Société Royale Belge de Gastro-Entérologie

European Society of Gastrointestinal Endoscopy (ESGE)

📢 Final call! The ESGE Ergonomics Survey closes on Monday!

Take part now: www.surveymonkey.com/r/Endoscopy_related_injuries

Ergonomics is a key concern for GI endoscopy professionals, affecting health and performance. To address this, ESGE has launched a survey to explore working habits, health risks, and ways to improve conditions.

By sharing your experience, you’ll help shape future recommendations and contribute to an ESGE Position Statement on ergonomics in GI endoscopy, to be published in Endoscopy. ... Voir plusVoir moins

European Society of Gastrointestinal Endoscopy (ESGE)

Difficult cannulation remains a major challenge in the palliation of malignant distal biliary obstruction.

Traditionally, precut papillotomy (PCP) has been used as a rescue technique, but EUS-assisted rendezvous (EUS-RV) is emerging as a minimally invasive alternative. However, comparative data on success rates and safety are still limited.

📊 In this randomized controlled trial, patients were assigned to PCP (needle-knife) or EUS-RV.

· Primary outcome: technical success

· Secondary outcomes: adverse events (AEs), procedure duration, and hospital stay (LOS)

Results showed similar rates of success, AEs, mortality, and LOS between the two groups.

👉 Post-ERCP pancreatitis was higher in the PCP group, though not statistically significant: 8.7% vs 1.9%; P = 0.06; OR 4.8 (95% CI 1.0–22.9).

💡 These findings suggest that EUS-RV offers comparable efficacy with a trend toward fewer pancreatitis events, positioning it as a promising alternative when standard cannulation fails.

👇 www.thieme-connect.de/products/ejournals/abstract/10.1055/a-2515-1712

Esgena - Gastroenterology and Endoscopy UEG - United European Gastroenterology Endoscopy

#endoscopy #EUS #ERCP #gastroenterology #innovation #minimallyinvasive #ClinicalResearch ... Voir plusVoir moins

European Society of Gastrointestinal Endoscopy (ESGE)

Ampullary Lesion Assessment during ERCP – Overt & Covert Cancer, in the 🆕 Video Journal of the ESGE Academy 💡

🎯 Learn how to recognise abnormal ampullary anatomy and make the right call for management.

🔹 Step 1️⃣ – Identify abnormal anatomy: know what a normal ampulla looks like before diagnosing pathology.

🔹 Step 2️⃣ – Overt vs Covert cancer: Overt → obvious mass, ulceration, friable surface, distorted ampulla 🔴

Covert → subtle bulge, near-normal papilla, may mimic adenoma or inflammation ⚠️

🔹 Step 3️⃣ – Combine modalities: ERCP complements but doesn’t replace EUS and cross-sectional imaging.

🔹 Step 4️⃣ – Decide wisely: ampullectomy, surgery, or surveillance — based on accurate recognition.

🎥 Real-case examples of overt and covert ampullary cancer included!

👉 Watch now: academy.esge.com/en/pages/video-journals/journal-2503

#ERCP #Ampulla #Endoscopy #GIEndoscopy #Pancreatobiliary #ESGEAcademy #OpticalDiagnosis #EUS #Ampullectomy ... Voir plusVoir moins