Ileal pneumatosis

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Temporary placement of a fully covered self-expanding metal stent to allow therapeutic ERCP

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EUS-guided rendezvous technique for difficult cannulation of an intradiverticular papilla

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Collaboration numérique et interculturalité en contexte lycéen bilingue turco-finlandais

Le lycée bilingue franco-finlandais d’Helsinki et le lycée bilingue franco-turc Saint Benoît à Istanbul développent depuis l’année scolaire 2015-2016 une coopération pédagogique à distance sur la thématique du conte avec le support des Technologies de l’Information et de la Communication pour l’Enseignement (TICE). A l’issue de deux années de collaboration numérique et forts des résultats d’une enquête réalisée auprès ades élèves turcs et finlandais, l’objectif sera d’analyser en quoi un projet collaboratif numérique, ici axé sur le conte, apporte de nouvelles dimensions à l’acquisition de la compétence interculturelle dans un contexte bilingue

An unusual case of impacted biliary stone

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Water-filled technique for therapeutic pancreato-biliary EUS in patients with surgically altered anatomy

One of the main challenges encountered by endosonographers is performing diagnostic and interventional pancreato-biliary endoscopic ultrasound (EUS) procedures in the presence of surgically altered upper gastrointestinal anatomy. We describe the water-filled technique (WFT) for EUS examination and treatment of the pancreato-biliary region in patients with surgically altered upper gastrointestinal anatomy. Using the WFT, the scope is advanced up to the gastro-jejunal anastomosis and, after placing the tip of the scope 2 cm beyond it, enlargement of the jejunal lumen is obtained by water instillation of the jejunal loop. An enlargement of more than 1.5 cm allows advancement of the tip of the scope under EUSguidance up to the duodenum, in a retrograde way. The WFT is useful for reaching the ampullary area and performing diagnostic and therapeutic EUS in patients with surgically altered anatomy. The technique is also reproducible and can be easily used by endoscopists who regularly perform EUS

Fungal Biosorption, An Innovative Treatment for the Decolourisation and Detoxification of Textile Effluents

Textile effluents are among the most difficult-to-treat wastewaters, due to their considerable amount of recalcitrant and toxic substances. Fungal biosorption is viewed as a valuable additional treatment for removing pollutants from textile wastewaters. In this study the efficiency of Cunninghamella elegans biomass in terms of contaminants, COD and toxicity reduction was tested against textile effluents sampled in different points of wastewater treatment plants. The results showed that C. elegans is a promising candidate for the decolourisation and detoxification of textile wastewaters and its versatility makes it very competitive compared with conventional sorbents adopted in industrial processes

Successful endoscopic closure of iatrogenic duodenal perforation with the new Padlock Clip

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Outcomes of Radiofrequency Ablation for Dysplastic Barrett’s Esophagus: A Comprehensive Review

Barrett's esophagus is a condition in which the normal squamous lining of the esophagus has been replaced by columnar epithelium containing intestinal metaplasia induced by recurrent mucosal injury related to gastroesophageal reflux disease. Barrett's esophagus is a premalignant condition that can progress through a dysplasia-carcinoma sequence to esophageal adenocarcinoma. Multiple endoscopic ablative techniques have been developed with the goal of eradicating Barrett's esophagus and preventing neoplastic progression to esophageal adenocarcinoma. For patients with high-grade dysplasia or intramucosal neoplasia, radiofrequency ablation with or without endoscopic resection for visible lesions is currently the most effective and safe treatment available. Recent data demonstrate that, in patients with Barrett's esophagus and low-grade dysplasia confirmed by a second pathologist, ablative therapy results in a statistically significant reduction in progression to high-grade dysplasia and esophageal adenocarcinoma. Treatment of dysplastic Barrett's esophagus with radiofrequency ablation results in complete eradication of both dysplasia and of intestinal metaplasia in a high proportion of patients with a low incidence of adverse events. A high proportion of treated patients maintain the neosquamous epithelium after successful treatment without recurrence of intestinal metaplasia. Following successful endoscopic treatment, endoscopic surveillance should be continued to detect any recurrent intestinal metaplasia and/or dysplasia. This paper reviews all relevant publications on the endoscopic management of Barrett's esophagus using radiofrequency ablation