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ESGE Days 2019
Find the ESGE Days abstracts here (full PDF) or here (individual contributions)

Current Issue: December 2019

"Automated classification of gastric neoplasms with a convolutional neural network"

by Bum-Joo Cho et al.

Fig. 1 Confusion matrix for per-category sensitivity of the Inception-Resnet-v2 model.
a The test dataset. b The prospective validation dataset. AGC, advanced gastric cancer; EGC, early gastric cancer; HGD, high grade dysplasia; LGD, low grade dysplasia; NON, non-neoplasm.

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"Operative technical tricks and 12-month outcomes of diverticular peroral endoscopic myotomy (D-POEM) in patients with symptomatic esophageal diverticula"

by Amit Maydeo et al.

Fig. 1 Illustration of the diverticular peroral endoscopic myotomy (D-POEM) procedure showing: a a diverticulum alongside the esophageal lumen;
b the submucosal incision; c exposure of the diverticulum after submucosal dissection; d septotomy being performed from the base of the diverticulum;
e the appearance after complete septotomy; f closure of the mucosal incision with clips. Source: Institute of Advanced Endoscopy.

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"Advanced imaging for detection and differentiation of colorectal neoplasia: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2019"

by Raf Bisschops et al.

Fig. 1 Risk of submucosal invasion based on the Narrow-band imaging International Colorectal Endoscopic (NICE) classification and polyp morphology to determine treatment options.

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"Management of complications"

 by Thierry Ponchon et al.

Fig. 1 Perforations and leaks of the gastrointestinal (GI) tract. Perforations, leaks, and fistulae of the GI tract may occur as a result of surgery, ingestion of foreign bodies, retching, trauma, inflammatory and neoplastic conditions, and as a complication from diagnostic and interventional endoscopy. The graphic shows common areas of luminal GI damage such as esophageal perforation, dehiscence of anastomosis after surgery, duodenal perforation during endoscopic retrograde cholangiopancreatography or endoscopic ultrasound, and colonic leaks and perforations. The therapeutic endoscopist should be able to manage most of these discontinuities of the luminal GI tract with various devices such as those as shown on figures.

Illustration: Kirsten Tucker.

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"Sequential multistenting protocol in biliary stenosis after liver transplantation: a prospective analysis"

by Ilaria Tarantino et al.

Fig. 1 Sequential multistenting for anastomotic stricture following orthotopic liver transplantation. a Cholangiogram at time zero. b Fluoroscopic image after placement of four side-by-side 10 Fr plastic stents across the stricture. c Final cholangiogram with resolution of anastomotic stenosis.

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"Safety and efficacy of submucosal tunneling endoscopic septum division for epiphrenic diverticula

by Xuan Li et al.

Fig. 1 Endoscopic images of the submucosal tunneling endoscopic septum division (STESD) procedure showing: a the esophageal diverticulum before the procedure; b submucosal injection being performed; c a submucosal tunnel being created; d the muscular septum; e the muscular septum being dissected; f the appearance after dissection of the septum; g clip closure of the mucosal incision.

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"Endoscopic entero-enteral bypass: an effective new approach to the treatment of postsurgical complications of hepaticojejunostomy"

by Massimiliano Mutignani et al.

Fig. 1 Endoscopic views of the treatment of an anastomotic stricture through an entero-enteral endoscopic bypass showing: a the appearance before treatment; b endotherapy with placement of two fully covered self-expandable metal stents; c resolution 6 months after the treatment.

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"How I remove polyps larger than 20mm"

by Michael Bourke et al.

Fig. 3 Endoscopic views showing: a a target sign indicating excisional injury to the muscularis propria (after each snare resection and at the completion of the procedure, the endoscopic mucosal resection (EMR) defect should be inspected for signs of deep mural injury); b,c clip closure of the injury to the muscularis propria (the entire defect does not need to be closed but there should be firm closure of the muscle injury); d – f the use of coagulating forceps to control bleeding (significant post-EMR bleeding occurs in 5%– 7% of patients, with approximately two-thirds settling spontaneously without the need for further endoscopy, while endoscopic hemostasis is readily achieved in those that continue to bleed).

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