tbuckley/cabot-search huggingface dataset:
Endoscopic approach with multiple plastic stents in postcholecystectomy biliary strictures: single-center retrospective experience
Authors: M. Amata, V. Di Martino, A. Bonaccorso, B. Scrivo, D. Scimeca, F. Mocciaro, A. Calì, E. Conte, S. Sferrazza, R. Di Mitri
Journal: Endoscopy (2024)

Aims Cholecystectomy is one of the most common surgical procedure performed nowadays (ie, 750,000 cases a year in the United States) and bile duct injury presents a formidable challenge for physicians that requires a prompt treatment in order to avoid chronic cholestasis, recurrent cholangitis, and secondary biliary cirrhosis. Post-cholecystectomy biliary strictures (PCBS) occurring in 0–0.6% of laparoscopic cholecystectomy cases. Endoscopic retrograde cholangiography (ERC) with multiple plastic biliary stents placed sequentially and side-by-side (multistenting – MPs), is a minimally invasive alternative to surgery with good outcome, also in post-transplant biliary stricture [1].
Submucosal Tunneling Endoscopic Resection with Preservation of Muscle Strands for the resection of a small GIST
Authors: M. Montori, S. Ridolfo, P. J. Poortmans, S. Smeets, M. E. Argenziano, T. Tornai, L. Desomer, L. Debels, D. J. Tate
Journal: Endoscopy (2024)

Abstract Text STER poses several notable technical challenges including retrieval of the lesion, a task, in this particular case, which was made risky by the potential inadvertent migration of the tumor into the peritoneal cavity. In the accompanying video, you will observe a STER procedure performed on a 15mm gastrointestinal stromal tumor (GIST). Despite the lesion's small size, the patient expressed a strong preference for endoscopic excision of the GIST rather than engaging in structured surveillance. During the procedure, two tissue strands (muscularis propria) were intentionally preserved and left connected, preventing migration of the lesion into the peritoneal cavity. Subsequently, a snare was utilized to extract the GIST while delicately rupturing the aforementioned tissue strands. The lesion was retrieved safely, analysed as a GIST with complete excision (R0) and the patient returned home the next day without adverse events.
Enteral metallic stenting in malignant gastric outlet obstruction: a prospective data analysis and long-term follow-up
Authors: M. Amata, D. Scimeca, C. Ciccioli, F. Mocciaro, A. Bonaccorso, B. Scrivo, E. Conte, A. Calì, V. Di Martino, S. Sferrazza, R. Di Mitri
Journal: Endoscopy (2024)

Aims The aim of the study was to confirm the long-term efficacy and safety of duodenal uncovered self-expandable metallic stent (SEMS) in malignant gastric outlet obstruction (GOO).
Elevating Gastrointestinal Endoscopy Services in India: A Pioneering Study on Real-Time Quality Indicators
Authors: H. Rughwani, A. katrevula, A. Pratap Singh, N. Jagtap, N. R. Duvvur
Journal: Endoscopy (2024)

Aims An integral component of any Gastrointestinal Department (GI) is the Endoscopy unit (EU). The primary objective should be to provide high-quality endoscopy services. To achieve this, developing, refining, and implementing various necessary steps form the backbone, which is measured in the form of Quality Indicators (QI). Apart from the endoscopy procedure, the pre-and post-procedure processes also impact patients' experiences and safety. Hence, this study was planned as the first in India to measure the quality indicators of the Endoscopy unit in real-time. [1] [2]
Boerhaave syndrome: from perforation to recovery
Authors: F. Côrte-Real, N. Nunes, D. B. Moura, C. Chálim Rebelo, M. Flor De Lima, F. Taveira, M. P. Costa Santos, V. Costa Santos, A. C. Rego, J. R. Pereira, N. Paz, M. A. Duarte
Journal: Endoscopy (2024)

Abstract Text A 59-year-old woman presented with sudden epigastric pain post-vomiting. Analysis revealed leukocytosis and CRP of 29.7mg/dL. CT scan showed a hiatal hernia with mediastinal gas. Upper gastrointestinal endoscopy confirmed a 2cm esophageal perforation. Despite over-the-scope clip 6/12 deployment, closure was incomplete, leading to a fully covered metal stent placement, fixed with Stentfix-over-the-scope clip. Three days later, SIRS prompted a CT scan, revealing loculated left pleural effusion and a 10.5x4cm periprosthetic collection. The patient underwent mediastinal and pleural drainage. Twelve days later, the esophageal stent had migrated into the gastric lumen. Post-stent removal, over-the-scope clip detachment due to mechanical pressure was noted. The esophageal mucosa was healed. The patient is asymptomatic in a four-month follow-up [1] [2].
Enhancing Colonic Endoscopic Therapeutic Procedures: First Multi-Centre European Retrospective Study on the Performance of a Double Balloon Overtube Device
Authors: H. Rehman, H. Uchima, S. Sansone, R. Muñoz-González, E. Rojo, S. Budihal, P. B. Adolfo
Journal: Endoscopy (2024)

Aims Complex endoscopic therapeutic procedures, such as Endoscopic Mucosal Resection (EMR) and Endoscopic Mucosal Dissection (ESD) pose challenges in patients with loopy bowels and those with colostomies due to difficulties in establishing stable endoscopic access to lesion sites. This study investigates the safety and efficacy of a double balloon overtube device (DiLumen, Lumendi LLC) (Figure 1) in facilitating these procedures by providing improved access, stability, and traction.
Retrospective review of the role of capsule endoscopy in cases of obscure GI bleeding
Authors: J. O'Connell, R. Ballester-Clau, C. Costigan, E. Omallao, F. O'Hara, D. McNamara
Journal: Endoscopy (2024)

Aims ESGE guidelines recommend diagnostic small bowel capsule enteroscopy (SBCE) for most patients with suspected small bowel bleeding before proceeding to device-assisted enteroscopy (DAE). When one should proceed directly to DAE without prior capsule enteroscopy is not clearly defined. By review of patients with suspected small bowel bleeding who underwent SBCE at our centre, we sought to identify those with only proximal findings who could be better served by proceeding directly to anterograde DAE rather than first undergoing SBCE.
Results of Pneumatic Dilation in Naive Patients with Achalasia
Authors: M. Moalla, H. Smaoui, B. Mona, A. Abdelmoula, H. Gdoura, M. Leila, A. Amouri, L. Chtourou, N. Tahri
Journal: Endoscopy (2024)

Aims Primary achalasia is a motility disorder of the esophagus, and its management in our country relies on pneumatic dilation (PD) or Heller myotomy.
When the Past hits the Present: The BRCA2 case
Authors: D. M. Bilous, C. Vlăduț, E. Tianu, P. Bachellier, M. Ciocîrlan
Journal: Endoscopy (2024)

Abstract Text We report the case of a 32 years-old female with a hereditary history of breast and pancreatic cancer among the maternal line, who presented into our clinic for the endoscopic ultrasonographic (EUS) evaluation of a dilation in the main pancreatic duct. A hypoechoic, inhomogenous, 17mm nodule was found into the cefalic area of the pancreas. The nodule was punctured via FNA (fine needle aspiration). The FNA diagnosis was of a ductal adenorcarcinoma. An extensive pannel of genes for the evaluation of the mutations for inherited digestive cancer was performed afterwards. BRCA-2 was the only mutation present. Thereby, after neoadjuvant chemotherapy and cephalic duodenopancreatectomy, the inherited-pancreatic adenocarcinoma was cured, the present prevailing once again the past's hit.
Evaluating the Effectiveness of Multidisciplinary Meetings in Managing Complex Colorectal Polyps: A Comparative Analysis Against National Standards
Authors: C. Mcgreevy, D. Beaton, T. Lee
Journal: Endoscopy (2024)

Aims This study evaluates the effectiveness and impact of a complex colorectal polyp multidisciplinary meeting (MDT) by benchmarking performance against standards outlined by the British Society of Gastroenterology (BSG). Additionally, it aims to assess the practicality and challenges of implementing BSG's recommendations in a real-world clinical setting.
Endoscopic submucosal dissection vs. endoscopic mucosal resection for adenoid lesions involving the dentate line: a retrospective, multicenter, case-control study
Authors: K. Kouladouros, S. Belle, P. Stathopoulos, U. Denzer
Journal: Endoscopy (2024)

Aims The ideal treatment of epithelial neoplastic rectal lesions with involvement of the dentate line is a controversial issue. Piece meal endoscopic mucosal resection (EMR) is the most commonly used resection technique, but is associated with high recurrence rates. Endoscopic submucosal dissection (ESD) has been shown to be safe and effective for the treatment of rectal lesions, but the available evidence on its application close to the dentate line is low.
Colon Capsule Endoscopy as an Alternative to CT Colonography in those with an Incomplete Colonoscopy
Authors: C. Walker, J. Cudmore, F. Sarap, B. A. Ogon, S. T. Ooi, C. Goulding, M. Hussey
Journal: Endoscopy (2024)

Aims Alternatives to colonoscopy need to be considered in those with a failed colonoscopy. Colon capsule endoscopy (CCE) has been shown to have comparable, and for certain indications, higher diagnostic yields than CT colonography (CTC). However, it has lower completion rates, thus careful patient selection is vital. In Ireland, CTC waiting lists nationally exceed 12 months and were over 18 months in University Hospital Galway. Our aim was to examine CCE as an alternative to CTC for failed colonoscopy
Predictive factors of poor response to the first pneumatic dilation session in achalasia
Authors: H. Smaoui, M. Moalla, A. abdelmoula, B. Mona, H. Gdoura, M. Leila, A. Amouri, L. Chtourou, N. Tahri
Journal: Endoscopy (2024)

Aims Primary achalasia is a motility disorder of the esophagus, and its management in our country relies on pneumatic dilation (PD) or Heller myotomy. The aim of our study was to describe the clinical and paraclinical aspects of achalasia and identify factors predisposing to a poor response after the first PD session.
Gastric Variceal Hemorrhage: Risk Factors for Hemorrhagic Recurrence after Biological Glue Injection
Authors: M. Mabrouk, G. Azer, A. Mehdi, I. Jemni, N. Ben Chaabane, L. Safer
Journal: Endoscopy (2024)

Aims Identify risk factors associated with recurrent GV(gastric varices ) bleeding at 6 weeks following biologic glue injection and evaluate its impact on mortality.
Evaluation and predictive factors of long-term nutritional support in moderate to severe acute pancreatitis requiring intervention: a retrospective study
Authors: M. Fernandez y Viesca, A. Hadefi, M. Arvanitakis
Journal: Endoscopy (2024)

Aims Moderate to severe acute pancreatitis (AP) may occur in up to 20% of the cases and is associated with a significant rate of organ failure (OF), need for interventions, and death. In these patients, oral feeding will not be possible in the initial course of the disease. Therefore, nutritional support (NS) is one of the most essential cornerstones in managing moderate to severe AP. Numerous studies showed the superiority of enteral nutrition (EN) over parenteral nutrition (PN). Nevertheless, PN will be necessary in patients with EN intolerance or sometimes in combination with EN if nutritional targets are not met. NS's type,route,and duration have not been widely investigated in moderate to severe patients requiring multiple interventions and long-term hospital stays (>30 days). Consequently, predictive factors for home NS after patient discharge are currently also lacking. We aimed to evaluate long-term NS modalities and predictive factors for home NS in patients with moderate to severe AP requiring multiple interventions
External validation of the REALISE score for assessing botulinum toxin injection efficacy in the treatment of chronic anal fissure
Authors: T. Lima Capela, B. Rosa, P. Campelo, A. I. Ferreira, J. Goncalves, T. Gonçalves, J. Cotter
Journal: Endoscopy (2024)

Aims Botulinum toxin injection (BT) is a valid nonsurgical treatment for refractory chronic anal fissure (CAF). Recently, the scoRing systEm for AnaL fIsSurE (REALISE) was developed and internally validated to assess the severity of anal fissures. We aimed to externally validate REALISE for the assessment of the efficacy of BT for CAF treatment.
Solid Pancreatic Lesions Visualized on Endoscopic Ultrasound in the Gulf Council Countries: An International Multicenter Study
Authors: J. Ghaith, S. S. Al Ghamdi, M. S. Albeshir, D. Alaskar, A. Alali, N. Ali, Y. Shastri, E. Aljahdli, A. A. Alkhatib, A. Alrakawi, A. A. Rammal, F. Batwa, M. M. Almaghrabi, S. S. Alfawaz, K. A. Bamakhrama, S. Binjerais
Journal: Endoscopy (2024)

Aims The assessment of pancreatic lesions has become a common indication for endoscopic ultrasound (EUS). The increased utilization of sampling techniques and the expertise of trained endoscopists have contributed significantly to the heightened identification of both solid and cystic pancreatic lesions. In the west, the prevalence of solid lesions detected via EUS is well-documented, with adenocarcinomas being the most common type. However, specific data for the Gulf Council Countries (GCC) of solid pancreatic lesions evaluated and/or biopsied by EUS is currently lacking. This study aims to determine the prevalence of solid pancreatic lesions detected by EUS in tertiary centers across the GCC and to assess the clinicopathological characteristics of these lesions in the region.
Best approach after incomplete colonoscopy: colon capsule endoscopy or repeat conventional colonoscopy?
Authors: T. Lima Capela, T. Gonçalves, B. Rosa, A. I. Ferreira, J. Cotter
Journal: Endoscopy (2024)

Aims The most appropriate strategy for completing a previous incomplete colonoscopy (IC) is not standardized and generally reflects local expertise. We aimed to compare the efficacy and safety of two strategies for completing a previous IC: colon capsule endoscopy (CCE) versus repeat conventional colonoscopy.
Emergency ERCP: what to expect
Authors: H. Cherkaoui, A. El Ghmari, E. M. Amine, N. Lahmidani, D. A. Benajah, E. Y. Mounia, S. A. Ibrahimi, M. El Abkari, H. Abid
Journal: Endoscopy (2024)

Aims Severe angiocholitis constitutes an urgent indication for endoscopic treatment, represented by endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic sphincterotomy. This ensures proper bile drainage and improves the morbidity and mortality of patients. The aim of our work is to describe the epidemiological aspects and evaluate the results of emergency endoscopic drainage in severe angiocholitis.
Novel covered stent with endoluminal vacuum therapy for treatment of gastric leaks after sleeve gastrectomy
Authors: G. Valerii, S. Longo, C. Cellini, M. Di Berardino, C. Barbera
Journal: Endoscopy (2024)

Aims Laparoscopic sleeve gastrectomy (LSG) is a surgical approach to treat morbid obesity. It restricts the stomach's size to induce satiety and cut out fundal ghrelin-producing cells to decrease appetite. Staple gastric line leaks, bleeding, and strictures are the complications reported following LSG [1] [2]. We showed novel endoscopic treatment of staple gastric line leaks by VacStentGI after LSG.
Factors that affect fluoroscopy duration and radiation dose during ERCP in a tertiary center: a retrospective analysis of a prospective database
Authors: P. Gkolfakis, M. Spinou, G. Kondylis, A. Spanogianni, A. Panagaki, G. Aggelopoulos, P. Aggelogiannopoulou, P. Paraskevopoulou, A. Paraskevopoulou, G. Tziatzios, A. Giannakopoulos, V. Delatolas, V. Chatonidis, C. Triantopoulou, K. Paraskeva
Journal: Endoscopy (2024)

Aims Endoscopic retrograde cholangiopancreatography (ERCP) constitutes a challenging procedure which is associated with increased technical difficulty and higher utilization of advanced techniques that can result in prolonged procedural duration and excess exposure to ionizing radiation. The aim of this study is to present data regarding fluoroscopy during ERCP from a large reference center and to explore factors associated with radiation dose and fluoroscopy duration during ERCP.
Deep Learning and Capsule Endoscopy: Automatic Panendoscopic Detection of Vascular Lesions
Authors: P. Marílio Cardoso, M. Mascarenhas, J. P. Afonso, T. Ribeiro, M. Miguel, M. Francisco, A. Patrícia, C. Hélder, P. F. João, M. Guilherme
Journal: Endoscopy (2024)

Aims Capsule endoscopy (CE) is commonly used as the initial exam in situations of suspected mid-gastrointestinal bleeding, after normal upper and lower endoscopy. Although the assessment of the small bowel is its primary focus, detection of upstream/downstream of vascular lesions may also be clinically significant. This study aimed to develop and test a Convolutional Neural Network (CNN)-based model for panendoscopic automatic detection of vascular lesions during CE. [1] [2] [3] [4] [5] [6] [7] [8] [9]
Long-term outcomes after endoscopic removal of malignant colorectal polyps: results from a 10-year cohort
Authors: A. Fábián, R. Bor, B. Vasas, M. Szűcs, T. Tóth, Z. Bősze, K. Szántó, P. Bacsur, A. Bálint, B. Farkas, K. Farkas, Á. Milassin, M. Rutka, T. Resál, T. Molnár, Z. Szepes
Journal: Endoscopy (2024)

Methods A single-center retrospective cohort study was conducted to evaluate outcomes after endoscopic removal of malignant colorectal polyps between 2010 and 2020. Residual disease rate and nodal metastases after secondary surgery; and local and distant recurrence rate for those with at least 1-year follow-up were investigated. Event rates for categorical and means for continuous variables with 95% confidence intervals were calculated; Fisher's exact test and Mann-Whitney test were performed. Potential risk factors of adverse outcomes were determined with univariate and multivariate logistic regression models.
Resolution of dysphagia following endoscopic resection of nodular esophageal inlet patch with low grade dysplasia
Authors: K. M. Pawlak, C. Teshima
Journal: Endoscopy (2024)

Abstract Text The inlet patch is a congenital anomaly with a prevalence of up to 1% [1]. Most inlet patches are asymptomatic but occasionally may cause dysphagia or globus sensation [2]. They are usually ignored by most endoscopists, but the finding of low-grade dysplasia in our case highlights the importance of close examination and consideration for endoscopic intervention when there are abnormal features. Our case demonstrates the successful resolution of symptoms following removal of the inlet patch by multi-band mucosectomy.
Endoscopic ultrasound guided fine-needle biopsy versus endoscopic ultrasound guided fine-needle aspiration in the diagnosis of pancreatic and extrapancreatic solid lesions
Authors: I. Budimir, F. Babić, T. Pavic, N. Baršić, M. Nikolić, A. Vasilj, Z. Juroš
Journal: Endoscopy (2024)

Aims Endoscopic ultrasound guided fine-needle aspiration (EUS FNA) and endoscopic ultrasound guided fine-needle biopsy (EUS FNB) are the current standard for diagnosing pancreatic tumors, but recent studies have failed to show superiority of either tool. The aim of this study was to assess the sensitivity and diagnostic accuracy of EUS FNA and EUS FNB in diagnosis of pancreatic and extrapancreatic solid lesions in our cohort.
Endoscopic closure of malignant coloduodenal fistula using Through The Scope Partially Covered Self Expanding Metal Stent with Stentfix
Authors: J. Ansari, P. Nizamudheen, J. Bonny, P. Prasanth, B. Satheesan
Journal: Endoscopy (2024)

Abstract Text Introduction: Most malignant coloduodenal fistula poor surgical canddidtaes.Methods: CECT abdomen fistulous tract from the hepatic flexure to D1. OGD tumor infiltrating posterior wall of D1, colonoscopy Ulceroproliferative lesion causing luminal narrowing at hepatic flexure. While placing covered stents should take care to place the distal end just proximal to the papillary orifice to prevent pancreatitis or obstrctive jaundice. Radiopaque marking done using a clip just proximal to the papila to guide distal position of the stent. High risk of migartion – stent fix used to rerinforce position Result:Vomting subsided.Conclusion: 2 reported cases where coloduodenal fistula managed with covered stents and fixed with endosutre. This is the first case where stent is fixed with stentfix – to use when therapeutic scope is not available.
Variations in clinical parameters suggest patients with suspected small bowel bleeding deteriorate quickly over time and that close and regular monitoring and the early introduction of small bowel investigations is warranted
Authors: R. Ballester-Clau, C. Costigan, S. Sengupta, J. O'Connell, T. Manoharan, D. McNamara
Journal: Endoscopy (2024)

Aims Around 10% of subjects presenting with overt GI bleeding will have a small bowel source. While there are established algorithms for assessment and management of upper GI bleeding, including the use of validated clinical scores to triage and risk assess patients, the clinical assessment of those with suspected small bowel bleeding is less clear. As there is no means to identify small bowel bleeding as the source at presentation, most subjects will initially have a normal gastroscopy and possibly a colonoscopy prior to specific small bowel investigation and intervention. The impact on patients with small bowel bleeding of the current approach to overt bleeding assessment is unknown. We aimed to assess the clinical status of patients admitted with overt suspected small bowel bleeding over time.
Readmission rates following Double Balloon Enteroscopy in patients with small intestinal bleeding and factors associated with re-hospitalization
Authors: I. Stasinos, S. Gongaki, T. Voulgaris, S. Paraskevopoulou, E. Vlachou, C. Kalantzis, P. Tsibouris, P. Apostolopoulos
Journal: Endoscopy (2024)

Aims Double balloon enteroscopy (DBE) is a valuable diagnostic and therapeutic tool in the management of patients with small intestinal bleeding. Due to its invasive character its use is normally guided by the findings of Video Capsule Endoscopy (VCE). We aimed to assess the long-term efficacy of DBE as expressed by readmission rates and factors affecting it. [1]
A double-channel gastroscope (DCG) facilitates transgastric peritoneoscopy as salvage of Type I stent misdeployment (SMD-I) during EUS-guided gastroenterostomy (EUS-GE)
Authors: M. Cobreros del Caz, M. De Benito Sanz, A. Martinez-Ortega, R. Sánchez-Ocaña, C. De La Serna Higuera, M. Perez-Miranda
Journal: Endoscopy (2024)

Abstract Text Introduction: Overall SMD rate during EUS-GE is 10%. Case: Advanced stage-IV colo-rectal cancer resulting in gastric-outlet obstruction. SMD-I occurs during attempted EUS-GE. The misdeployed LAMS is used as internal trocar for passage of DCG from stomach into peritoneum. By injecting contrast+methylene-blue through previous oro-jejunal catheter, the target jejunum is identified by fluoroscopy at peritoneoscopy. A grasping forceps through DCG holds jejunum in place while needle-knife incision grants guidewire access for insertion of a bridging LAMS. Distal flange dislodgment of 2nd LAMS during gastric retraction is fixed by re-sheathing, re-deployment, and placement of a 3rd longer bridging stent. Comment: DCG stabilizes jejunum facilitating incision access at peritoneoscopy to fix SMD-I.
Endoscopic full-thickness resection of colorectal lesions: results of the largest Portuguese cohort
Authors: M. Pedro, J. Rodrigues, J. Correia, M. M. Estevinho, C. Costa, P. Ana, T. Freitas
Journal: Endoscopy (2024)

Aims To evaluate the efficacy and safety of EFTR for treating colorectal lesions in the biggest Portuguese registry.
Is balanced propofol sedation safe in elderly patients over 80 years of age undergoing ERCP?
Authors: E. Kim, J. H. Lee
Journal: Endoscopy (2024)

Aims Balanced propofol sedation is a commonly used method in endoscopic procedure . Endoscopic retrograde cholangiopancreatography (ERCP) requires deep sedation and the evidence for balanced propofol method in elderly patients undergoing ERCP is still insufficient. The aim of this study is to investigate the safety of balanced propofol sedation used in ERCP in patients over 80 years.