This article is the second of a two-part publication that expresses the current view of the European Society of Gastrointestinal Endoscopy (ESGE) about endoscopic ultrasound (EUS)-guided sampling, including EUS-guided fine needle aspiration (EUS-FNA) and EUS-guided Trucut biopsy. The first part (the Clinical Guideline) focused on the results obtained with EUS-guided sampling, and the role of this technique in patient management, and made recommendations on circumstances that warrant its use. The current Technical Guideline discusses issues related to learning, techniques, and complications of EUS-guided sampling, and to processing of specimens. Technical issues related to maximizing the diagnostic yield (e.?g., rapid on-site cytopathological evaluation, needle diameter, microcore isolation for histopathological examination, and adequate number of needle passes) are discussed and recommendations are made for various settings, including solid and cystic pancreatic lesions, submucosal tumors, and lymph nodes. The target readership for the Clinical Guideline mostly includes gastroenterologists, oncologists, internists, and surgeons while the Technical Guideline should be most useful to endoscopists who perform EUS-guided sampling. A two-page executive summary of evidence statements and recommendations is provided.

No abstract

Teaching EUS with a live pig model significantly increased competence in diagnostic procedures with regard to visualizing anatomical structures, performance of FNA and, to a lesser extent, EUS-guided celiac neurolysis.

License terms and the Société Française d'Endoscopie Digestive (SFED)Original article E730 THIEME Introduction ! Dysphagia is the most frequent symptom in patients presenting with an esophageal or gastric cardia cancer. Due to the late occurrence of symptoms, the goal of management in such cancers is focused on palliation in more than half of cases. In addition, the incidence of esophageal cancer is rising and the prognosis is poor with a 5-year overall survival rate less than 10 %, which emphasizes the importance of palliative treatments [1].Indeed, relief of dysphagia is a major issue in these situations, since it is responsible for poor quality of life, under nutrition, and performance status alteration [2,3]. Insertion of a self-expanding metal stent (SEMS) relieves malignant dysphagia and is associated with an improvement in patient' quality of life [4 -7]. Extension of adenocarcinoma of the distal esophagus frequently involves the gastro-esophageal junction. Therefore, deployment of SEMS in this location results in positioning the lower extremity of the stent in the stomach. While this position does not impair the efficacy of the stent in palliation of dysphagia, it has two major drawbacks: first, it increases the * These authors contributed equally.Coron E et al. Stents for distal esophageal cancer … Endoscopy International Open 2016; 04: E730-E736

No abstract