tbuckley/cabot-search huggingface dataset:
Wilkie syndrome and nutcracker syndrome – both entities in the same patient
Authors: Â. Domingues, R. Araújo, E. Cancela, S. Ventura, C. Rodrigues, C. Soares, R. Gomes, A. Silva
Journal: Endoscopy (2024)

Abstract Text Female patient, 19 years old. She went to the emergency department multiple times due to nausea, vomiting and weight loss, but her basic medical exams revealed no abnormalities. She reported similar episodes since childhood. In one episode, she performed a CT scan, which identified an aorto-mesenteric angle of 21º and an aorto-mesenteric distance of 4mm, compatible with Wilkie´s syndrome. Compression of the left renal vein by the superior mesenteric artery was also observed, configuring the diagnosis of Nutcracker syndrome. Total parenteral nutrition was initiated because of intolerance to oral feeding. It was decided to perform a laparoscopic duodenojejunostomy, which went without complications. The patient remained assymptomatic after the procedure. We present a rare case of a patient who had two rare entities, one of them with the involvment of the gastrointestinal tract. [1] [2] [3] [4] [5]
A systematic review and meta-analysis of diagnostic outcomes of endoscopic ultrasound guided liver biopsy versus percutaneous liver biopsy
Authors: G. Rancatore, G.E. M. Rizzo, M. Traina, L. Carrozza, C. Celsa, D. Ligresti, Q. Dario, G. Cabibbo, V. Di Marco, I. Tarantino
Journal: Endoscopy (2024)

Aims Despite the increasing diffusion of non-invasive tests for the diagnosis of liver diseases, histological assessment through liver biopsy (LB) is still often mandatory especially in unclear cases. Actually, percutaneous approach (PC-LB) is the gold standard. Nowadays, endoscopic ultrasound-guided liver biopsy (EUS-LB) has emerged as an established method to achieve liver tissue sampling. EUS-LB has several advantages such as: sampling of both liver lobes, it allows to obtain liver tissue sampling in case of ascites and toavoid damage to nearby organs and vessels. We performed a syematic review witj meta-analysis (MA) to evaluate the diagnostic outcomes and safety for liver tissue acquisition of PC-LB and EUS-LB in patients with liver diseases and focal liver lesions
Delayed bleeding post-endoscopic ampullectomy for ampullary adenomas: Incidence, risk factors and management
Authors: K. M. Pawlak, S. Gupta, K. Khalaf, D. Tham, J. Chon, J. Mosko, C. Teshima, G. May, N. Calo
Journal: Endoscopy (2024)

Aims The duodenal tumors of major papilla account 10% of all peri-ampullary lesions [1]. Endoscopic ampullectomy became the treatment modality for selected cases. Despite the significantly lower rate of adverse events, bleeding occurs in up to 25% of patients [2]. The rate of bleeding may be even higher, depending on periampullary lesion size and type. Factors related to delayed bleeding are poorly understood. Our study aimed to determine predicting factors for delayed post-ampullectomy bleeding.
Is balanced propofol sedation safe in elderly patients over 65 years of age undergoing ERCP?
Authors: J. H. Lee, E. Kim
Journal: Endoscopy (2024)

Aims The sedation method of balanced propofol in endoscopy has been proven to be safe and commonly used methods in endoscopy. Unlike diagnostic endoscopy, endoscopic retrograde cholangio-pancreatography (ERCP) procedure requires a lot of time and patients cooperation. In particular, there are few studies on safety of ERCP using balanced propofol sedation in elderly patients. We evaluate the safety and efficacy of balanced propofol sedation during ERCP in patients over 65 years of age.
A New Pre-Sealing Technique Reduces the Use of Coagulation Forceps in Third-Space Endoscopy: One-Stop Shopping
Authors: A. Capogreco, F. De Blasio, D. Massimi, R. de Sire, L. Alfarone, A. Galtieri, M. Fiacca, M. Spadaccini, F. Alessandro, S. Carrara, M. Colombo, F. Antonio, R. Maselli, C. Hassan, A. Repici
Journal: Endoscopy (2024)

Aims Third-space endoscopy (TSE) procedures are hampered by a significant rate of intra-procedural bleeding, affecting their duration and feasibility. The narrow field of endoscopic view and the imperfect hemostatic power of TSE devices limit effective intra-procedural hemostasis. Thus, large vessels (i.e., larger than the tip of the knife) usually required coagulation with dedicated coagulation forceps, before the subsequent dissection with the TSE knife. However, this requires device exchanges, slowing the TSE procedure and consequently increasing the risk of adverse events and the overall costs. To overcome these limits, we introduced a new technique of saline immersion (SI) vessel pre-sealing with the same knife and the same electrosurgical setting. In this study, we present the early results.
Impact of bowel preparation quality on colonoscopy findings and colorectal cancer deaths in a nation-wide colorectal cancer screening program
Authors: J. Zessner-Spitzenberg, E. Waldmann, L. M. Rockenbauer, A. Klinger, E. Klenske, P. Daniela, A. Demschik, B. Majcher, M. Trauner, M. Ferlitsch
Journal: Endoscopy (2024)

Aims Adequate bowel preparation is paramount for a high-quality screening colonoscopy. Despite the importance of adequate bowel preparation, there is a lack of large studies that associated the degree of bowel preparation with long-term colorectal cancer death in screening patients.
Interobserver variability of endoscopic scores in Crohn&amp;apos;s disease
Authors: L. Lorenzo Gonzalez, V. A. Jimenez-Garcia, T. Romero García, R. Ferreiro Iglesias, I. Vera Mendoza, B. Rodríguez Gómez, M. Rodrigez-Tellez, F. Argüelles Arias
Journal: Endoscopy (2024)

Aims The assessment of endoscopic activity in patients with Crohn's disease is of great importance as it influences patient management decisions. The most commonly used scores are CDEIS (Crohn's Disease Endoscopic Index of Severity), SES-CD (Simplified Endoscopic Activity Score for Crohn's Disease) and Rutgeerts Index in surgical patients. Although endoscopic indices provide an objective evaluation of disease severity, their complexity makes them inefficient for practical clinical use and studies assessing inter-observer agreement are scarce. The primary objective was to assess the inter-observer variability of endoscopic activity indices in patients with Crohn's disease between expert and non-expert Inflamatory Bowel Disease (IBD) endoscopists and their association with clinical activity indices and biomarkers.
Evolution of endoscopic management for anastomotic biliary strictures after liver transplantation: a two-decade retrospective study
Authors: S. S. De Lucia, M. M. Birligea, T. Schepis, V. Perri, P. Familiari, I. Boskoski, R. Landi, V. Bove, M. Montalbano, G. M. Ettorre, N. Guglielmo, A. W. Avolio, S. Agnes, G. Costamagna, C. Spada, A. Tringali
Journal: Endoscopy (2024)

Aims Biliary adverse events manifest in approximately 25% of liver transplant recipients. Among these, anastomotic biliary strictures (ABS) are the most prevalent, occurring in approximately 6%-12% of cases and can be successfully managed endoscopically. Our study aims to present the evolution of method and long-term results of placing multiple plastic stents to treat ABS after orthotopic liver transplantation (OLT).
Emergency ERCP during the weekend and on holidays: indications, procedures and outcomes
Authors: B. Weicker, L. Monino, P. H. Deprez, H. Piessevaux, T. Moreels
Journal: Endoscopy (2024)

Aims Endoscopic retrograde cholangiopancreatography (ERCP) outcomes may vary with the endoscopists' experience with a risk of life-threatening adverse events. Little information is known about the outcome of emergency ERCP performed during the weekend or on holidays.
Retrograde Endoscopic Retrograde Cholangiopancreatography (ERCP) via Endoscopic Ultrasound-Guided Gastroenterostomy (EUS-GE) in patients with proximal duodenogastric outlet obstruction
Authors: K.D. C. Pham
Journal: Endoscopy (2024)

Aims Malignant proximal duodenal obstruction often results in gastric outlet obstruction (GOO), complicating conventional ERCP procedures. This case series describes an approach to circumvent these challenges.
Genomic markers for enhanced risk stratification in Barrett&amp;apos;s esophagus patients with Low-Drade Dysplasia
Authors: P. Stougie, N. F. Frei, V. Pappalardo, A. M. Khoshiwal, H. Yu, R. Menezes, L. C. Duits, J. Bergman, M. Stachler
Journal: Endoscopy (2024)

Aims Current risk stratification of Barrett's esophagus (BE) patients, based on histological identification of dysplasia, lacks reliability due to poor interobserver agreement and the limited predictive value of low-grade dysplasia (LGD). This study aims to identify genomic factors enhancing risk stratification for BE patients with a community diagnosis of LGD.
Linguistic Factors in Healthcare: Analyzing Their Influence on Colon Cancer Readmission Rates
Authors: R. M. Ram mohan, M. Joy, D. Natt, S. G. Magam, S. R. Magam, L. Pannikodu, J. Desai, P. Mustacchia
Journal: Endoscopy (2024)

Aims Patients who have been diagnosed with colon cancer encounter various obstacles and require a comprehensive comprehension of their diagnosis and suggested treatments to make knowledgeable decisions about their medical care. Health literacy plays a critical role in this process, and insufficient health literacy skills may lead to unfavorable outcomes. The readmission rate for colon cancer may be impacted by language barriers and low literacy rates, raising concerns. This study aims to analyze patients' language's 30-day, 60-day, and 90-day readmission rates and identify any health equity disparities.
Creating 3D Models as Teaching Aids for Large Colorectal Polyp Assessment
Authors: A. Roberts, M. Rankin, P. O'Toole, M. Roughley
Journal: Endoscopy (2024)

Aims Endoscopists training in more advanced polypectomy techniques need to acquire skills in optical diagnosis. They must be able to estimate the risk of malignancy within a large, non-pedunculated colorectal polyp (LNPCP) because this is critical for decision-making regarding treatment, and to avoid adverse outcomes [Tate 2023].
Peripapillary Epinephrine Injection vs Rectal Indomethacin in Preventing Post-ERCP Pancreatitis: A randomized controlled trial
Authors: S. Tokmak, M. F. Cetin, A. Sirin, S. Konur, S. Torun
Journal: Endoscopy (2024)

Aims Post-ERCP pancreatitis (PEP) is still the most common major complication of ERCP despite technical advancements and meticulous patient selection. The efficacy of the existing techniques is conflicting. We aimed to compare the efficacy of peripapillary epinephrine injection and rectal indomethacin in the prevention of PEP. [1] [2]
Hepatic Sarcoidosis: Incidence, Presentation, and Treatment
Authors: L. Khayat, R. Jmai, E. Souilem
Journal: Endoscopy (2024)

Aims Sarcoidosis is a rare multi-systemic inflammatory disease of undetermined cause, characterized by the development of non-caseous granulomas affecting all organs. Liver damage is rare with a prevalence of 13%, and is most often asymptomatic.
Comparative Evaluation of Artificial Intelligence and Endoscopists&amp;apos; Accuracy in Endoscopic Ultrasound for Identifying Normal Anatomical Structures: A Multi-Institutional Cross-Sectional Study
Authors: C. Robles-Medranda, J. Baquerizo-Burgos, M. Puga-Tejada, I. Raijman, T. Berzin, J. Nebel, J. Iglesias-Garcia, R. Kunda, R. Del Valle, J. Alcivar-Vasquez, J. C. Mendez, A. Chilan-Pincay, M. Sanchez-Cepeda, G. Lara, V. Oregel-Aguilar, I. Boston, C. Pattni, M. Egas-Izquierdo, D. Cunto, M. Arevalo-Mora, H. Pitanga-Lukashok, D. Tabacelia
Journal: Endoscopy (2024)

Aims Endoscopic ultrasound (EUS) has emerged as a powerful diagnostic and therapeutic tool in gastroenterology, providing detailed images of the structure's layers, as well as nearby structures. However, EUS is operator-dependent and variability in operator proficiency results in discrepancies in diagnostic accuracy. Artificial intelligence (AI) can be trained to process and interpret EUS images in real-time, potentially mitigating the operator-dependent variability and improving diagnostic accuracy. Moreover, AI can analyze vast datasets offering a level of consistency and efficiency that is challenging for human operators to match. The aim of this study is to compare the diagnostic accuracy of an AI-based model (AIWorks-EUS, mdconsgroup, Guayaquil, Ecuador) against that of expert and nonexpert gastrointestinal endoscopists visual impression in the identification of normal anatomical structures during EUS procedures.
Diagnostic accuracy for predicting deep submucosal invasion: white light endoscopy vs invasive pattern based on chromoendoscopy
Authors: J. Da Costa-Seixas, E. Rodriguez De Santiago, M. Bustamante-Balén, H. Uchima, M. Solano, M. Pellisé, T. Sakamoto, J. C. Marin-Gabriel, L. Rivero-Sánchez, A. Arnau, O. Rosiñol, A. Cano, I. Puig
Journal: Endoscopy (2024)

Aims To determine whether assessment of the invasive pattern based on virtual magnifying or dual focus chromoendoscopy combined with crystal violet chromoendoscopy in selected cases (M/D-CE) is significantly more sensitive for predicting deep submucosal invasion than the assessment based on white light imaging (WLI).
Nurse Administrated Remimazolam Sedation (NARS) for Endoscopic Ultrasound (EUS) and Endoscopic Retrograde Cholangiopancreatography (ERCP) – A prospective study of 410 procedures in a Danish University Hospital
Authors: P. Ejstrud, S. D. Henriksen
Journal: Endoscopy (2024)

Aims EUS and ERCP are uncomfortable procedures requiring adequate patient sedation for succesfull completion. In the last decades non-anesthesiologist sedation for advanced endoscopy often has been Midazolam in combination with an opiod or Nurse Administrated Propofol Sedation. In this prospective study we replaced Midazolam with Remimazolam, a new ultra short acting benzodiazepine. The study aim was to evaluate the feasibilty, safety and patient satisfaction with Nurse Administrated Remimazolam Sedation (NARS) for EUS and ERCP.
Different modifiable risk factors for the development of non-advanced adenoma, advanced adenomatous lesion, and sessile serrated lesions, on screening colonoscopy
Authors: A. R. Choe, M. S. Eun, H. T. Chung, B. Ju Ran, P. Yehyun, S. Ki-Nam, J. Sung-Ae
Journal: Endoscopy (2024)

Aims Lifestyle and modifiable risk factors play important roles in the development and progression of colorectal polyps. We evaluated the risk factors associated with the development of three different precursor lesions of colorectal cancer using a large screening colonoscopy database.
Complex Management of Hemobilia: A Case Study
Authors: D. Verdi, I. Mondi, F. Cavallari, C. Da Lio
Journal: Endoscopy (2024)

Aims The aim of this case is to delineate the multidisciplinary management of symptoms post-Endoscopic Retrograde Cholangiopancreatography (ERCP). This report highlights the challenges in diagnosing and treating hemobilia, in a 78-year-old female patient with multiple comorbidities including obesity, type II diabetes, and many allergies.
Adherence to the ESGE Guidelines on biliary stenting in malignant distal strictures: results from a prospective cohort study (PROTESIED) in Italy
Authors: T. Schepis, R. M. Zagari, S. F. Crinò, M. Sacco, A. Gabbrielli, R. Grassia, A. Santagati, G. Venezia, N. Olivari, A. Panarese, M. Bravo, I. Biviano, H. Bertani, M. Devani, S. De Minicis, G. De Roberto, A. Aucello, S. Pallio, M. C. Parodi, L. Pasquale, E. Dajti, A. Tringali
Journal: Endoscopy (2024)

Aims Distal Malignant Biliary Strictures (dMBS) are a common indication for endoscopic retrograde cholangiopancreatography (ERCP). In 2017 ESGE published guidelines on endoscopic biliary stenting, with a chapter focusing on endoscopic stenting in dMBS. The aim of this study is to evaluate the adherence of Italian endoscopic centers to the ESGE guidelines on dMBS stenting.
A challenging cause of recurrent acute cholangitis with massive bile duct dilation – How tricky can a tiny anemone be?
Authors: F. Pereira Correia, S. Bragança, F. Bordalo Ferreira, G. Alexandrino, L. Carvalho Lourenço, D. Horta
Journal: Endoscopy (2024)

Abstract Text 83 years-old woman was admitted for acute cholangitis due to biliary obstruction with mucin. MRCP revealed a lesion at the bile confluence and cholangioscopy with biopsies confirmed the diagnosis of mucinous biliary neoplasia. Given her advanced age and comorbidities, endoscopic therapy was decided with the placement of plastic stents and, later, uncovered metallic stents, which were ineffective. Direct peroral cholangioscopy with a gastroscope allowed ablation of the lesion with APC. Due to the negative clinical evolution, it was decided to place a colonic stent 90x25 mm, with technical and clinical success. We present the extensive iconography of the unusual therapeutic approach with ablation of a biliary lesion and placement of a colonic stent in the bile duct. To the best of our knowledge, this is the first time a colonic stent has been used in the biliary tract.
Diagnostic performance of EUS-guided shear wave elastography (SWE) for differential diagnosis of solid pancreatic lesions: EDEN
Authors: R. Gincul, L. Palazzo, A. Beauvais, F. Fumex, S. Leblanc, V. Lepillez, O. Ragi, B. Napoleon
Journal: Endoscopy (2024)

Aims EUS elastography (EUS-E) is a noninvasive EUS image enhancement technique assessing tissue elasticity. Qualitative or semi-quantitative EUS-E has proved useful for the characterization and differential diagnosis of solid pancreatic lesions (SPLs), demonstrating good sensitivity, but low specificity in a large meta-analysis [1]. EUS-shear wave elastography (SWE), is a new technique, allowing a quantitative measurement of tissues elasticity, by measuring the speed of SW propagation(velocity), generated by acoustic radiation force within the tissue. SW speed correlates with tissues elasticity: propagation is faster in hard tissue than in soft tissue, as the sound wave loses energy as it passes through soft tissue.
Factors Associated with Infectious Complications Following Endoscopic Retrograde Cholangiopancreatography in Liver Transplant Recipients: Insights from a Single-Center Study
Authors: N. Kühl, R. Vollenberg, J. A. Meier, H. Ullerich, M. S. Schulz, F. Rennebaum, W. Laleman, N. J. Froboese, M. Praktiknjo, K. Peiffer, J. Fischer, J. Trebicka, W. Gu, P. R. Tepasse
Journal: Endoscopy (2024)

Aims This retrospective single-center study aimed to identify risk factors associated with infectious complications following endoscopic retrograde cholangiopancreatography (ERCP) in liver transplant recipients.
Reasons for incomplete colonoscopies during screening colonoscopy
Authors: E. Fuchs, D. Penz, E. Waldmann, L. M. Rockenbauer, J. Zessner-Spitzenberg, A. Demschik, A. Ferlitsch, M. Trauner, M. Ferlitsch
Journal: Endoscopy (2024)

Aims Screening colonoscopy is effective in preventing colorectal cancer by removing precancerous lesions. Incomplete examinations are associated with a higher risk of post-colonoscopy colorectal cancer. Therefore, the minimum standard for cecal intubation rate is>90%, and the target standard>95%. However, little is known about the distribution of reasons for incomplete colonoscopy in colorectal cancer screening programs.
Systematic and combined endobronchial and endoscopic ultrasound (EBUS-EUS) for diagnosis and staging in lung cancer: experience from a tertiary center
Authors: A. Badaoui, M. De Wergifosse, B. Rondelet, P. H. Deprez, C. Stanciu-Pop, L. Bairy, P. Eucher, M. Delos, S. Ocak, C. Gillain, F. Duplaquet, L. Pirard
Journal: Endoscopy (2024)

Aims Combined endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) and endoscopic ultrasound-guided tissue acquisition (EUS-TA) is an accurate procedure for the diagnosis and staging of mediastinal lymph nodes (MLN) in lung cancer. However, the respective contribution of separate and combined procedures in diagnosis and staging has not been fully studied. The aim of this study was to assess their respective performances.
Efficacy of TOcilizumab in Mitigating Inflammatory Cascade in Patients with Predicted Severe Acute Pancreatitis: A Multicenter Randomized, Double-Blind, Placebo-Controlled Trial
Authors: J. Karuehardsuwan, P. Mekaroonkamol, J. Buathong, T. Orprayoon, W. Ridtitid, P. Kongkam, D. Werawatganon, R. Rerknimitr
Journal: Endoscopy (2024)

Aims Progression of acute pancreatitis to moderate to severe disease was associated with as high as 42% mortality rate. Despite this debilitating outcome, there is currently no specific pharmacotherapy for the disease. With better understanding of its pathogenesis, promising pharmacological agents targeting the key detrimental pro-inflammatory cytokines, such as interleukine(IL)-6, have been developed. Tocilizumab, a humanized anti-human IL-6R antibody has been proven to be effective in preventing catastrophic complications of acute pancreatitis in animal studies by inhibiting IL-6 receptor as evidenced by an increase in free IL-6 level. This study aimed to evaluate the efficacy of Tocilizumab in mitigating initial inflammatory cascade in patients with predicted severe acute pancreatitis using pro-inflammatory cytokine as surrogate markers.
Retrospective Analysis of Palliative Oesophageal Stenting at a District General Hospital in the UK; Is it time to fix migration?
Authors: S. Shirsath, D. Mohandas, P. Kotamraju, A. Sasidharan, D. Morris, S. Beg, J. Evans
Journal: Endoscopy (2024)

Aims We aimed to retrospectively appraise the outcomes of patients who have undergone oesophageal stent insertion for all causes over a 32-month period in a UK district general hospital.
Endoscopic ultrasound-guided right lobe liver biopsy has better tissue yield compared to left lobe liver biopsy: A single-blinded, paired, cross-over trial
Authors: J. Samanta, S. Mitra, J. Dhar, V. Desai, G. Agrawal, E. Iangngap, H. S. Mandavdhare, S. K. Sinha, A. Facciorusso
Journal: Endoscopy (2024)

Aims Endoscopic ultrasound-guided liver biopsy (EUS-LB) is a relatively newer modality and is performed by usually targeting the left lobe, although right lobe can be sampled. The standard percutaneous liver biopsy targets the right lobe. Whether EUS-LB targeting the right lobe can yield better tissue or more information would be interesting but lacks data. This study was designed to compare the quality of the biopsy specimen obtained from both the lobes of the liver using EUS guidance.
The Endoscopic and Clinical Characteristics of Autoimmune Atrophic Gastritis
Authors: D. Tham, Y. Fujiyoshi, R. Bechara, K. Khalaf
Journal: Endoscopy (2024)

Aims Autoimmune atrophic gastritis (AIG) is a rare chronic autoimmune disease characterised by gastric mucosa inflammation and atrophy. Limited clinical data exists on AIG, especially in the Canadian population. In addition, there are no North American series on the magnifying endoscopic features in AIG. This study presents a case series of 46 Canadian patients with AIG, reporting their clinical, laboratory, and endoscopic findings.
Endoscopic management of biliary leaks following pancreaticoduodenectomy: a single-center experience
Authors: E. Palmeri, L. Dioscoridi, M. Capasso, A. Palermo, M. Bravo, G. Bonato, M. Cintolo, F. Pugliese, E. Forti, M. Mutignani
Journal: Endoscopy (2024)

Aims Biliary leaks post-pancreaticoduodenectomy (PD) are challenging complications associated with increased morbidity and mortality. Surgical repair is often hindered by patient condition and delayed intervention, prompting exploration of alternative approaches. While percutaneous methods dominate current practice, literature on endoscopic management is limited. This study presents a retrospective analysis of endoscopic treatment outcomes for biliary leaks after PD.