Quality standards in upper gastrointestinal endoscopy

A position paper from the British Society of Gastroenterology (BSG) and Association of Upper Gastrointestinal Surgeons of Great Britain and Ireland (AUGIS), setting out the minimum expected standards in diagnostic upper gastrointestinal endoscopy.

Hysteroscopic sterilisation by insertion of intrafallopian implants - guidance (IPG587)

New interventional procedures guidance on hysteroscopic sterilisation by insertion of intrafallopian implants in adults.

Current evidence on the safety and efficacy of hysteroscopic sterilisation by insertion of intrafallopian implants is adequate to support the use of this procedure provided that standard arrangements are in place for clinical governance and audit.

Endoscopic full thickness removal of non-lifting colonic polyps

Interventional Procedures Guidance from NICE on endoscopic full thickness removal of non-lifting colonic polyps. This involves using a special device to remove the polyp and seal the bowel wall closed afterwards.

Gastrointestinal Endoscopy and Sonography Workforce Supply Review

These DH reports present a summary of surveys of the ultrasound and endoscopy workforce in England.

• Endoscopy review
• Sonography review

Tears of colonoscopy

Gut. 2017 Feb 23. pii: gutjnl-2017-313846. doi: 10.1136/gutjnl-2017-313846. [Epub ahead of print]

UHCW Research: McFarlane M, Disney B and Eaden J.

FOI National Reporting and Learning System (NRLS): Essure incidents

Incidents reported to NRLS and Strategic Executive Information System (StEIS) on use of Essure in hysteroscopic sterilisation 2009 – 2016.

Endoscopic transluminal pancreatic necrosectomy

New NICE interventional Procedure Guidance on endoscopic transluminal pancreatic necrosectomy in adults. This involves removing dead tissue from the pancreas.

Role of endoscopy in early oesophageal cancer

Nature Reviews Gastroenterology & Hepatology (2016) DOI:doi:10.1038/nrgastro.2016.148

Incidence of oesophageal adenocarcinoma has increased exponentially in the West over the past few decades. Following detection of advanced cancers, 5-year survival rates remain bleak, making identification of early neoplasia, which has a better outcome, important. Detection of subtle oesophageal lesions during endoscopy can be challenging, and advanced imaging techniques might improve their detection. High-definition endoscopy has become a standard in most endoscopy centres, and this technology probably provides better delineation of mucosal features than standard-definition endoscopy.

UHCW Research: Jayan Mannath

The feasibility of conducting a randomised controlled trial comparing arthroscopic hip surgery to conservative care for patients with femoroacetabular impingement syndrome: the FASHIoN feasibility study

J Hip Preserv Surg (2016) doi: 10.1093/jhps/hnw026

To determine whether it was feasible to perform a randomized controlled trial (RCT) comparing arthroscopic hip surgery to conservative care in patients with femoroacetabular impingement (FAI). This study had two phases: a pre-pilot and pilot RCT. In the pre-pilot, we conducted interviews with clinicians who treated FAI and with FAI patients to determine their views about an RCT. We developed protocols for operative and conservative care.

UHCW Research:  D.R. Griffin, E.J. Dickenson, P.D.H. Wall and A. Realpe

Esophageal stenting for benign and malignant disease: ESGE Clinical Guideline

Updated guideline from the European Society of Gastrointestinal Endoscopy (ESGE).

NICE - Percutaneous endoscopic laser balloon pulmonary vein isolation for atrial fibrillation

NICE interventional procedure guidance [IPG563]

Published date: July 2016

Evidence-based recommendations on percutaneous endoscopic laser balloon pulmonary vein isolation for atrial fibrillation in adults. This involves destroying the tissue causing atrial fibrillation using laser energy.

Management and decontamination of flexible endoscopes (HTM 01-06)

Health Technical Memorandum (HTM) 01-06 from the DoH offers guidance on the management and decontamination of flexible endoscopes.