tbuckley/cabot-search huggingface dataset:
When ROSE is not possible: Evaluating the diagnostic yield of&gt;4mm tissue specimen with macroscopi c onsite evaluation. 22G EUS-FNB Acquire needle experience
Authors: S. Karim, S. Kadir, A. Faryal
Journal: Endoscopy (2024)

Aims Endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) is a technique used for tissue acquisition providing the higher diagnostic accuracy for solid pancreatic and gastrointestinal lesions. Rapid onsite evaluation (ROSE) is the us eful firsthand diagnostic technique. Because of its expensive technical requirement, macroscopic onsite evaluation (MOSE) is a desired method used to assess the visual characteristics/features of a sample/specimen for positive hist opathological output. However, adequate size of the tissue is the requirement. What tissue size should we have for histopathological diagnosis, answer is debatable. Literature showed variability in tissue size with the favor towards>4mm tissue size. Therefore, the aim of the study is to evaluate the>4mm of tissue size for the adequacy of cellbl ock and histopathological diagnostic output.
Real-time automated assessment of histological disease activity in patients with ulcerative colitis using single wavelength endoscopy technology
Authors: P. Sinonquel, M. Lenfant, T. Eelbode, B. Callaerts, H. Watanabe, J. P. Guedelha Sabino, B. Verstockt, F. Maes, G. De Hertogh, S. Vermeire, R. Bisschops
Journal: Endoscopy (2024)

Aims Assessment of mucosal healing as a key denominator in the treat-to-target strategy for managing ulcerative colitis remains challenging. To address this, objective evaluation of histological disease activity holds promise. Recent offline research shows encouraging results using a new deep-learning convolutional neural network based on single wavelength endoscopy technology (SWE-CAD) (Fujifilm Co, Japan). We aimed to validate the real-time performance of a new bedside prototype SWE-CAD model during standard colonoscopy.
Complete endoscopic debridement combined with partial gastric wall resection successfully treated refractory esophagogastric anastomotic fistula: First clinical practice
Authors: Y. Li, Q. Zheng, J. Zhang, B. Liu
Journal: Endoscopy (2024)

Abstract Text A 59-year-old male occurred esophagogastric anastomotic fistula after radical resection of cardia adenocarcinoma. Symptoms didn't improve and he can't eat orally after 6 months treatment in other department. We performed two times endoscopic debridement of necrotic tissue in fistula combined with gastric wall full-thickness resection. On the third day after the treatment, the patient was started on a through oral fluid diet. One month endoscopy follow-up saw the wound cleaning, the healing process was good, and the patient started a normal diet. 18 months later, endoscopy showed fistula had healed completely. His weight increased 9kg during follow up. [1] [2] [3] [4]
False negative rate of OMOM’s artificial intelligence model for small bowel capsule endoscopy (Smart Scan) in a real-world setting
Authors: M. Pedro, R. Pinho, M. M. Estevinho, J. Correia, T. Freitas, P. Ana
Journal: Endoscopy (2024)

Aims To evaluate the false negative rate of OMOM's artificial intelligence model (SmartScan) for small bowel capsule endoscopy (SBCE) with real world data.
Direct EUS-guided gastrojejunostomy (EUS-GJ) for the management of gastric outlet obstruction (GOO). Case series from a tertiary hospital
Authors: L. Guilabert, B. Martínez-Moreno, L. Bernal-Luján, A. Hurtado-Soriano, P. López-Guillén, O. Belén Galipienso, F. J. Puchol Rodrigo, N. Sala-Miquel, J. R. Aparicio
Journal: Endoscopy (2024)

Aims To perform a descriptive analysis of all the EUS- GJ performed in our center from 2016-2023 and to compare the cases performed by direct puncture of the loop to the ones assisted by nasobiliary catheter to establish possible predictor factors of using the direct technique over the assisted one.
Effect of different head height lateral decubitus positions on painless gastroscopy in obese patients for intraoperative gastroesophageal reflux
Authors: L. Jia, H. Yannan, M. Zuojun
Journal: Endoscopy (2024)

Aims Objective To investigate the effect of different head high lateral decubitus positions on gastroesophageal reflux in patients undergoing painless gastroscopy.
Schwannoma of the ascending colon treated by Endoscopic full-thickness resection
Authors: I. Bartolomé Oterino, A. Santos Rodríguez, S. Redondo Evangelista, M. Sierra Morales, P. García Centeno, C. Trueba Collado, F. M. Salinas Nuñez, L. M. López Requejo, J. I. Busteros Moraza, S. Tabernero Da Veiga
Journal: Endoscopy (2024)

Abstract Text We report the case of a 47-year-old man with no personal history of disease who was under follow-up for colon adenomas. Colonoscopy revealed a 20 mm pseudodepressed submucosal lesion in the hepatic flexure, which was treated with endoscopic full thickness resection (EFTR) as shown in the video. Pathology of the lesion revealed a schwannoma, confirmed by immunohisto-chemical staining with S100 and CD32, and absence of both CD117 and actin expression. Schwannomas are submucosal lesions that arise from Schwann cells and have low malignant potential. They are extremely rare in the gastrointestinal tract, especially in the colon. Regarding treatment, EFTR has been postulated as a valid and safe technique as described in several cases in the literature. [1] [2] [3] [4] [5] [6] [7] [8]
Desaturations and adverse events among unselected ERCPs – incidence, risk factors, and adequate documentation from a quality control perspective
Authors: J. Prosenz, R. P. Lang, S. Bernhofer, A. Maieron
Journal: Endoscopy (2024)

Aims This study aimed to assess the rate of desaturations among NAPS (nurse-assisted propofol sedation)-ERCPs. Also, overall awareness of adverse events (AEs) as measured by documentation was assessed.
Comparison of single use versus reusable gastroscope environmental impacts for an upper GI endoscopy procedure
Authors: M. Pioche, J. Rivory, A. Laporte, J. Jacques, M. Schaefer, A. Berger
Journal: Endoscopy (2024)

Aims The environmental impact of endoscopy, including upper Gi endoscopy (UGE), has gained attention due to its contribution to the global carbon footprint. This study aimed to perform a life cycle assessment of the process of making an endoscope available for upper GI endoscopy, comparing disposable and reusable endoscopes.
Endoscopic Ultrasound-Guided Liver Biopsy Quality Compared to Percutaneous and Transjugular Techniques: A Network Meta-Analysis
Authors: M. Puga-Tejada, M. Arevalo-Mora, R. Oleas, C. Torres-Herrera, F. Ferber-Reyes, A. Perez, N. Martin, J. Baquerizo-Burgos, M. Egas-Izquierdo, D. Cunto, H. Alvarado-Escobar, R. Del Valle, J. Alcivar-Vasquez, H. Pitanga-Lukashok, C. Robles-Medranda
Journal: Endoscopy (2024)

Aims Percutaneous liver biopsy (PC-LB) is the gold standard for the study of chronic liver disease. However, it is limited to patients with appropriate clinical and hematological conditions. Transjugular liver biopsy (TJ-LB) represents a less invasive yet less available technique. Endoscopic ultrasound-guided liver biopsy (EUS-LB) has emerged as a minimally invasive readily available technique. To the best of our knowledge, no network meta-analysis has compared LB quality and related adverse events among these techniques.
Patient Position and ERCP Outcomes in Patients with Surgically Altered Foregut Anatomy
Authors: S. Malipatil, K. Khalaf, M. Scaffidi, D. Tham, D. Chopra, A. Mokhtar, C. Na, S. Abal, S. Jugnundan, S. Gupta, M.R. A. Fujiyoshi, Y. Fujiyoshi, K. M. Pawlak, N. Gimpaya, N. Calo, J. Mosko, C. Teshima, G. May, S. Grover
Journal: Endoscopy (2024)

Aims Patients with surgically altered gastrointestinal anatomy undergoing endoscopicretrograde cholangiopancreatography (ERCP) pose challenges due to anatomicaldistortions. Factors such as patient positioning, endoscopist experience, andchoice of endoscope may influence procedural success. It is unclear how thesefactors may impact the technical success of ERCP among patients with alteredanatomy. We primarily aimed to determine the impact of patient positioning (proneversus left lateral decubitus [LLD]) on technical success of ERCP among patientswith surgically altered anatomy. We also considered the impact of endoscopistexperience and endoscope type, alongside patient positioning.
Delayed post polypectomy bleeding. Risk factors associated with the presence of high-risk stigmata on the polypectomy site. Is expectant management possible?
Authors: C. Konstantakis, K. Papantoniou, C. Sotiropoulos, T. Paraskevas, K. Thomopoulos
Journal: Endoscopy (2024)

Aims Delayed post polypectomy bleeding is the most frequent complication of endoscopic polypectomy. Endoscopy with application of endoscopic hemostasis is widely used to treat this condition. Classification of lesions in high risk (active bleeding, visible vessel, adherent clot) and low risk stigmata (flat pigmented stigma, clean base) has been suggested. Endoscopic hemostasis is usually not warranted for the latter. Cconservative management of the syndrome has been proposed for certain cases, however limited data are currently available.
Is variceal banding always the solution? Surgical salvation management in massive rectal variceal bleeding
Authors: A. I. Coseru, V. L. Drug, D. Iov, R. A. Vulpoi, A. Plesa, O. B. Barboi
Journal: Endoscopy (2024)

Abstract Text Patients with liver cirrhosis and portal vein thrombosis have a risk of developing rectal varices. Although the related incidence is not high, bleeding from rectal varices may become life-threatening. Few reports are available in the literature for the management of rectal variceal bleeding. We report a case of a 73 years old patient, with portal vein thrombosis, atrial fibrilation, cardiac failure treated by Apixaban. He presented massive hematochezia and severe anemia syndrome. Colonoscopy showed rectal varices with a white nipple sign. We decided to apply 7 ligature rings. On day 7, the patient presented rectal bleeding. Rectoscopy showed 6 of the 7 rings in place and a Forrest IIB ulcer after the fall of one of the elastic rings. On day 10, the patient had massive rectal bleeding, and the endoscopic approach is impossible. Surgical intervention was performed with favorable subsequent evolution. [1] [2]
Endoscopic salvage therapy using LAMS in case of LAMS misdeployment during EUS-directed transgastric intervention : “Remove and Replace” or “LAMS in LAMS” ?
Authors: L. Monino, L. Marique, Y. Deswysen, B. Navez, T. Moreels
Journal: Endoscopy (2024)

Abstract Text We report 3 cases of misdeployment type II during an EDGI procedure, successfully treated with endoscopic salvage techniques. During the creation of the gastrogastrostomy fistula with a direct technique over a guide wire, the distal flange migrated out of the excluded stomach into the peritoneal cavity. The "Remove and Replace" technique was used in one patient and the "LAMS in LAMS" technique in the other two. Endoscopic salvage therapy was performed successfully in all the cases. The "LAMS in LAMS" technique appears to be easier than the "Remove and Replace" technique, by reducing the number of exchanges and the risk of losing the access maintained by the guide wire. Nevertheless, future studies are needed to confirm that the strenght of the anastomosis after "LAMS in LAMS" technique is at least similar to an uncomplicated EDGI procedure [1] [2] [3] [4].
Endoscopic full thickness dissection (EFTD) of T2 oesophageal adenocarcinoma in surgically unfit patients: a case series (with video)
Authors: P. J. Poortmans, M. Montori, L. Debels, S. Smeets, M. E. Argenziano, S. Ridolfo, T. Tornai, L. Desomer, D. J. Tate
Journal: Endoscopy (2024)

Abstract Text In 3 surgically unfit patients with T2N0M0 oesophageal adenocarcinoma (OAC), an endoscopic full thickness dissection (EFTD) was offered: using the TriangleTipKnife J (Olympus Corp.) a 'tunnel technique' was applied towards the suspected area of invasion of the muscularis propria. The suspected invasive component was not touched, but rather an incision into the muscularis propria was made 10mm more proximally until the peri-oesophageal space was reached. The submucosal plane was re-entered approximately 10mm distal to the invasive component. The 'underwater technique' was used to re-establish the submucosal plane. Subsequently the margins of the tunnel were dissected providing an en-bloc, full thickness dissection of the OAC. A fully covered self-expanding metal stent was placed in all patients. During follow-up (ranging between 14 and 1 months), no evidence of disease recurrence was found.
A Novel Retractable Robotic Device for Colorectal Endoscopic Submucosal Dissection
Authors: S. Kim, B. Keum, H. J. Jeon, H. S. Choi, E. S. Kim, Y. T. Jeen, H. J. Chun
Journal: Endoscopy (2024)

Aims Appropriate tissue tension and clear visibility of the dissection area using traction are essential for effective and safe endoscopic submucosal dissection (ESD). In this study, we developed a retractable robot-assisted traction device and evaluated its performance in colorectal ESD.
Discrepancy Between Endoscopic Ultrasound-Guided Elastography and Transient Elastrography in Assessing Liver Stiffness of Morbidly Obese Patients
Authors: J. Buathong, P. Mekaroonkamol, P. Somvanapanich, P. Piyaket, K. Tiankanon, W. Ridtitid, P. Kongkam, S. Udomsawaengsup, S. Treeprasertsuk
Journal: Endoscopy (2024)

Aims Transient Elastography (TE), is one of the most extensively studied, non-invasive tests (NITs) for liver stiffness measurement (LSM). However, a recent study from our group showed a poor correlation between LSM measured by TE and histology-proven liver fibrosis in obese population due to impeding thicker visceral fat and abdominal wall. Endoscopic ultrasound elastography (EUS-E), a novel adjunct to pre-operative endoscopic evaluation, has advantages to overcome these limitations since the probe can be pressed against the liver capsule transgastrically. This study aimed to assess the correlation between conventional TE and EUS-E in severely obese population.
Development of a performance assessment scale for upper gastrointestinal endoscopy in simulation training
Authors: J. Tremblais, T. Barrioz, M. Wangermez, E. Coron, L. Quénéhervé, R. Olivier
Journal: Endoscopy (2024)

Aims Digestive endoscopy need several years of practice to achieve appropriate, safe and effective procedure. To our knowledge, there is no validated performance evaluation scale for gastroscopy. The aim of our study is to create an evaluation scale in this field.
Successful new therapeutic strategies for giant pedunculated colorectal polyps with thick stalks: a case series study
Authors: T. Fukuchi, S. Iwase, S. Maeda
Journal: Endoscopy (2024)

Aims Endoscopic resection of giant pedunculated colorectal polyps (PCPs) with large heads with thick stalks can be technically difficult with conventional snare polypectomy. It involves the risk of clinically severe bleeding. The European Society of Gastrointestinal Endoscopy guidelines recommend pretreatment of the stalk with a dilute epinephrine injection or mechanical hemostasis (prophylactic clip and endoloop application) for PCPs. However, some cases with large tumor heads and thick stalks are associated with challenging operability and poor visibility; therefore, pretreatment can be difficult and not effective. Therefore, we developed a new method for managing intraoperative bleeding during colorectal endoscopic submucosal dissection (ESD) of PCPs with thick stalks.
Reestablishment of gastrointestinal transit in a patient with gastric outlet obstruction and a large gastrocolic fistula
Authors: V. Busto, M. Eizaguirre, P. De Miguel, S. Peralta, M. Arias, M. Rullan, A. Arrubla, J. Carrascosa, E. Albéniz, J. J. Vila
Journal: Endoscopy (2024)

Abstract Text A 47-year-old man with an unresectable transverse colon adenocarcinoma with gastric infiltration was admitted for vomiting and compromised nutritional status. Gastroscopy showed fecal material in the stomach and a large ulcerated mass that infiltrated the antrum with stenosis of the duodenal bulb; this mass included a large gastrocolic fistula of about 4 cm in diameter. Treatment with a duodenal fully covered metal stent was unsuccessful because of proximal migration into the stomach. Then a two steps approach was attempted: first, a gastrojejunostomy with a lumen apposing metal stent to restore the passage to the small bowel and, subsequently, a complete suturing of the gastric antrum to exclude the fistula. The clinical result was satisfactory, with resolution of vomiting and good oral intake.
Can Capsule sponge (Cytosponge/Endosign) be used safely as part of a Barrett’s Surveillance programme? – Retrospective review of Barrett’s dysplasia patterns over a 6-year period in a single site secondary care
Authors: A. Dimassi, L. David, L. Mears, K. Shaw, D. L. Morris
Journal: Endoscopy (2024)

Aims Capsule sponge triage was introduced in the UK as part of a national evaluation to address the challenges associated with delayed endoscopic Barrett's surveillance during the pandemic. This study aims to assess the incidence and grade of Barrett's dysplasia over time in patients who are part of Barrett's Oesophagus surveillance programme.
EUS-guided radiofrequency and ethanol ablation of pancreatic insulinomas: a single-center experience
Authors: K. Kozlowska-Petriczko, K. M. Pawlak, K. Kozlowska, S. Jedruszek, W. Bosy-Gasior, A. Wiechowska-Kozłowska
Journal: Endoscopy (2024)

Aims Insulinomas are the most frequent functional pancreatic neuroendocrine tumors (pNETs). While surgical resection remains still the gold standard treatment, endoscopic ultrasound (EUS)-guided ablation using either ethanol (EUS-EA) or radiofrequency (EUS-RFA) is a minimally invasive alternative treatment modality which induces lesion necrosis [1]. This study presents a single-center experience in treating pancreatic insulinomas<2 cm with EUS-RFA or EUS-EA focusing on safety and efficacy.
"AIG-AGREE Modification: Redefining Adverse Event Assessment in Gastrointestinal Endoscopy with Economic Perspectives"
Authors: A. katrevula, N. Singla, N. Jagtap, H. Rughwani, S. F. Memon, Z. Nabi, G. R. Katukuri, P. Inavolu, A. Pratap Singh, H. Azimudin, S. Asif, R. Kalapala, M. Ramchandani, S. Lakhtakia, N. R. Duvvur
Journal: Endoscopy (2024)

Aims Endoscopy is crucial for managing gastrointestinal diseases. This study utilises AGREE, a validated scale, for adverse event classification, allowing performance comparison across endoscopy services. Our aim is a clinical audit of gastrointestinal endoscopy complications, with a distinctive focus on integrating the economic impact on patients within the AGREE classification.
Submucosal tunneling endoscopic resection in retroflexion for gastric GIST of the fundus
Authors: G. Mavrogenis
Journal: Endoscopy (2024)

Abstract Text Endoscopic resection of gastrointestinal gastric tumors of the fundus is challenging due to the need for full-thickness resection and the difficulties for defect closure. Submucosal tunneling in direct view through the esophagus can be applied for esophageal tumors and gastric tumors of the cardia near the gastroesophageal junction. However for tumors located at the fundus it is not feasible. In this case report we present the resection of a gastric GIST located at the fundus with the application of STER in retroflexion combined with clip and band traction and clip and loop closure of the mucosal entrance. We believe that this modified approach has the all the advantages of STER and can be applied for locations where straight tunneling is not feasible.
Assessing Intestinal Barrier Healing By Fusing Ultra-High Magnification Endoscope And Automated Spatial Multispectral Imaging Analysis In PSC-Colitis Patients
Authors: M. Iacucci, S. Majumder, G. Santacroce, I. Zammarchi, Y. Maeda, U. N. Shivaji, Z. Abdawn, R. Hejmadi, B. Hayes, R. Crotty, L. Burke, S. Ghosh
Journal: Endoscopy (2024)

Aims PSC colitis is associated with an increased risk of colorectal carcinoma. Endoscopic monitoring is crucial since endoscopic and histological activity can persist in PSC even during clinical remission. Recent evidence suggests that the presence of barrier dysfunction may predict relapse in quiescent patients. This study aims to assess mucosal and barrier healing in quiescent PSC colitis and evaluate the potential to predict outcomes by combining an ultra-high magnification endocytoscope (ECS) with intestinal barrier protein markers.
A novel device for cytological sampling of pancreatic cysts: an animal randomized control trial
Authors: F. Baldaque-Silva, J. P. Pereira, I. Schliemann, U. Arnelo, W. Van Der Wijngaart, N. Roxhed, F. Marques
Journal: Endoscopy (2024)

Aims Current endoscopic ultrasound (EUS) is suboptimal in the assessment of pancreatic cystic lesions (PCLs). We developed a new through-the needle loop device, to improve the cellular yield, and thereby sensitivity, of EUS fine needle aspiration (EUS-FNA) of pancreatic cysts.
Local anaesthesia of the pharynx for OesophaoGastroDuodenoscopy (OGD); new technique with better patient tolerance and reduced risk of airborne spread
Authors: E. Killan
Journal: Endoscopy (2024)

Aims Upper-gastrointestinal endoscopy, or oesophagogastroduodenoscopy (OGD), is a procedure routinely performed in secondary care settings throughout the UK. Local anaesthesia, in the form of throat spray, and intravenous sedation are often used to make this clinical procedure more comfortable for the patient.
Comparison of diagnostic accuracy of endocytoscopy and probe-based confocal laser endomicroscopy
Authors: A. Y. Lee, J. Y. Seo, S. H. Kim, J. Y. Cho
Journal: Endoscopy (2024)

Aims Traditionally, biopsies have been regarded as the most accurate method for diagnosing gastrointestinal systems. However, the risks of sampling errors and post-biopsy inflammatory changes can make endoscopic procedures challenging. Therefore, in vivo methods have gained importance, with endocytoscopy and probe-based confocal laser endomicroscopy (pCLE) emerging as prominent techniques. Despite their significance, there has been no study comparing these two methods to date. This retrospective study aims to compare the accuracy and clinical utility of these two diagnostic approaches.
Use of new Flexlifter traction system to facilitate endoscopic colonic dissection
Authors: P. Rosón, M. Alberto, F. M. Fernandez, A. M. Angeles, A. París, V. Cristina, L. Vazquez
Journal: Endoscopy (2024)

Abstract Text Endoscopic submucosal dissection is a technique that allows neoplastic lesions of the digestive tract to be resected en bloc, however, in many cases, achieving easy access to the submucosa or maintaining is difficult, especially when the lesions associate a certain degree of fibrosis in the submucosa. Multiple different traction systems have been described, but The search for the perfect traction system continues. Recently several commercial companies are developing articulated systems that allows the traction to be repositioned and move the system within the colon. The Flexlifter system consists of an atraumatic forceps mounted on a cap that is placed on the tip of the endoscope and allows traction to be adapted to the need. Once the Flap is held, the clamp remains fixed and allows horizontal movements with the knife to dissect the submucosa.
Computer-Aided Diagnosis for Leaving-in-situ of Colorectal Polyps: A systematic review and meta-analysis
Authors: T. Rizkala, C. Hassan, M. Misawa, M. Yuichi, A. Facciorusso, G. Antonelli, M. Spadaccini, B. B. Houwen, R. Emanuele, H. Patel, K. Khalaf, E.M. G. Fernández, B. Pradeep, E. Dekker, A. Capogreco, G. Seth A, T. Berzin, J. Weiquan Li, O. V. Per, S. Sultan, M. Menini, A. Schilirò, M. Roberta, K. R. Douglas, S. Prateek, F. Farid, A. Repici
Journal: Endoscopy (2024)

Aims Real-time computer-aided optical diagnosis (CADx) with artificial intelligence aims at assisting endoscopists to distinguish neoplastic from non-neoplastic diminutive rectosigmoid polyps during colonoscopy and thus reduce unnecessary removal of polyps. This systematic review and meta-analysis of accuracy studies aim to quantify the benefits and harms of CADx in colonoscopy.