tbuckley/cabot-search huggingface dataset:
Early impact of the coronavirus disease (COVID-19) pandemic and physical distancing measures on routine childhood vaccinations in England, January to April 2020
Authors: Helen I McDonald, Elise Tessier, Joanne M White, Matthew Woodruff, Charlotte Knowles, Chris Bates, John Parry, Jemma L Walker, J Anthony Scott, Liam Smeeth, Joanne Yarwood, Mary Ramsay, Michael Edelstein
Journal: Eurosurveillance (2020)

Using electronic health records, we assessed the early impact of coronavirus disease (COVID-19) on routine childhood vaccination in England by 26 April 2020. Measles-mumps-rubella vaccination counts fell from February 2020, and in the 3 weeks after introduction of physical distancing measures were 19.8% lower (95% confidence interval: -20.7 to -18.9) than the same period in 2019, before improving in mid-April. A gradual decline in hexavalent vaccination counts throughout 2020 was not accentuated by physical distancing.
EFFECTIVENESS AND TOLERABILITY OF NER1006 COMPARED TO HIGHER-VOLUME PEG PREPARATIONS FOR COLONOSCOPY: A PROSPECTIVE, MULTICENTER OBSERVATIONAL STUDY
Authors: M Maida, G Morreale, E Sinagra, S Sferrazza, G Scalisi, D Schillaci, M Ventimiglia, FS Macaluso, G Vettori, G Conoscenti, C Di Bartolo, D Catarella, S Garufi, M Manganaro, CM Virgilio, S Camilleri
Journal: Endoscopy (2020)

Aims The effectiveness of bowel cleansing is essential for a quality colonoscopy since it affects diagnostic accuracy. The study aims to assess the efficacy and tolerability of the 1L PEG preparation with NER1006 (Plenvu Norgine, Harefield, UK), compared to 4L and 2L PEG solutions in a real-life setting.
ESD USING A DOUBLE BALLOON ENDOLUMENAL INTERVENTIONAL PLATFORM FOR STABILIZATION COMBINING WITH RUBBER BAND CLIP TRACTION
Authors: H Uchima, M Galindo, J Colán, M Calafat, F Cañete, M Mañosa, E Domenech, N Caballero, I Marín, VM De Vega
Journal: Endoscopy (2020)

ESD using a gastroscope for better maneuverability in proximal colon using a double balloon EIP combining with rubber band technique has been described by Jacques J., Pioche M. et al (Endoscopy 2019).
Artificial intelligence–enabled rapid diagnosis of patients with COVID-19
Authors: Xueyan Mei, Hao-Chih Lee, Kai-yue Diao, Mingqian Huang, Bin Lin, Chenyu Liu, Zongyu Xie, Yixuan Ma, Philip M. Robson, Michael Chung, Adam Bernheim, Venkatesh Mani, Claudia Calcagno, Kunwei Li, Shaolin Li, Hong Shan, Jian Lv, Tongtong Zhao, Junli Xia, Qihua Long, Sharon Steinberger, Adam Jacobi, Timothy Deyer, Marta Luksza, Fang Liu, Brent P. Little, Zahi A. Fayad, Yang Yang
Journal: Nature Medicine (2020)

For diagnosis of coronavirus disease 2019 (COVID-19), a SARS-CoV-2 virus-specific reverse transcriptase polymerase chain reaction (RT-PCR) test is routinely used. However, this test can take up to 2 d to complete, serial testing may be required to rule out the possibility of false negative results and there is currently a shortage of RT-PCR test kits, underscoring the urgent need for alternative methods for rapid and accurate diagnosis of patients with COVID-19. Chest computed tomography (CT) is a valuable component in the evaluation of patients with suspected SARS-CoV-2 infection. Nevertheless, CT alone may have limited negative predictive value for ruling out SARS-CoV-2 infection, as some patients may have normal radiological findings at early stages of the disease. In this study, we used artificial intelligence (AI) algorithms to integrate chest CT findings with clinical symptoms, exposure history and laboratory testing to rapidly diagnose patients who are positive for COVID-19. Among a total of 905 patients tested by real-time RT-PCR assay and next-generation sequencing RT-PCR, 419 (46.3%) tested positive for SARS-CoV-2. In a test set of 279 patients, the AI system achieved an area under the curve of 0.92 and had equal sensitivity as compared to a senior thoracic radiologist. The AI system also improved the detection of patients who were positive for COVID-19 via RT-PCR who presented with normal CT scans, correctly identifying 17 of 25 (68%) patients, whereas radiologists classified all of these patients as COVID-19 negative. When CT scans and associated clinical history are available, the proposed AI system can help to rapidly diagnose COVID-19 patients.
CHARACTERISTICS OF PATIENTS WITH UPPER GASTROINTESTINAL BLEEDING WITH ANTI-COAGULATION AGENT; FOCUSING ON REBLEEDING
Authors: WS Kim, JJ Park, SH Kim, SM Kim, AY Yoo, HJ Chun, SW Lee, CH Yang
Journal: Endoscopy (2020)

Aims Acute upper gastrointestinal bleeding (UGIB) is a severe complication associated with oral anticoagulants. However, little is known about the risk factors of rebleeding among anticoagulant users with a history of UGIB. We aimed in this study to evaluate the risk factors of rebleeding after successful endoscopic hemostasis for UGI bleeding in patients taking oral anticoagulants
HISTOLOGICAL ASPECTS OF NODULAR GASTROPATHY
Authors: S Mrabet, I Akkari, EB Jazia
Journal: Endoscopy (2020)

Aims The responsibility of Helicobacter pylori (HP) in the genesis of peptic ulcer, MALT lymphoma and gastric adenocarcinoma is well established at present. HP gastritis is most often manifested by nodular gastropathy. However, is there any correlation between this endoscopic aspect on the one hand, the presence of HP, the degree of histological activity, the presence of gastric atrophy and intestinal metaplasia on the other hand?
EUS-DIRECTED TRANSGASTRIC INTERVENTION (EDGI) IN PATIENTS WITH SURGICALLY ALTERED ANATOMY: MONOCENTRIC EXPERIENCE
Authors: L Monino, T Moreels, H Piessevaux, P Deprez
Journal: Endoscopy (2020)

Aims In patients with Roux-en-Y gastric bypass (RYGB), access to duodenum, biliopancreatic system or excluded stomach is challenging. We evaluated efficacy and safety of EUS-directed transgastric intervention (EDGI) to create a gastro-gastric or jejuno-gastric anastomosis in RYGB patients using lumen apposing metal stent (LAMS).
Effect Of Qaw039, An Oral Prostaglandin D2 Receptor (dp2/crth2) Antagonist, Upon Sputum And Bronchial Eosinophilic Inflammation And Clinical Outcomes In Treatment-Resistant Asthma: A Phase 2a Randomized Placebo-Controlled Trial
Authors: R Berair, S Gonem, A Singapuri, R Hartley, M Laurencin, G Bacher, B Holzhauer, M Bourne, V Mistry, I Pavord, A H Mansur, A Wardlaw, S Siddiqui, R Kay, C E Brightling
Journal: American Journal of Respiratory and Critical Care Medicine (2015)
The Klebsiella-Enterobacter-Serratia Division
Authors: Bruce W. Steinhauer, Theodore C. Eickhoff, Jay Ward Kislak, Maxwell Finland
Journal: Annals of Internal Medicine (2020)

Excerpt Organisms of the tribe Klebsielleae, comprised of the generaKlebsiella, Enterobacter, andSerratia, had been recognized only rarely as primary pathogens in humans before the introduction of ...
A 32-Year-Old Man With Chronic Left Ventricular Dysfunction
Authors: M. Bilal Ahmed, Wasiq Sheikh, Anshul Parulkar
Journal: JAMA Cardiology (2020)

Our website uses cookies to enhance your experience. By continuing to use our site, or clicking "Continue," you are agreeing to our Cookie Policy | Continue JAMA Cardiology HomeNew OnlineCurrent IssueFor Authors Podcast Publications JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry (1919-1959) JN Learning / CMESubscribeJobsInstitutions / LibrariansReprints & Permissions Terms of Use | Privacy Policy | Accessibility Statement 2023 American Medical Association. All Rights Reserved Search All JAMA JAMA Network Open JAMA Cardiology JAMA Dermatology JAMA Forum Archive JAMA Health Forum JAMA Internal Medicine JAMA Neurology JAMA Oncology JAMA Ophthalmology JAMA Otolaryngology–Head & Neck Surgery JAMA Pediatrics JAMA Psychiatry JAMA Surgery Archives of Neurology & Psychiatry Input Search Term Sign In Individual Sign In Sign inCreate an Account Access through your institution Sign In Purchase Options: Buy this article Rent this article Subscribe to the JAMA Cardiology journal
THE ROLE OF CHOLANGIOSCOPY BY USING THE SPYGLASS SPYSCOPE SYSTEM IN A PATIENT WITH PRIMARY SCLEROSING CHOLANGITIS (PSC) FOR DIAGNOSING INDETERMINATE BILLIARY STRICTURE
Authors: G Kranidiotis, A Trikola, N Tsoukalas, P Ellinas, K Vasileiadis, S Sgouros, G Stefanidis
Journal: Endoscopy (2020)

We performed cholangioscopy with the SpyGlass system (Boston Scientific Inc., Massachusetts, USA) and obtained targeted tissue specimens in order to investigate a stricture of 1.7cm at the bifurcation of the common hepatic duct in a 61 years old patient with PSC. We visualized the stricture, obtained tissue specimens with the special biopsy forcep (Spybite) in order to establish diagnosis. Cholangioscopy revealed localized lesions with villous appearance and irregularly dilated vessels, macroscopic signs that suggest neovascularization and possible neoplasia. Despite the suspicion for cholangiocarcinoma, histopathological analysis revealed a localized inflammatory reaction and a fibrotic stricture without any evidence of malignancy.
Type 2 Cytotoxic T Lymphocytes In Patients With Severe Eosinophilic Asthma
Authors: L Xue, B Hilvering, T Hinks, L Stoeger, R Shrimanker, S Go, C Borg, C Connolly, S J Thulborn, I Pavord
Journal: American Journal of Respiratory and Critical Care Medicine (2017)
Improving Cost-effectiveness and Access to Cognitive Behavior Therapy for Depression: Providing Remote-Ready, Computer-Assisted Psychotherapy in Times of Crisis and Beyond
Authors: Michael E. Thase, Paul McCrone, Marna S. Barrett, Tracy D. Eells, Stephen R. Wisniewski, G.K. Balasubramani, Gregory K. Brown, Jesse H. Wright
Journal: Psychotherapy and Psychosomatics (2020)

There is growing evidence that computer-delivered or computer-assisted forms of cognitive behavior therapy (CCBT) are helpful, but cost-effectiveness versus standard therapies is not well established.To evaluate the cost-effectiveness of a therapist-supported method for CCBT in comparison to standard cognitive behavior therapy (CBT).A total of 154 drug-free major depressive disorder outpatients were randomly assigned to either 16 weeks of standard CBT (up to twenty 50-min sessions) or CCBT using the Good Days Ahead program (including up to 5.5 h of therapist contact). Outcomes were assessed at baseline, weeks 8 and 16, and at 3 and 6 months post-treatment. Economic analyses took into account the costs of services received and work/social role impairment.In the context of almost identical efficacy, a form of CCBT that used only about one third the amount of therapist contact as conventional CBT was highly cost-effective compared to conventional therapy and reduced the adjusted cost of treatment by USD 945 per patient.A method of CCBT that blended internet-delivered modules and abbreviated therapeutic contact reduced the cost of treatment substantially without adversely affecting outcomes. Results suggest that use of this approach can more than double the access to CBT. Because clinician support in CCBT can be provided by telephone, videoconference, and/or email, this highly efficient form of treatment could be a major advance in remote treatment delivery.
THE PRIMARY AIM WAS TO ASSESS THE AVERAGE NUMBER OF POLYPECTOMIES REQUIRED TO ACHIEVE COMPETENCY FOR POLYPS ≤2CM
Authors: Arun Rajendran, Adam Haycock, Nick Sevdalis, Siwan Thomas-Gibson
Journal: Endoscopy (2020)

Aims The primary aim was to assess the average number of polypectomies required to achieve competency (polyps ≤20mm) using DOPyS
Borrelia miyamotoi Disease in the Northeastern United States
Authors: Philip J. Molloy, Sam R. Telford, Hanumara Ram Chowdri, Timothy J. Lepore, Joseph L. Gugliotta, Karen E. Weeks, Mary Ellen Hewins, Heidi K. Goethert, Victor P. Berardi
Journal: Annals of Internal Medicine (2020)

The first recognized cases of Borrelia miyamotoi disease (BMD) in North America were reported in the northeastern United States in 2013. In this case series, the authors examined clinical features ...
Covid-19: International staff are considered vital to NHS’s efforts, survey finds
Authors: Abi Rimmer
Journal: BMJ (2020)

The public would support a new deal for international NHS and social care staff, a survey commissioned by the Royal College of Physicians (RCP) has found.

The college is calling on the government to recognise the vital role that international staff are playing in the frontline response to covid-19. It said that this call was supported by a poll of 1679 UK adults, in which 67% thought it unlikely that the NHS would have been able to tackle the coronavirus without international staff.

As part of a new deal for international staff the RCP is asking for all NHS and social care staff, and their spouses and dependants, to be exempt from the international health surcharge. The surcharge means that staff from outside …
ENDOSCOPIC CLIPS VERSUS ENDOSCOPIC SUTURE FOR MUCOSAL CLOSURE AFTER PER-ORAL ENDOSCOPIC PYLOROMYOTOMY: A PROSPECTIVE STUDY
Authors: R Hustak, Z Vackova, J Krajciova, J Spicak, J Martinek
Journal: Endoscopy (2020)

Aims G-POEM is an emerging method for treatment of gastroparesis. Safe mucosal closure is necessary to avoid adverse events. The aim of this prospective study was to compare the effectivity of two closure methods: clips (ResolutionTM or InstinctTM) and endoscopic suturing (ES, Apollo OverStitchTM) in patients undergoing G-POEM.
EFFICACY OF ENTEROSCOPY-ASSISTED ERCP IN LIVER TRANSPLANT PATIENTS WITH ROUX-EN-Y RECONSTRUCTION AND SUSPECTED BILE DUCT PATHOLOGY
Authors: T Moreels, P Deprez, G Dahlqvist, B Delire, L Coubeau, O Ciccarelli, EB Riani, P Goffette, E Sokal, H Piessevaux
Journal: Endoscopy (2020)

Aims Feasibility of enteroscopy-assisted ERCP to evaluate/treat biliary complications in liver transplant patients with Roux-en-Y reconstruction.
BAND ASSISTED ENDOSCOPIC SUBMUCOSAL RESECTION: A SUCCESSFUL METHOD OF TREATING SMALL RECTAL NEUROENDOCRINE TUMORS
Authors: JM Rubio Mateos, MJ Sanchez Fernandez, AP Fernandez, JMM Muñoz, JL Rodrigo Agudo, SC Martinez, PE Delgado, JFS Melgarejo, E Perez-Cuadrado Martinez
Journal: Endoscopy (2020)

Small rectal neuroendocrine tumors are usually incidentialy diagnosed, yet early treatment must be established due to the risk of distant dissemination if not resected promptly. We carry out the procedure as noted:
EFFICACY OF DECENTRALIZED CRC SCREENING PROGRAM
Authors: O Mandic, M Brankovic, I Jovanovic, M Cvetkovic, J Maksimovic, T Radonjic, S Crevar-Marinovic, G Nikolic
Journal: Endoscopy (2020)

Aims The aim of this study is to compare the results of a decentralized CRC screening program conducted by the Serbian Ministry of Health in the municipality of Zemun, Belgrade with the results of total colonoscopies performed in the University Clinical Center CHC Bezanijska kosa from January 2014 to December 2018.
Blimp-1 is essential for allergen-induced asthma and Th2 cell development in the lung
Authors: Kun He, Angela Hettinga, Sagar Laxman Kale, Sanmei Hu, Markus M. Xie, Alexander L. Dent, Anuradha Ray, Amanda C. Poholek
Journal: The Journal of Experimental Medicine (2020)

A Th2 immune response is central to allergic airway inflammation, which afflicts millions worldwide. However, the mechanisms that augment GATA3 expression in an antigen-primed developing Th2 cell are not well understood. Here, we describe an unexpected role for Blimp-1, a transcriptional repressor that constrains autoimmunity, as an upstream promoter of GATA3 expression that is critical for Th2 cell development in the lung to inhaled but not systemically delivered allergens but is dispensable for TFH function and IgE production. Mechanistically, Blimp-1 acts through Bcl6, leading to increased GATA3 expression in lung Th2 cells. Surprisingly, the anti-inflammatory cytokine IL-10, but not the pro-inflammatory cytokines IL-6 or IL-21, is required via STAT3 activation to up-regulate Blimp-1 and promote Th2 cell development. These data reveal a hitherto unappreciated role for an IL-10–STAT3–Blimp-1 circuit as an initiator of an inflammatory Th2 response in the lung to allergens. Thus, Blimp-1 in a context-dependent fashion can drive inflammation by promoting rather than terminating effector T cell responses.
Poly(L-glutamic acid)-co-poly(ethylene glycol) block copolymers for protein conjugation
Authors: Katia Maso, Antonella Grigoletto, Lucia Raccagni, Marino Bellini, Ilaria Marigo, Vincenzo Ingangi, Akira Suzuki, Midori Hirai, Masaki Kamiya, Hiroki Yoshioka, Gianfranco Pasut
Journal: Journal of Controlled Release (2020)
CEREBRAL OXYGENATION MONITORING IN PATIENTS UNDERGOING ERCP UNDER DEEP SEDATION: A PROSPECTIVE OBSERVATIONAL STUDY
Authors: M Velegraki, M Manolaraki, I Chainaki, E Vardas, M Petrodaskalaki, N Androulakis, C Georgakaki, E Lazanaki, E Voudoukis, A Mpitouli, P Nikolaou, G Chlouverakis, G Paspatis
Journal: Endoscopy (2020)

Aims Unintentional prolongation of time under deep sedation increases the risk for sedation-related complications during endoscopic retrograde cholangiopancreatography (ERCP). Cerebral oximetry provides early detection of cerebral hypoxia and hypoperfusion by demonstrating the regional hemoglobin oxygen saturation (rSO2) in the cerebral cortex. In the first study to date, we aimed to evaluate whether cerebral oxygenation is affected during deep sedation in ERCP and determine whether cerebral desaturation events (CDEs) are associated with deeper levels of sedation and cardiopulmonary complications.
Nasal ACE2 Levels and COVID-19 in Children
Authors: Ankit B. Patel, Ashish Verma
Journal: JAMA (2020)

Coronavirus disease 2019 (COVID-19) has disproportionately affected certain vulnerable populations.Studies noted higher rates of certain comorbidities such as hypertension, diabetes mellitus, and chronic obstructive pulmonary disease in patients infected with COVID-19 with severe disease. 1 Additionally, areas with more racial/ethnic minorities and higher rates of poverty have been shown to have higher rates of COVID-19 hospitalization and death. 2 After adjustment for comorbidities, age has been independently associated with increased mortality due to COVID-19. 3However, limited attention has been given to children, who appear to have lower risk of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection and mortality.In this issue of JAMA, Bunyavanich et al 4 identify a possible factor that may be related to lower rates of SARS-CoV-2 infection in children.The authors evaluated gene expression in nasal epithelial samples collected as part of a study involving patients with asthma from 2015 to 2018.The nasal epithelium is one of the first sites of infection with SARS-CoV-2, and the investigators probed for the expression of the cell surface enzyme angiotensin-converting enzyme 2 (ACE2), which has been proven to bind to SARS-CoV-2 spike protein and promote internalization of the virus into human cells. 5Among a cohort of 305 patients aged 4 to 60 years, older children (10-17 years old; n = 185), young adults (18-24 years old; n = 46), and adults (≥25 years old; n = 29) all had higher expression of ACE2 in the nasal epithelium compared with younger children (4-9 years old; n = 45), and ACE2 expression was higher with each subsequent age group after adjusting for sex and asthma.Numerous studies have highlighted the low rates of SARS-CoV-2 infection in children compared with adults.Children have been shown to have fewer and less severe symptoms compared with adults. 6,7This leads to the question of whether low rates of SARS-CoV-2 infection in children are due to low rates of testing in children, or if children are less susceptible to infection.An evaluation of 1286 close contacts of index cases in China found that infection rates in children were comparable with or slightly higher than in younger adults (aged 30-49 years) but were significantly lower than in older patients (aged ≥60 years). 8This finding suggests that children seem to have similar rates of becoming infected compared with middle-aged adults following close contact with a person infected with SARS-CoV-2.In contrast, a targeted screening approach in Iceland found SARS-CoV-2 in 6.7% of children younger than 10 years old (n = 564) compared with in 13.7% of people aged 10 years or older (n = 8635).A population-wide screening approach not
Clinical efficacy of hydroxychloroquine in patients with covid-19 pneumonia who require oxygen: observational comparative study using routine care data
Authors: Matthieu Mahévas, Viet-Thi Tran, Mathilde Roumier, Amélie Chabrol, Romain Paule, Constance Guillaud, Elena Fois, Raphael Lepeule, Tali-Anne Szwebel, François-Xavier Lescure, Frédéric Schlemmer, Marie Matignon, Mehdi Khellaf, Etienne Crickx, Benjamin Terrier, Caroline Morbieu, Paul Legendre, Julien Dang, Yoland Schoindre, Jean-Michel Pawlotsky, Marc Michel, Elodie Perrodeau, Nicolas Carlier, Nicolas Roche, Victoire de Lastours, Clément Ourghanlian, Solen Kerneis, Philippe Ménager, Luc Mouthon, Etienne Audureau, Philippe Ravaud, Bertrand Godeau, Sébastien Gallien, Nathalie Costedoat-Chalumeau
Journal: BMJ (2020)

To assess the effectiveness of hydroxychloroquine in patients admitted to hospital with coronavirus disease 2019 (covid-19) pneumonia who require oxygen. Comparative observational study using data collected from routine care. Four French tertiary care centres providing care to patients with covid-19 pneumonia between 12 March and 31 March 2020. 181 patients aged 18-80 years with documented severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pneumonia who required oxygen but not intensive care. Hydroxychloroquine at a dose of 600 mg/day within 48 hours of admission to hospital (treatment group) versus standard care without hydroxychloroquine (control group). The primary outcome was survival without transfer to the intensive care unit at day 21. Secondary outcomes were overall survival, survival without acute respiratory distress syndrome, weaning from oxygen, and discharge from hospital to home or rehabilitation (all at day 21). Analyses were adjusted for confounding factors by inverse probability of treatment weighting. In the main analysis, 84 patients who received hydroxychloroquine within 48 hours of admission to hospital (treatment group) were compared with 89 patients who did not receive hydroxychloroquine (control group). Eight additional patients received hydroxychloroquine more than 48 hours after admission. In the weighted analyses, the survival rate without transfer to the intensive care unit at day 21 was 76% in the treatment group and 75% in the control group (weighted hazard ratio 0.9, 95% confidence interval 0.4 to 2.1). Overall survival at day 21 was 89% in the treatment group and 91% in the control group (1.2, 0.4 to 3.3). Survival without acute respiratory distress syndrome at day 21 was 69% in the treatment group compared with 74% in the control group (1.3, 0.7 to 2.6). At day 21, 82% of patients in the treatment group had been weaned from oxygen compared with 76% in the control group (weighted risk ratio 1.1, 95% confidence interval 0.9 to 1.3). Eight patients in the treatment group (10%) experienced electrocardiographic modifications that required discontinuation of treatment. Hydroxychloroquine has received worldwide attention as a potential treatment for covid-19 because of positive results from small studies. However, the results of this study do not support its use in patients admitted to hospital with covid-19 who require oxygen.
COLD SNARE POLYPECTOMY FOR UPPER GASTROINTESTINAL LESIONS
Authors: R Küttner-Magalhães, J Correia-Sousa, M Garrido, D Falcão, L Mais, R Marcos-Pinto, I Pedroto
Journal: Endoscopy (2020)

Cold snare polypectomy is the method of choice for removal of colonic lesions up to 10 mm. The use of this technique in the upper gastrointestinal tract is not widely used. We describe the technique of cold snare polypectomy in two patients, for diminute Paris 0-IIa lesions in the oesophagus and stomach. Both the procedures underwent uneventfully besides mild bleeding that subsided. The pathologic result revealed an oesophageal squamous cell papilloma and a gastric lesion with low grade dysplasia, both with free lateral margins. Cold snare polypectomy can be an optional additional technique for the treatment of upper gastrointestinal lesions.