I ; : . Disclosure of Interest: None declared ContinuedUnited European Gastroenterology Journal (S)PEP HOMA IR Procedure time (min.) CBD diameter (mm.) . . . . NonPEP . . . . . .p value . . .Conclusion: According to our final results,presence of insulin resistance is definitely an independent danger element for the improvement of PEP and increases the danger at the very least equivalent for the recognized danger issue of pancreatic canal cannulation. Disclosure of Interest: None declaredP ENDOSCOPIC MUCOSAL RESECTION OF COLORECTAL LESIONS Bigger THAN CM: THE Knowledge Inside a DISTRICT HOSPITAL J. Pinho,D. Martins,P. Sousa,E. Cancela,R. Araujo,A. Castanheira,P. Ministro,A. Silva Centro Hospitalar Tondela Viseu,Viseu,Portugal Speak to E-mail Address: julianapinhogmail Introduction: Endoscopic mucosal resection (EMR) has been shown to be useful inside the removal of massive lesions of your gastrointestinal tract. The aim of this study was to evaluate the knowledge of our hospital around the efficiency and security of EMR in colorectal lesions,using inject and reduce approach. Aims Strategies: We did a retrospective study according to the EMR performed involving June and June . Resected lesions ! mm in diameter were selected. The histological qualities,complications,adhere to up and surgical requires had been evaluated. Final results: Through the study period,we performed EMRs; EMRs have been performed in lesions ! mm in diameter amongst individuals ( guys and girls) with an average age of . . years. The lesions typical PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/21381057 size was . mm,having been located in the colon and within the rectum. In line with the Paris classification,the lesions have been classified as: Is; IIa; IIb; IIa IIc. Piecemeal resection was performed in of cases. A complete endoscopic resection was achieved in of your instances. PostEMR argon plasma coagulation was applied in lesions The histopathological results revealed: adenoma with highgrade dysplasia ; adenoma with lowgrade dysplasia ; adenoma with focal adenocarcinoma ; invasive adenocarcinoma ; serrated adenoma . Complications occurred in . in the procedures ( intraprocedural bleeding; delayed bleedings; perforations). Till now,SIS3 biological activity follow up colonoscopies had been performed in individuals. The average follow up time was . months,with endoscopic handle ranging from to months postEMR. Regional recurrence occurred in sufferers (and the majority ( was managed with polypectomy or new EMR. Ten sufferers had been referred for surgery, as a result of histological evidence of invasive adenocarcinoma. Conclusion: EMR is often a secure and helpful strategy for colorectal lesions bigger than cm,with low threat of recurrence and complications. Nearby recurrences have been successfully treated with endoscopic resection,avoiding the need for surgery in of cases. Tarpagkos Division of Gastroenterology,Department of Anaesthesiology,Theagenio Cancer Hospital,Thessaloniki,Greece Contact E mail Address: koutsoumourakisgmail Introduction: During the last years,propofol has become the preferred shortacting sedation agent supplying an option towards the benzodiazepine midazolam anaesthetic induction agent during diagnostic and therapeutic endoscopic retrograde cholangiopancreatography (ERCP). Aims Strategies: The aim of this retrospective study was to examine the security and efficacy of propofolinduced conscious sedation in individuals class I (standard healthful subjects),II (subjects with mild systemic illness) and III (subjects with nonincapacitating severe systemic disease,) as outlined by the American Society of Anaesthesiologists ASA Physical Status Classification,un.