Ion and larger complication risk. Right here we present our practical experience with duodenal ESD. Aims Procedures: A total of ESD procedures from the esophagus,stomach,colorectum and duodenum had been performed amongst April and April the data of which had been recorded prospectively. Throughout this study the records have been searched retrospectively along with the results of duodenal ESD have been analyzed. Benefits: Duodenal ESD had been performed only after performing more than ESD of stomach,esophagus and colorectum. There have been sufferers with duodenal ESD,in sufferers the Degarelix web lesion was inside the duodenal bulb and in patients the lesion was within the second a part of the duodenum. The median age of patients was . years (y),median length of resected tissue was . mm ,median length of lesion was . mm and median process duration was . min. . All the lesions had been removed enblock. On histopathological examination each lateral and vertical margins were clear in all sufferers. Through the process perforation occurred in patient which was successfully treated medically and with endoscopic clipping. No recurrence was seen in the course of endoscopic followup and complete resection was achieved in all individuals (Table). Conclusion: Though duodenum is often a difficult localization for endoscopic interventions and duodenal ESD bears higher complication risks since of thin wall,because the guidelines recommend,we believe that soon after experiencing in stomach and rectal ESD,duodenal ESD can also be performed successfully when necessary. Disclosure of Interest: None declaredP CAUSTIC INGESTION,IS ENDOSCOPY Normally Essential CLINICAL AND LABORATORY MODEL FOR PREDICTING GASTROINTESTINAL LESIONS A. G. Antunes,C. Teixeira,M. Eusebio,S. Ribeiro,A. Alves,B. Peixe,P. Oliveira,H. Guerreiro Gastroenterology department,Centro Hospitalar do Algarve,Faro,Gastroenterology department,Centro Hospitalar de Setu al,Setu al,Portugal Contact Email Address: sergiogiaohotmail Introduction: The ingestion of caustic substances is one of the important regions of Gastroenterology emergency,plus the endoscopic evaluation would be the gold standard for assessing the grade of lesions and to define the prognosis. On the other hand,in addition to being contraindicated in severe situations,it truly is not riskfree and its usefulness is debatable in cases of asymptomatic sufferers without having oropharyngeal lesions. Aims Techniques: To identify clinical and laboratory aspects for predicting gastrointestinal caustic injury; creation of a clinical and laboratory model that could identify patients with highgrade gastrointestinal lesions (HGGL) and lowgrade gastrointestinal lesions (LGGL),without having need to have of performing an endoscopy. Multicentric retrospective study,that reviewed all the patients who ingested caustic and were admitted to our centers more than a period of years. For defining the grade of lesions,we utilized Zargar score program (HGGL ! B; LGGL A). We identified clinical and laboratory variables that have been statistically significant linked to HGG and we calculated the correlation coefficient. Results: We identified sufferers,of whom had a HGGL (Esophagus: sufferers; Stomach: individuals). When comparing patients with and PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/19389808 with out HGGL,we identified statistically significant differences for the variables average worth of leukocytes versusUnited European Gastroenterology Journal (S) P GRADING ATROPHIC GASTRITIS BY A new QUANTITATIVE System Applying CONFOCAL LASER ENDOMICROSCOPY PROBE (PCLE): 1st Benefits OF A Prospective COHORT STUDY C. RoblesMedranda,M. PugaTejada,J. Ospina,M. Soria,G. Bravo,R. D.