International consensus guidelines for surgical resection of mucinous neoplasms cannot be applied to all cystic lesions of the pancreas.

Background & Aims: International consensus guidelines, aimed at predicting malignancy, are available for surgical resection of mucinous cysts but not for other cystic lesions of the pancreas. We sought to determine whether the consensus guidelines can be applied to all cystic lesions of the pancreas.

Methods: We identified all patients who underwent surgical resection of pancreatic cysts from 2001-2007.

Comparison of carcinoembryonic antigen and molecular analysis in pancreatic cyst fluid.

Background: Pancreatic-cyst fluid carcinoembryonic antigen (CEA) levels and molecular analysis are useful diagnostic tests in differentiating mucinous from nonmucinous cysts.

Objective: To assess agreement between CEA and molecular analysis for differentiating mucinous from nonmucinous cysts.

Design: Retrospective analysis.

Effect of institution-wide policy of colonoscopy withdrawal time > or = 7 minutes on polyp detection.

Background & Aims: Practice guidelines recommend that endoscopists spend at least 7 minutes examining the colonic mucosa during colonoscopy withdrawal to optimize polyp yield. The aim of this study was to determine if the implementation of an institution-wide policy of colonoscopy withdrawal time > or = 7 minutes was associated with an increase in colon polyp detection.

Methods: All 42 endoscopists at our institute were asked to attain a colonoscopy withdrawal time of at least 7 minutes.

[I Brazilian consensus of endoscopic ultrasonography].

Background: In the last 20 years, several papers have focused on demonstrating the impact of endoscopic ultrasonography findings on the management of different clinical scenarios in digestive disease. This fact is an indirect evidence of the difficulty of popularization of the method. On other hand, the limited availability of endoscopic ultrasonography in Brazil is a direct evidence of this limitation.