Current Issue - Silder
Current Issue: October 2021
This month's highlight articles
Polysaccharide hemostatic powder to prevent bleeding after endoscopic submucosal dissection in high risk patients: a randomized controlled trial
Patients undergoing gastric ESD were randomized between post-gastric ESD application of polysaccharide hemostatic powder (PHP) vs. no PHP application. It was found that PHP did not reduce the post-ESD bleeding rate, although there was a trend toward reduced bleeding rates in high risk patients not using antithrombotic agents.
Transpancreatic biliary sphincterotomy versus double guidewire in difficult biliary cannulation: a randomized controlled trial
This randomized study demonstrated that transpancreatic biliary sphincterotomy (TPBS) is an effective alternative to a double-guidewire (DGW) technique following failure of the conventional ERCP technique. TPBS achieved cannulation without increasing the risk of post-ERCP pancreatitis compared with DGW use.
Curriculum for ERCP and endoscopic ultrasound training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement
This ESGE Position Statement comprehensively addresses, for the first time in Europe, a clear framework for the provision of training in both endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS). It encompasses the skills required prior to commencing training in ERCP and EUS, structured training for trainees to become independent endoscopists, and ways of ensuring competence is achieved and evidenced, with several practice recommendations.