Individuals died since of unrelated disease. The overall recurrence price was . with most of these individuals effectively treated with added endoscopic therapy and individuals requiring surgery. Mean operation time ( minutes vs minutes,p.),enbloc resection ( to ,p.),R ( to ,p.) substantially enhance from period to period . Perforation price decreased from in period to . despite the fact that didn’t attain the statistical significance. Conclusion: Information coming from a single European center knowledge confirm that ESD for colorectal lesions is usually safely and effectively performed in western setting. On the other hand a longtraining period with progressive finding out curve is necessary to obtain benefits comparable with Japanese experts when it comes to efficacy and perforation price. Disclosure of Interest: None declaredA. I. Sharara,J. M. Chalhoub,M. Beydoun,A. H. Harb,H. Chehab,Z. D. El Reda,F. H. Mourad,F. S. Sarkis Internal Medicine,American University of Beirut Healthcare Center,Beirut,Lebanon Make contact with E-mail Address: asaub.edu.lb Introduction: Colonoscopy preparations are normally poorly tolerated. Compliance with dietary guidelines and suitable use with the prescribed purgative resolution are critical in attaining an adequate bowel preparation. Aims Procedures: The study aims at assessing the effect of a customized mobile application (with dietary directions,illustrations,reminders and push notifications) on the compliance and adherence to directions and diet program and consequently around the high quality of bowel cleansing. Consecutive patients scheduled for elective colonoscopy and getting onhand individual smartphones had been randomly assigned to one of two groups. The very first group (Paper) facetoface detailed paper guidelines whilst the second group (App) the identical paper directions and had the customized application downloaded onto their phone like the scheduled date and time of their colonoscopy appointment. The preparation consisted of splitdose sodium picosulfatemagnesium citrate (SPS) (Picoprep Ferring,SaintPrex,Switzerland) and a day diet consisting of a lowfiber eating plan for the first days,and also a clear fluid diet regime around the last day just before colonoscopy (day ). The very first dose of SPS was to become taken the eve before colonoscopy,and the second dose a minimum of hours ahead of the procedure. Colonoscopy appointments had been scheduled among am and pm. Patients have been interviewed before colonoscopy about PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/28550243 compliance using the day eating plan and use of your SPS answer also as their assessment with the preparation and the offered directions. The colonoscopist,blinded to assignment,was asked to grade the bowel cleanliness after the examination employing the Aronchick,Ottawa,and Chicago bowel scales. The major endpoint was overall compliance with dietary and purgative resolution instructions. Excellent with the preparation was a secondary endpoint. Outcomes: FGFR4-IN-1 sufferers were enrolled ( in every single arm). The average age was (SD. were males,and . of individuals had a BMI of !. No difference in general patient compliance and bowel cleanliness (on all scales) was observed in between the Paper and App groups. An adequate bowel preparation defined as either exceptional or superior on the Aronchick scale was noted in . and . of Paper vs. App group respectively (p.). Gender,age,BMI,and time of colonoscopy (am vs. pm) didn’t influence bowel cleanliness or patient compliance. Full compliance with clear fluids on day was noticed in . of sufferers using a BMI vs. . of those having a BMI ! (p.). SPS was very nicely tolerated by . of individuals a.