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Endoscopy | Issue 6/2023 is ready! 2023-06-08

Issue 06 · Volume 55 · June 2023

Endoscopy 2023年第6期现已上线。欢迎免费阅读本期主编精选的三篇论文。

全覆盖自膨胀金属支架 (FCSEMS) 在恶性胆道梗阻患者的内镜治疗中发挥重要作用,但支架移位可能是一个重大缺陷。 在本期第一篇精选论文中,Chun等人描述了在120名患者中,将锚定的双猪尾塑料支架与FCSEMS一起定位。他们报告了显着更低的迁移率(11% 对 28%)和更长的支架通畅期(342 对 240 天),而不良事件没有显着增加。

在结肠镜检查中检测无柄锯齿状病变(SSL)的相对困难可能会导致间隔性结直肠癌(iCRCs)的发展。 成像技术的进步现在可以更好地识别这些病变,在本期第二篇免费论文中, Li 等人比较了窄带成像和联色成像(NBI vs. LCI)的有效性;他们发现这两种方式在检测SSL、息肉或腺瘤的结果上没有区别。肠道准备质量、撤退时间和操作者经验与SSL检测率独立相关。

2021 年欧盟 (EU) 医疗器械法规 (MDR) 对内窥镜检查实践产生了深远影响,要求对当前和新设备进行认证,其中包括对临床益处与潜在危害之间的平衡进行详细评估。 这份免费的立场文件讨论了 MDR 的影响,包括 ESGE 对临床试验需求增加的回应,以及具有适当专业知识的内窥镜医师考虑成为内窥镜设备专家小组成员的需求。

欢迎阅读本期三篇精选论文及其它全部论文。

作者请注意!


阅读我们最新的Endoscopy E-Video作者指南。您可以点击这里下载幻灯片模板来准备视频。同时您还可以查看示例视频、表格与说明等更多信息。


Innovations and brief communications

Prolonged patency of fully covered self-expandable metal stents with an externally anchored plastic stent in distal malignant biliary obstruction

Jung Won Chun, Sang Myung Woo, Mira Han, Min Woo Lee, Jin Ho Choi, In Rae Cho, Woo Hyun Paik, Woo Jin Lee, Ji Kon Ryu, Yong-Tae Kim, Sang Hyub Lee

Fully covered self-expandable metal stents (FCSEMSs) are widely used for endoscopic treatment of distal malignant biliary obstruction (dMBO). Chun et al aimed to assess the efficacy of anchoring an external plastic stent to an FCSEMS in dMBO.

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Original article

Colorectal sessile serrated lesion detection using linked-color imaging versus narrow-band imaging: a parallel randomized controlled trial

Jun Li, Kan Chen, Yunlei Wei, Di Zhang, Yuxin Wang, Xiaojia Hou, Ruijin Wu, Kangsheng Peng, Lei Li, Chao Huang, Yilong Wang, Linjuan Xun, Feng Liu

Previous studies have reported the effectiveness of narrow-band imaging (NBI) and linked-color imaging (LCI) in improving the detection of colorectal neoplasms. There has however been no direct comparison between LCI and NBI in the detection of colorectal sessile serrated lesions (SSLs). The present study aimed to compare the effectiveness of LCI and NBI in detecting colorectal SSLs.

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Position Statement

Gastrointestinal endoscopy devices and the European Union Medical Device Regulation: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Michael Bretthauer, Yuichi Mori, Jasmin Zessner-Spitzenberg, Michal F. Kaminski, Peter D. Siersema, Thierry Ponchon, Helmut Messmann, Ian M. Gralnek, Raf Bisschops, Cesare Hassan

Gastrointestinal endoscopy is largely dependent on medical devices. The European Union (EU) has recently introduced stricter rules and regulations for the approval of medical devices. This has consequences both for endoscopists and for patients.

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