies to prevent acute bleeding after EVL.
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Computer-based patient education is non-inferior to nurse counselling prior to colonoscopy: a multicenter randomized controlled trial
A computer-based educational tool was found in this trial to be noninferior to nurse counselling prior to colonoscopy in terms of bowel preparation. For patients, it led to a 79% reduction in visits to the outpatient clinic; high satisfaction scores; good recall of information; and lower sickness absence.
Endoscopic diagnosis and management of nonvariceal upper gastrointestinal hemorrhage (NVUGIH): European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2021
This Guideline from ESGE provides comprehensive guidance on the endoscopic diagnosis and management of acute nonvariceal upper gastrointestinal hemorrhage (NVUGIH) and is an update to the 2015 ESGE Guideline. Updated, evidence-based guidance on pre-endoscopy, endoscopy and post endoscopy management is provided. In addition, there are management algorithms on endoscopic therapy stratified by endoscopic stigmata of hemorrhage, as well as on managing antiplatelet agents and anticoagulants during acute NVUGIH. Lastly, there is a “toolbox” review of the endoscopic hemostasis modalities that are available in 2021.