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Endoscopy | Issue 3/2023 is ready! 2023-03-16

Issue 03 · Volume 55 · March 2023

Endoscopy 2023年第3期现已上线,欢迎免费阅读本期三篇主编精选论文。

在内窥镜超声引导下的细针活检(EUS-FNB)中,缺乏关于湿吸法和慢拉法取样的相对性能的数据。Crinò等人在一项包括210名患有胰腺和非胰腺病变个体的随机交叉研究中,通过使用Franseen或fork-tip针头比较了这些技术。湿吸技术(71.4% vs. 61.4%;P = 0.03)更多地被用来获得组织核心(≥550微米的完整组织),而这两种方法显示出高度类似的诊断准确性。然而,作者总结说,在明确推荐任何一种技术之前,还需要进行更大规模和特别有效的研究。欢迎阅读本期第一篇精选论文。

传统上,切除前活检(PRB)被用来协助大型非截断性结直肠息肉(LNPCPs)的治疗决定。然而,一项回顾性分析发现,在586个LNPCPs(≥20毫米)中,PRB检测高度异型增生的灵敏度为21%,而当内窥镜粘膜切除(EMR)标本显示为癌症时,PRB仅检测到异型增生。PRB还与更多的粘膜下纤维化和术中出血有关。由于PRB不能可靠地检测晚期组织学,并可能影响EMR手术,Ma等人建议应谨慎使用。欢迎阅读本期第二篇精选论文。

本期第三篇精选论文是ESGE的立场声明,为减肥内镜和减肥手术并发症的内镜治疗的高质量培训提供了一些支持建议。

欢迎阅读本期三篇精选论文及其它全部论文。

Original article

Wet-suction versus slow-pull technique for endoscopic ultrasound-guided fine-needle biopsy: a multicenter, randomized, crossover trial

Crinò Stefano Francesco et al.

It is unknown whether there is an advantage to using the wet-suction or slow-pull technique during endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) with new-generation needles. The authors aimed to compare the performance of each technique in EUS-FNB.

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Innovations and brief communications

Effect of pre-resection biopsy on detection of advanced dysplasia in large nonpedunculated colorectal polyps undergoing endoscopic mucosal resection

Ma Michael X et al.

Pre-resection biopsy (PRB) of large nonpedunculated colorectal polyps (LNPCPs, ≥ 20 mm) is often performed before referral for endoscopic mucosal resection (EMR). How this affects the EMR procedure is unknown.

Effect of pre-resection.jpg


Position Statement

Curriculum for bariatric endoscopy and endoscopic treatment of the complications of bariatric surgery: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Boškoski Ivo et al.

This Position Statement is an official statement of the European Society of Gastrointestinal Endoscopy (ESGE). It provides recommendations for a European core curriculum aimed at providing high quality training in bariatric endoscopy and the endoscopic treatment of the adverse events of bariatric surgery. The recommendations presented are based on a consensus among endoscopists considered to be experts in bariatric endoscopy who are involved in training and the provision of training courses.

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