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Esge guideline

Pedro Pimentel-Nunes, Diogo Libânio, Ricardo Marcos-Pinto, Miguel Areia, Marcis Leja, Gianluca Esposito, Monica Garrido, Ilze Kikuste, Francis Megraud, Tamara Matysiak-Budnik, Bruno Annibale, Jean-Marc Dumonceau, Rita Barros, Jean-François Fléjou, Fátima Carneiro, Jeanin E van Hooft, Ernst J Kuipers, Mario Dinis-Ribeiro
Patients with chronic atrophic gastritis or intestinal metaplasia (IM) are at risk for gastric adenocarcinoma. This underscores the importance of diagnosis and risk stratification for these patients. High definition endoscopy with chromoendoscopy (CE) is better than high definition white-light endoscopy alone for this purpose. Virtual CE can guide biopsies for staging atrophic and metaplastic changes and can target neoplastic lesions. Biopsies should be taken from at least two topographic sites (antrum and corpus) and labelled in two separate vials...
March 6, 2019: Endoscopy
Cesare Hassan, Piotr Tomasz Wysocki, Lorenzo Fuccio, Thomas Seufferlein, Mário Dinis-Ribeiro, Catarina Brandão, Jaroslaw Regula, Leonardo Frazzoni, Maria Pellise, Sergio Alfieri, Evelien Dekker, Rodrigo Jover, Gerardo Rosati, Carlo Senore, Cristiano Spada, Ian Gralnek, Jean-Marc Dumonceau, Jeanin E van Hooft, Eric van Cutsem, Thierry Ponchon
No abstract text is available yet for this article.
February 14, 2019: Endoscopy
Cesare Hassan, Piotr Tomasz Wysocki, Lorenzo Fuccio, Thomas Seufferlein, Mário Dinis-Ribeiro, Catarina Brandão, Jaroslaw Regula, Leonardo Frazzoni, Maria Pellise, Sergio Alfieri, Evelien Dekker, Rodrigo Jover, Gerardo Rosati, Carlo Senore, Cristiano Spada, Ian Gralnek, Jean-Marc Dumonceau, Jeanin E van Hooft, Eric van Cutsem, Thierry Ponchon
1:  We recommend post-surgery endoscopic surveillance for CRC patients after intent-to-cure surgery and appropriate oncological treatment for both local and distant disease.Strong recommendation, low quality evidence. 2:  We recommend a high quality perioperative colonoscopy before surgery for CRC or within 6 months following surgery.Strong recommendation, low quality evidence. 3:  We recommend performing surveillance colonoscopy 1 year after CRC surgery.Strong recommendation, moderate quality evidence. 4:  We do not recommend an intensive endoscopic surveillance strategy, e...
March 2019: Endoscopy
Keith Siau, James Hodson, Srivathsan Ravindran, Matthew D Rutter, Marietta Iacucci, Paul Dunckley
BACKGROUND AND AIMS: The cecal intubation rate (CIR) is a widely accepted key performance indicator (KPI) in colonoscopy but lacks a universal calculation method. We aimed to assess whether differences in CIR calculation methods could impact on perceived trainee outcomes. METHODS: A systematic review of CIR calculation methods was conducted on major societal guidelines (United Kingdom, European Society of Gastrointestinal Endoscopy [ESGE] and American Society for Gastrointestinal Endoscopy [ASGE]) and trainee-inclusive studies...
January 16, 2019: Gastrointestinal Endoscopy
Jean-Marc Dumonceau, Myriam Delhaye, Andrea Tringali, Marianna Arvanitakis, Andres Sanchez-Yague, Thierry Vaysse, Guruprasad P Aithal, Andrea Anderloni, Marco Bruno, Paolo Cantú, Jacques Devière, Juan Enrique Domínguez-Muñoz, Selma Lekkerkerker, Jan-Werner Poley, Mohan Ramchandani, Nageshwar Reddy, Jeanin E van Hooft
ESGE suggests endoscopic therapy and/or extracorporeal shockwave lithotripsy (ESWL) as the first-line therapy for painful uncomplicated chronic pancreatitis (CP) with an obstructed main pancreatic duct (MPD) in the head/body of the pancreas. The clinical response should be evaluated at 6 - 8 weeks; if it appears unsatisfactory, the patient's case should be discussed again in a multidisciplinary team and surgical options should be considered.Weak recommendation, low quality evidence.ESGE suggests, for the selection of patients for initial or continued endoscopic therapy and/or ESWL, taking into consideration predictive factors associated with a good long-term outcome...
January 17, 2019: Endoscopy
Emanuele Rondonotti, Cristiano Spada, Marco Pennazio, Roberto de Franchis, Sergio Cadoni, Carlo Girelli, Cesare Hassan, Riccardo Marmo, Maria Elena Riccioni, Giuseppe Scarpulla, Marco Soncini, Maurizio Vecchi, Renato Cannizzaro
BACKGROUND: The European Society of Gastrointestinal Endoscopy (ESGE) has recently issued a technical review focused on small bowel capsule endoscopy (SBCE). AIM: To compare SBCE current practice in Italy to ESGE technical recommendations. MATERIAL AND METHODS: A dedicated per-centre semi-quantitative questionnaire was prepared by a group of SBCE experts. One-hundred-fifty Centres were invited to participate in the data collection concerning SBCEs performed between June 2016 and June 2017...
December 10, 2018: Digestive and Liver Disease
Solène Dermine, Maximilien Barret, Caroline Prieux, Sophie Ribière, Sarah Leblanc, Marion Dhooge, Catherine Brezault, Vered Abitbol, Benoit Terris, Frédéric Beuvon, Alexandre Rouquette, Bertrand Dousset, Sébastien Gaujoux, Philippe Soyer, Anthony Dohan, Jean-Emmanuel Bibault, Romain Coriat, Frédéric Prat, Stanislas Chaussade
Background  The recent development of endoscopic resection for superficial gastrointestinal cancers could justify the need for a dedicated oncological multidisciplinary meeting (MDM). The aim of our study was to evaluate the impact of the dedicated MDM on the management of superficial cancers of the digestive tract. Methods  A dedicated MDM was developed at our tertiary referral center. A retrospective review of the MDM conclusions for all patients referred from March 2015 to March 2017 was performed...
December 2018: Endoscopy International Open
Phonthep Angsuwatcharakon, Pimpayao Sodsai, Rungsun Rerknimitr, Nattiya Hirankarn
Background and Aim: The risks of post-ERCP pancreatitis (PEP) are identified as patient- and procedure-related factors. However, the genetic contribution for PEP is still unclear. Recent data show that the polymorphisms of PRSS1-PRSS2 ( rs10273639 ) and MORC4 ( rs12688220 ) are associated with recurrent acute pancreatitis and chronic pancreatitis. We aim to evaluate the association between these polymorphisms and post-ERCP pancreatitis in order to improve better prognosis and better care for these patients...
2018: Gastroenterology Research and Practice
Sebastian Manuel Milluzzo, Alessandra Bizzotto, Paola Cesaro, Cristiano Spada
Colorectal cancer (CRC) represents a major cause of morbidity and mortality in Western countries. Though colonoscopy is the benchmark for CRC diagnosis and management, other alternatives have been proposed. Colon capsule endoscopy (CCE) was first introduced in 2006 as a non-invasive painless technology that utilizes an ingestible, wireless, and disposable capsule to explore the colon, without sedation or air insufflation. Areas covered: To date, the European Society of Gastrointestinal Endoscopy (ESGE) guidelines consider CCE as an option for average-risk colorectal cancer screening patients and in patients with contraindications or unwilling to undergo colonoscopy and/or with an incomplete colonoscopy...
October 25, 2018: Expert Review of Anticancer Therapy
John Gásdal Karstensen, Alanna Ebigbo, Lars Aabakken, Mario Dinis-Ribeiro, Ian Gralnek, Olivier Le Moine, Peter Vilmann, Uchenna Ijoma, Gideon Anigbo, Mary Afihene, Babatunde Duduyemi, Thierry Ponchon, Cesare Hassan
No abstract text is available yet for this article.
October 2018: Endoscopy International Open
Cesare Hassan, Lars Aabakken, Alanna Ebigbo, John Gásdal Karstensen, Claire Guy, Mario Dinis-Ribeiro, Olivier Le Moine, Peter Vilmann, Thierry Ponchon
A new objective for the European Society of Gastrointestinal Endoscopy (ESGE) is to develop long-term partnerships with African countries. For this, an International Affairs Working Group (IAWG) was formed. In conjunction with the World Endoscopy Organization (WEO), ESGE conducted a survey of gastrointestinal (GI) endoscopy in Africa. Survey results showed that many African countries have few GI endoscopy centers with adequate resources. Barriers to the development of endoscopy services include a shortage of endoscopists who have undergone advanced endoscopy training, and a lack of equipment and basic infrastructure...
October 2018: Endoscopy International Open
Jean-Marc Dumonceau, Andrea Tringali, Ioannis S Papanikolaou, Daniel Blero, Benedetto Mangiavillano, Arthur Schmidt, Geoffroy Vanbiervliet, Guido Costamagna, Jacques Devière, Jesús García-Cano, Tibor Gyökeres, Cesare Hassan, Frédéric Prat, Peter D Siersema, Jeanin E van Hooft
ESGE recommends against routine preoperative biliary drainage in patients with malignant extrahepatic biliary obstruction; preoperative biliary drainage should be reserved for patients with cholangitis, severe symptomatic jaundice (e. g., intense pruritus), or delayed surgery, or for before neoadjuvant chemotherapy in jaundiced patients. Strong recommendation, moderate quality evidence. ESGE recommends the endoscopic placement of a 10-mm diameter self-expandable metal stent (SEMS) for preoperative biliary drainage of malignant extrahepatic biliary obstruction...
September 2018: Endoscopy
Franco Radaelli, Lorenzo Fuccio, Silvia Paggi, Cesare Hassan, Alessandro Repici, Emanuele Rondonotti, Rossella Semeraro, Milena Di Leo, Andrea Anderloni, Arnaldo Amato, Cristina Trovato, Ivana Bravi, Andrea Buda, Mario de Bellis, Valentina D'Angelo, Sergio Segato, Ottaviano Tarantino, Alessandro Musso, Renato Fasoli, Leonardo Frazzoni, Elisa Liverani, Carlo Fabbri, Emilio Di Giulio, Gianluca Esposito, Flavia Pigò, Andrea Iannone, Francesco Dentali
OBJECTIVE: To assess the frequency of adverse events associated with periendoscopic management of direct oral anticoagulants (DOACs) in patients undergoing elective GI endoscopy and the efficacy and safety of the British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) recommendations (NCT 02734316). DESIGN: Consecutive patients on DOACs scheduled for elective GI endoscopy were prospectively included. The timing of DOAC interruption and resumption before and after the procedures were recorded, along with clinical and procedural data...
July 31, 2018: Gut
Yousuke Nakai, Akio Katanuma
No abstract text is available yet for this article.
September 2018: Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society
Ertan Saridogan, Christian M Becker, Anis Feki, Grigoris F Grimbizis, Lone Hummelshoj, Joerg Keckstein, Michelle Nisolle, Vasilios Tanos, Uwe A Ulrich, Nathalie Vermeulen, Rudy Leon De Wilde
Study question: What does this document on the surgical treatment of endometriosis jointly prepared by the European Society for Gynaecological Endoscopy (ESGE), ESHRE, and the World Endometriosis Society (WES) provide? Summary answer: This document provides recommendations covering technical aspects of different methods of surgery for endometriomas in women of reproductive age. What is already known: Endometriomas (ovarian endometriotic cysts) are a commonly diagnosed form of endometriosis, owing to the relative ease and accuracy of ultrasound diagnosis...
2017: Gynecological Surgery
Esg Sergeant, J Happold, I Langstaff
BACKGROUND: Australia declared freedom from bovine tuberculosis (TB) in accordance with international guidelines in 1997 and has since maintained ongoing surveillance for this disease, primarily through abattoir surveillance of cattle carcases (meat inspection) for TB-like granulomas. The objectives of this study were to estimate the sensitivity of Australia's surveillance system and quantify the probability that Australia is free from bovine TB at the specified design prevalence. METHODS: The analysis included approximately 80 million records of individual cattle slaughtered and meat inspected at Australian abattoirs between 2005 and 2015 calendar years...
December 2017: Australian Veterinary Journal
Andrzej Jamry
Post-endoscopic pancreatitis (PEP) is the most common complication of endoscopic retrograde cholangiopancreatography (ERCP). Depending on the presence of risk factors, PEP can occur in 4,1% to about 43% of patients. According to the European Society of Gastrointestinal Endoscopy (ESGE) guidelines, only three to patient-associated risk factors have been identified: suspected sphincter of Oddi dysfunction (SOD) (OR 4.09), female gender (OR 2.23), and previous pancreatitis (OR 2.46). Another three procedure-associated factors include cannulation attempt duration > 10 minutes (OR 1...
October 31, 2017: Polski Przeglad Chirurgiczny
Ulrike Beilenhoff, Holger Biering, Reinhard Blum, Jadranka Brljak, Monica Cimbro, Jean-Marc Dumonceau, Cesare Hassan, Michael Jung, Christiane Neumann, Michael Pietsch, Lionel Pineau, Thierry Ponchon, Stanislav Rejchrt, Jean-François Rey, Verona Schmidt, Jayne Tillett, Jeanin van Hooft
1 Prerequisites. The clinical service provider should obtain confirmation from the endoscope washer-disinfector (EWD) manufacturer that all endoscopes intended to be used can be reprocessed in the EWD. 2 Installation qualification. This can be performed by different parties but national guidelines should define who has the responsibilities, taking into account legal requirements. 3 Operational qualification. This should include parametric tests to verify that the EWD is working according to its specifications...
December 2017: Endoscopy
Marcin Polkowski, Christian Jenssen, Philip Kaye, Silvia Carrara, Pierre Deprez, Angels Gines, Gloria Fernández-Esparrach, Pierre Eisendrath, Guruprasad P Aithal, Paolo Arcidiacono, Marc Barthet, Pedro Bastos, Adele Fornelli, Bertrand Napoleon, Julio Iglesias-Garcia, Andrada Seicean, Alberto Larghi, Cesare Hassan, Jeanin E van Hooft, Jean-Marc Dumonceau
For routine EUS-guided sampling of solid masses and lymph nodes (LNs) ESGE recommends 25G or 22G needles (high quality evidence, strong recommendation); fine needle aspiration (FNA) and fine needle biopsy (FNB) needles are equally recommended (high quality evidence, strong recommendation).When the primary aim of sampling is to obtain a core tissue specimen, ESGE suggests using 19G FNA or FNB needles or 22G FNB needles (low quality evidence, weak recommendation).ESGE recommends using 10-mL syringe suction for EUS-guided sampling of solid masses and LNs with 25G or 22G FNA needles (high quality evidence, strong recommendation) and other types of needles (low quality evidence, weak recommendation)...
October 2017: Endoscopy
Bruno Rosa, Rolando Pinho, Susana Mão de Ferro, Nuno Almeida, José Cotter, Miguel Mascarenhas Saraiva
The small bowel is affected in the vast majority of patients with Crohn's Disease (CD). Small bowel capsule endoscopy (SBCE) has a very high sensitivity for the detection of CD-related pathology, including early mucosal lesions and/or those located in the proximal segments of the small bowel, which is a major advantage when compared with other small bowel imaging modalities. The recent guidelines of European Society of Gastrointestinal Endoscopy (ESGE) and European Crohn's and Colitis Organisation (ECCO) advocate the use of validated endoscopic scoring indices for the classification of inflammatory activity in patients with CD undergoing SBCE, such as the Lewis Score or the Capsule Endoscopy Crohn's Disease Activity Index (CECDAI)...
January 2016: GE Portuguese Journal of Gastroenterology
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