Current Issue: February 2019
Comparison of endoscopic papillary large balloon dilation with or without endoscopic sphincterotomy for the treatment of large bile duct stones (FREE ACCESS)
Jin-Seok Park, Seok Jeong, Dong Ki Lee et al.
Randomized study comparing endoscopic papillary large balloon dilation with vs. without prior endoscopic biliary sphincterotomy in 200 patients with large (≥10mm) bile duct stones. Therapeutic outcomes and adverse events were comparable between the two techniques.
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Peroral endoscopic myotomy and fundoplication: a novel NOTES procedure (FREE ACCESS)
Haruhiro Inoue, Akiko Ueno, Yuto Shimamura et al.
Technical feasibility study assessing fundoplication after peroral endoscopic myotomy. The short-term results in 21 patients showed that this novel technique has the potential to become a landmark development in preventing gastroesophageal reflux after myotomy. Nonetheless, further studies should focus on the long-term integrity of the fundoplication and the rate of gastroesophageal reflux.
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Jean-Marc Dumonceau, Myriam Delhaye, Andrea Tringali et al.
This update of the 2012 ESGE Guideline on chronic pancreatitis suggests endoscopic therapy and/or extracorporeal shockwave lithotripsy (ESWL) as the first-line therapy for painful chronic pancreatitis with an obstructed main pancreatic duct. Compared with the previous Guideline, it introduces predictive factors associated with a good long-term outcome following endoscopic treatment; it suggests restricting the use of endoscopic therapy after ESWL to patients with no spontaneous clearance of pancreatic stones; and, for treating chronic pancreatitis-related benign biliary strictures, it suggests the temporary insertion of multiple side-by-side plastic stents or of a fully covered self-expanding metal stent.
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