Pyassisted ERCP seems to be a promising technique for performing therapeutic ERCP in individuals with surgically altered anatomies, even though further development of accessories for use in balloon PubMed ID:http://www.ncbi.nlm.nih.gov/pubmed/21461228 enteroscopic systems is needed.EUSguided treatment beyond drainage hemostasis, anastomosis, and other individuals New revolutionary EUSguided techniques beyond drainage are at present being investigated.The presentation integrated celiac plexus block and neurolysis, several drainage strategies (pancreatic fluid collection, abscess, and gallbladder), pancreatic necrosectomy, and oncologic interventions.University in Korea discussed molecular imaging and submitted a overview paper titled “Molecular imaging for theranostics in gastroenterology 1 stone to kill two birds” for this problem of Clinical Endoscopy.Can we resect and discard diminutive or little colorectal polypsThe resectanddiscard approach for modest polyps was proposed by ASGE not too long ago for expense reduction.Having said that, there stay debates regarding its use.Although the technology of colonoscopy has advanced enormously, its accuracy of histologic diagnosis remains significantly less than .Medical professional Hirishi Kashida from Japan emphasized that sufficient education and very good methods are prerequisite for realtime optical diagnosis and also a marginfree resection to avoid prospective dangers from the resectanddiscard technique.Doctor Yun Kyung Kang gave a speech in the pathologist’s point of view.Her overview report relating to this subject is published in this problem of Clinical Endoscopy.Safety issues in colonoscopyHOT Subjects From the ASGEKSGE SESSIONSIn vivo histologic pictures for GI diseaseThere are a lot of procedures for the in vivo examination on the GI mucosa to differentiate benign and malignant histologic diagnosis.The most frequently utilized technologies feature imageenhanced endoscopy withwithout magnification, like NBI, autofluorescence imaging, Iscans, and Fujinon intelligent chromoendoscopy.Inside the West, the usage of confocal laser endomicroscopy (CLE) is expanding constantly.Probebased CLE (pCLE) drastically enhanced the detection price of neoplasia in Barrett’s esophagus.It can be also applied for the differentiation of adenoma from nonadenomatous polyps inside the colon.In individuals with inflammatory bowel disease, pCLE is often utilized for the early detection of dysplasia or disease relapse.Medical doctor SeokHyun Yun from Celgosivir Protocol Harvard Medical College within the United states of america reported the usage of cellularresolution fluorescence endomicroscopy inside the mouse colon.He predicted that highresolution optical endomicroscopy may have escalating application in research of GI illness in animal models.Ko et al.from CHA Bundang Medical Center, CHASedation, the prevention and management of complications, and colonoscopy for sufferers with risks, such as the elderly and debilitated patients receiving antiplateletanticoagulant therapy, had been subjects that were discussed in this session.For secure, comfy colonoscopy, moderate sedation is required.Adequately trained endoscopists can carry out a protected, highquality examination while administering and supervising sedation.Propofol is administered by anesthesia specialists within the United states.On the other hand, endoscopistdirected propofol sedation is protected as outlined by lots of studies.For sufferers who failed colonoscopy with common sedation, monitored anesthesia care, in which the anesthetist administers propofol for deep sedation, is valuable.Sedation should be individualized.Patient traits connected with difficulty in sedation involve anxiousness, psyc.