tbuckley/cabot-search huggingface dataset:
Outcomes in COVID-19 patients with acute cholangitis: a single-center retrospective analysis
Authors: D. Vuletici, B. Miutescu, I. Ratiu, T. Moga, B. Calin, F. Bende, A. Popescu
Journal: Endoscopy (2024)

Aims The aim of this study was to appraise the impact of COVID-19 infection on patients with acute cholangitis (AC), to compare the outcomes, complications and hospital stay in a tertiary Gastroenterology department.
A real-time comparative study of CADx and sizing devices for colorectal polyps during colonoscopy: A total solution to implement resect and discard strategy?
Authors: H. Htet, K. Siggens, G. Longcroft-Wheaton, H. Suthan, V. Popoola, L. Bombeo, S. Subramaniam, A. Alkandari, P. Bhandari
Journal: Endoscopy (2024)

Aims Despite resect and discard strategy being recommended by multiple GI societies, it has not been widely implemented. One of the major barriers has been the lack of available technology for accurately predicting polyp histology and size. The aim of this study was to compare two commercially available AI systems for prediction of polyp histology (CADx) and size.
A commentary on “Safety and feasibility of laparoscopic liver resection for patients with previous upper abdominal surgery: A systematic review and meta-analysis”
Authors: Xiaofei Chen, Jianrong Guo, Shejun Hu
Journal: International Journal of Surgery (2024)

Department of Anesthesiology, Li Huili Hospital Affiliated to Ningbo University, Zhejiang 315040, China Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article. Published online ■ ■ *Corresponding author. Address: Department of Anesthesiology, Shanghai Gongli Hospital, Naval Military Medical University, Shanghai 200135, China. E-mail address: [email protected] (J. Guo) This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0/
Cold EMR for large proximal colonic adenomas: a single center preliminary results
Authors: A. Repici, R. Maselli, A. Capogreco, D. Massimi, M. Fiacca, E. Mastrorocco, R. de Sire, L. Alfarone, A. Galtieri, A. Facciorusso, C. Hassan
Journal: Endoscopy (2024)

Aims Conventional endoscopic mucosal resection (C-EMR) is the standard of care for the treatment of large colorectal adenomas without submucosal invasive carcinoma (SMIC). However, the use of electrocautery during EMR poses inherent risks, including potentially perforation and bleeding, both intraprocedurally and delayed. In contrast, cold snare EMR (CS-EMR), avoiding the use of current, is currently the new trend in treating large colorectal serrated lesions as well as large sporadic non ampullary duodenal adenomas. This study aims to assess the feasibility, safety and efficacy of CS-EMR of proximal large (>20 mm) colorectal adenomas.
Long-term outcomes of intraoperative chemotherapy with 5-FU for colorectal cancer patients receiving curative resection (IOCCRC): a randomized, multicenter, prospective, phase III trial
Authors: Rong-xin Zhang, Xiao-jun Wu, De-sen Wan, Jun-zhong Lin, Pei-rong Ding, Le-en Liao, Jian Lei, Zhen-hai Lu, Li-ren Li, Gong Chen, Ling-heng Kong, Fu-long Wang, Jian Zhang, Wen-hua Fan, Wu Jiang, Wen-hao Zhou, Cong Li, Yuan Li, Xue-ying Li, Jian-hong Peng, Zhi-zhong Pan
Journal: International Journal of Surgery (2024)

We aimed to compare combined intraoperative chemotherapy and surgical resection with curative surgical resection alone in colorectal cancer patients.
10-year experience of 4% formalin endoscopic instillation for the treatment of chronic radiation proctopathy
Authors: A. Vella Baldacchino, K. Mushtaq, P. Boger, P. Patel, I. Rahman
Journal: Endoscopy (2024)

Aims Chronic rectal proctopathy (CRP) complicates pelvic radiotherapy in 2-20% of cases, and can result in significant morbidity, with rectal bleeding and iron deficiency anaemia. Topical application of formalin can induce coagulative necrosis, and endoscopic instillation of formalin for the treatment of patients with CRP has been described. However, the evidence for formalin instillation has so far been limited to small case series with heterogenous protocols of application. The aim of this study was to assess the efficacy and safety of endoscopic formalin instillation for CRP in a large tertiary centre.
Endoscopic Ultrasound-Guided Radiofrequency (EUS-RFA) and Ethanol Ablation (EUS-EA) of Pancreatic Neuroendocrine Tumors and Adenocarcinoma: A Prospective Multicenter Study
Authors: H. H. Okasha, A. Altonbary, M. akram, K. Ragab, E. Ghoneem, T. A. Mohammed, A. Abdellatef, M. Sherif Naguib, Z. Hassan, B. Miutescu, E. Gadour
Journal: Endoscopy (2024)

Aims EUS-RFA and EUS-EA are emerging novel methods for managing non-functioning and functioning pNET and adenocarcinoma in the pancreas. We aim to assess the safety profile, feasibility, and outcomes of EUS-RFA and EUS-EA of focal pancreatic masses.
Cholecystoscopy for clip-closure of the gallbladder wall during elective internalization of percutaneous cholecystostomy (PC)
Authors: M. Moreta, M. De Benito Sanz, M. Cobreros del Caz, R. Sánchez-Ocaña, C. De La Serna Higuera, M. Perez-Miranda
Journal: Endoscopy (2024)

Abstract Text Introduction: Nonsurgical patients with acute cholecystitis are often drained initially with PC, then internalized electively. Case: EUS-GBD for internalization of PC is performed in a comorbid patient with gallstone cholecystitis before discharge, 10-days after admission. Following injection through the PC catheter and EUS imaging of the gallbladder from the bulb, freehand insertion of LAMS is performed for cholecyst-duodenostomy. An upper endoscope passed into the gallbladder through the LAMS. The PC catheter is removed under cholecystoscopy, leaving a guidewire in place. The orifice is clipped and cholecystography confirms proper sealing. Patient recovers uneventfully and is discharged. Comment: Clip closure of PC orifices by cholecystoscopy saves the need to wait for track maturation.
Post-transplant pinhole biliary anastomotic strictures
Authors: L. Lawrence, G. G. Cirota, P. Jonathan, K. Beverly
Journal: Endoscopy (2024)

Aims Post-liver transplant biliary anastamotic strictures (BAS) account for the majority of biliary complications post-liver transplant (post-LT). Risk factors for the development of BAS include living related grafts, split liver grafts, vascular and preservation issues, amongst others. ERCP with placement of either metal or multiple plastic stents is the conventional treatment of choice. Traversing the BAS with a wire is only infrequently problematic, and if conventional 0.035 hydrophilic wires are unable to pass, success is usually attained with slimmer or alternative wires. Here we describe our experience of pinhole BAS developing in liver transplant recipients, requiring the use of peroral cholangioscopy to guide wire placement.
Endoscopic “unroofing” of an intestinal lipoma
Authors: C. Giuseppe, M. F. Chiappetta, T. Schepis, L. E. Del Vecchio, G. Costamagna, S. Cristiano, F. Barbaro
Journal: Endoscopy (2024)

Abstract Text A 63-year-old woman with frequent episodes of sub-occlusions underwent a colonoscopy. A pedunculated polyp was found in the distal ileum near the ileocaecal valve. An MRI confirmed an adipose formation (3.5x2cm) as likely lipoma. To remove this lesion, a procedural colonoscopy was performed; After placement of an endoloop on the base of the pedicle, an "unroofing" of the upper third of the head of the lesion was obtained with a mucosal incision on 3/4 of the circumference. Subsequently, partial resection was practiced with a diathermic loop on the extrusion lipoma. No complications were observed; The patient's symptoms resolved; Complete disappearance of the lesion at subsequent endoscopic follow-up. Given the site and size of the lipoma, endoscopic "unroofing" could be a viable approach under challenging cases of complete extraction.
Non granular and granular mixed Laterally Spreading Tumor: where submucosal invasion lies beneath
Authors: G. Corrà, M. Bucci, A. Gubbiotti, F. Pelizzaro, L. Peraro, D. Caroli, E. Guido, E. Rosa Rizzotto
Journal: Endoscopy (2024)

Aims Current guidelines suggest that colorectal laterally spreading tumors (LSTs) with stigmata of superficial submucosal invasion (SMI) should be treated with en bloc endoscopic submucosal dissection (ESD). Since prediction of SMI risk is still challenging, in this study we evaluated which endoscopic features associated with presence of SMI in LSTs.
Effectiveness and safety of Electrohydraulic Lithotripsy guided by Spyglass-DS in the treatment of difficult common bile duct stones
Authors: N. Salazar Parada, P. Hernán Ocaña, J. Rodriguez Sánchez-Migallón, G.J. C. Marín, I. Romero Sanchez Miguel, M. Lopez Cerón Pinilla, A. Del Pozo García, F. Sánchez Gómez, J. B. Díaz Tasende
Journal: Endoscopy (2024)

Aims Most biliary stones can be treated with ERCP using conventional techniques, with a failure rate of up to 5%. For those stones that are difficult to manage, electrohydraulic lithotripsy (EHL) guided by SpyGlass-DS has emerged as an effective technique with a similar complication rate. However, data on efficacy and safety remain limited in our setting.
Efficiency and safety of self-expandible metallic stent (SEMS) placement in Crohn’s disease strictures
Authors: M. Lukas, M. Kolar, M. Lukas
Journal: Endoscopy (2024)

Aims Stricture formation is a common complication in Crohn's disease (CD) in both primary and anastomotic localizations and is a cause of significant morbidity and surgery. Endoscopic balloon dilation (EBD) is an established modality for non-surgical treatment of longer strictures limited by temporary effect and risk of complications, therefore new endoscopic modalities are needed.
Deep Learning in Coeliac Disease: A Systematic Review on Novel Diagnostic approaches to disease diagnosis
Authors: K. Sharif, Y. Patt, Y. Sharif, E. Klang, A. Lahat
Journal: Endoscopy (2024)

Aims This systematic review aimed to evaluate the current state of deep learning applications in coeliac disease diagnosis and identify potential areas for future research that could enhance diagnostic accuracy, sensitivity, and specificity.
Circumferential Endoscopic Submucosal Dissection (CESD) for early squamous neoplasia with advanced energy platform: description of the first five cases performed in a Western setting
Authors: P. B. Adolfo, E. Albéniz, S. Vosko, Z. Tsiamoulos, J. Ortiz Fernández-Sordo, G. Moral Villarejo, M. Fraile-Lopez, M. A. Alvarez, P. Kaye
Journal: Endoscopy (2024)

Aims Circumferential endoscopic submucosal dissection (CESD) in the oesophagus is technically challenging. Stenosis happens in>80% of the cases of circumferential or almost circumferential ESD. Speedboat is an advanced bipolar energy knife that has been used for ESD in the colorectum and for third-space endoscopy, which incorporates bipolar energy for dissection, a microwave for the treatment of vessels, and an injection needle. No reports of CESD performed with Speedboat Slim (SS) exist.
Deep Learning and Gastric Cancer: Systematic Review of AI-assisted Endoscopy
Authors: E. Klang, A. Sourosh, G. N. Nadkarni, K. Sharif, A. Lahat
Journal: Endoscopy (2024)

Aims Deep learning (DL) has shown potential to improve and standardize early GC detection. This systematic review aims to evaluate the current status of DL in pre-malignant, early stage and gastric neoplasia analysis
Vacuum-assisted Therapy with VACStent for the treatment of simultaneous leaks in the blind jejunum end and jejunum after a total gastrectomy
Authors: P. Ewald, K. Meurer, C. Steinfort, W. Uhl, C. Torres Reyes, C. Zeidler, A. Koch, W. Schmidt, O. Cahyadi
Journal: Endoscopy (2024)

Abstract Text A 58-year-old male underwent total gastrectomy for gastric cancer at an external institution and was referred to our center due to a severe post-operative bleeding from a splenic artery pseudoaneurysm. Subsequent upper GI study revealed two simultaneous leaks – one approx. 15 mm at the blind end of the esophagojejunostomy and another approx. 20 mm jejunal leak 2 cm distal of the blind loop. A surgical revision was deemed not appropriate and an endoscopic vacuum therapy was started. Despite four weeks of EsoSponge therapy, the leaks persisted. Thus the decision was made to utilize VACStent. After four weeks of therapy with regular stent exchange every five to seven days, no further sign of leakage was seen in a follow-up CT study. This case demonstrates the efficacy of VACStent in managing two simultaneous leaks following gastrectomy. [1] [2]
Endoscopic vacuum therapy for the management of gastro-esophageal perforations
Authors: R. Valente, T. Irino, U. Arnelo
Journal: Endoscopy (2024)

Aims Esophageal or gastric perforation is associated with systemic inflammatory response syndrome (SIRS), which can lead to multi-organ dysfunction and mortality in up to 50% of cases. Endoscopic vacuum therapy involves the use of a catheter with a sponge attached to its distal end, connected to a machine that applies negative pressure, allowing for continuous drainage of the perforation site and potentially promoting healing of the transmural defect. Previous series have reported promising results, indicating the potential effectiveness of this therapy in managing esophageal perforations. To evaluate the efficacy of endoscopic vacuum treatment in patients with primary or secondary gastroesophageal perforations.
Clinical outcome from endoscopic resection of early oesophagogastric cancer at a tertiary referral centre in the UK
Authors: A. Pervez, G. Bouras, S. Rajkumar, M. Vanveelen, H. Nasr, S. Soans
Journal: Endoscopy (2024)

Aims We reviewed the technical and oncological outcome from endoscopic resection of suspected early oesophagogastric cancer at the University Hospitals of North Midlands.
Can green endoscopy be implemented in Romania? – Results of a single-center survey
Authors: S. Chiriac, C. Sfarti, S. Zenovia, H. Minea, R. Nastasa, A. Rotaru, R. Stafie, T. Cuciureanu, I. Girleanu, A. M. Singeap, E. Stratina, L. Huiban, C. Muzica, O. Petrea, C. Stanciu, A. Trifan
Journal: Endoscopy (2024)

Aims Climate change and its impact on the environment are matters of high concern. Thus, we aimed to assess the real-life perception of the European recommendations for environmental sustainability in endoscopy in a tertiary-care center in Romania.
ERIC, new virtual assistant for colonscopy: a pilot study
Authors: S. Pecere, L. E. Del Vecchio, F. Barbaro, L. G. Papparella, L. Petruzziello, C. Spada
Journal: Endoscopy (2024)

Aims A successful colonoscopy requires ideal stool preparation, yet the percentage of insufficient bowel preparation is still very high. Frequently, the patients use website information on colonoscopy preparation [1]. Conversely, the daily activity of the hospital staff consists of spending time with patients, communicating with them and giving answers to a high number of questions coming from patients regarding the preparation for the procedure or the exam itself. Hence, the idea to adopt a rapid and intuitive patient-oriented digital service to respond to their needs, the virtual assistant Eric.
Over-the-wire Lumen-Apposing Metal Stent for the Management of a Chronic Fistula After One-Anastomosis Gastric Bypass
Authors: L. Gualtieri, I. Boskoski, M. V. Matteo, G. Carlino, V. Pontecorvi, M. De Siena, C. Spada, V. Bove
Journal: Endoscopy (2024)

Abstract Text A 52-year-old female patient with chronic fistula after One-Anastomosis Gastric Bypass, had first come to our attention in July 2022, 4 months after surgery complicated by pouch staple line leakage, treated with esophagogastric self-expandable metal stent, which was then removed for migration. CT scan with Gastrografin and gastroscopy showed the fistula with leakage into the peritoneal cavity between the gastric pouch and the remnant. A Lumen-Apposing Metal Stent (LAMS-15x10mm Hot Axios Boston Scientific) was placed to close the via between the two structures. CT scan with Gastrografin showed complete closure of the fistula. Patient was discharged the day after the procedure. The LAMS was removed after one month and by January 2023 gastro-gastric fistula was not sutured as it was not clinically significant.
Gastrointestinal endoscopy training on human cadavers prepared with novel anatomical technique
Authors: L. J. Barkai, A. Ilias, B. Erőss, G. Baksa, T. Ruttkay, I. Hritz
Journal: Endoscopy (2024)

Abstract Text Gastrointestinal (GI) endoscopy training involves several years of practise starting with mechanical and virtual reality devices, and animal-based models. Though human cadaver-based models could mean a more realistic experience, their quality and reproducibility have limited their importance. A new generation soft embalming preparation technique allowed us to preserve the cadavers and their GI tract in a superior quality compared to previous techniques. The tract remained similar to the one in a living individual. Later these models can be reused. The video shows the testing process of the diagnostic upper and lower GI endoscopy of the cadavers. We arranged a hands-on course for 7 gastroenterology trainees who felt their endoscopy skills greatly improved during the 2x3 hours session. Our new human cadaver-based endoscopy model may play a role in future GI endoscopy training.
Efficacy and safety of Endoscopic ultrasound-guided hepaticogastrostomy for biliary obstruction: A comprehensive systematic review, meta-analysis and meta-regression
Authors: J. Dhar, N. Kumar, A. Chhoda, M. Aggarwal, Z. Nabi, S. Lakhtakia, S. F. Crinò, A. Facciorusso, J. Samanta
Journal: Endoscopy (2024)

Aims Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) has emerged as an alternative method of biliary drainage in patients presenting with biliary obstruction (BO). This meta-analysis with meta-regression comprehensively aimed to study success, efficacy and safety of EUS-HGS.
Trainees can identify pathologically confirmed extensive gastric atrophy and intestinal metaplasia at endoscopy
Authors: A. M. Voiosu, A. V. Dragan, T. I. Amza, M. Birligea, A. Bengus, T. Voiosu, R. B. Mateescu, C. Popp, M. Dinis-Ribeiro
Journal: Endoscopy (2024)

Aims We aimed to assess the capacity of trainees with minimal NBI experience to classify gastric atrophy and intestinal metaplasia (IM) during routine upper gastrointestinal endoscopies performed with HD scopes.
The cap assisted resection margin assessment (CARMA) technique – a prospective multicentre trial of a novel standardised approach to reduce colonic post-polypectomy recurrence risk
Authors: A. Huelsen, P. Selvanathan, T. D. Willis, C. Cooper, J. Borowsky, S. Rajendran Pillai, Z. Hamarneh
Journal: Endoscopy (2024)

Aims There is a significant heterogeneity in incomplete polyp resection rates (>threefold) between endoscopists. Unrecognised polyp residual during endoscopic mucosal resection (EMR) especially at the resection margin appears to be the main cause resulting in high recurrence rates and interval cancer risk. We developed and aimed to test a standardised technique to address this problem.
Review and comparison of EMR/ESD techniques in the rectum
Authors: A. Pappa, K. Argyriou, A. Manolakis, A. Kapsoritakis
Journal: Endoscopy (2024)

Aims Review and comparison of the management of complex polyps in the rectum, with advanced endoscopic techniques such as EMR and ESD, which lead to reduced morbidity, mortality, reducing the need for surgery.
Endoscopy in Pregnancy: Is it safe ?
Authors: F. E. Aharbil, M. Jarti, O. Nacir, F. E. Lairani, A. Ait Errami, S. Oubaha, Z. Samlani, K. Krati
Journal: Endoscopy (2024)

Aims Gastrointestinal endoscopy has a major diagnostic and therapeutic role in most gastrointestinal disorders. The safety and efficacy of GI endoscopy in pregnant patients is not well-studied. The aim of our study is to evaluate the safety of endoscopic procedures in pregnant patients along with maternal and fetal outcomes.
Underwater colonoscopy with endoscopic mucosal resection in cecum
Authors: A. Steshenko, E. Didenko
Journal: Endoscopy (2024)

Aims Underwater endoscopic mucosal resection (UEMR) is a technique for the removal of colorectal nonpedunculated lesions. The our study aim is to compare the efficacy and safety of UEMR versus conventional endoscopic mucosal resection in patients with cecal lesions.
Salvage circumferential anal-rectal ESD for recurrent adenoma
Authors: G. Mavrogenis
Journal: Endoscopy (2024)

Abstract Text A 72-year-old lady was admitted for the management of residual adenoma in the rectum and anus, involving the entire circumference. Due to the presence of scar tissue we planned an agressive circumferential resection under general anesthesia. Two tunnels were created with clip and band countertraction. In areas with extensive fibrosis, intramuscular dissection was applied. Focally, full thickness resection was performed without closure of the wall defect. After 2.5 hour of copious dissection the resection was completed. The patient recieved antibiotics for 1 week and local enemas of budesonide were prescribed. Preventive dilations at 18 mm were performed at 2 and 4 weeks. Self dilations with at 15 mm were recommended in the long term. At 6 months of follow up the patient is doing fine, with mild asymptomatic anal stenosis, without local recurrence of adenomatous tissue.
Combined percutaneous-endoscopic post-hepatectomy bile-duct reconnection using a biloma as a meeting point
Authors: S. J. Fernández Prada, M. Moreta, M. Cobreros del Caz, R. Sánchez-Ocaña, C. De La Serna Higuera, M. Perez-Miranda
Journal: Endoscopy (2024)

Abstract Text Introduction: Interventional reconnection of severe bile-duct injury may avoid complex surgical revisions.Case: High-output bile leakage after left hepatectomy followed by percutaneous drainage of biloma. EUS-guided transgastric biloma drainage with LAMS and fully covered metal stent at 1st endoscopic session. At revision ERCP, complete disconnection is confirmed. PTC is performed for rendezvous before 3rd session. A cholangioscope is passed into the biloma, and guidewires passed through the percutaneous catheters (biloma and segment VI) are retrieved. An Amsterdam 8.5F stent is placed across the biloma into segment VI. Pigtail stents placed though LAMS. Output stops.Comment: Synergistic use of PTBD, EUS and ERCP with cholangioscopy reconnected the duct.
Management of early esophageal cancer – a register-based study in Sweden
Authors: P. Elbe, H. Maltzman, M. Omae, F. Klevebro, M. Lindblad
Journal: Endoscopy (2024)

Aims Surgical resection has been the standard treatment for curable esophageal cancer. Endoscopic treatment has gradually emerged as an alternative for early esophageal cancer. This study aimed to investigate how early esophageal cancer has been treated in Sweden and what the outcome has been.
Additional adjuvant radiotherapy and/or chemotherapy following endoscopic resection for infiltrative T1b-SM2,3/T2 rectal cancer: A retrospective cohort study
Authors: G. Tribonias, A. Papaefthymiou, M. Zachou, S. Seewald, F. Barbaro, M. F. Chiappetta, M. Kahaleh, S. Elkholy, M. El-Sherbiny, H. Hagag, K. Essam, G. Tziatzios, G. Paspatis, G. Mavrogenis
Journal: Endoscopy (2024)

Aims Endoscopic submucosal dissection (ESD) constitutes the standard of care for local excision and staging of early rectal cancer. Patients with deep submucosal invasion into the mid-lower third of the submucosa (pT1b-SM2,3) or the muscle layer (pT2), are currently diagnosed with a non-curative resection and additional surgery protrudes as the most suitable approach according to the present guidelines. This study aimed to evaluate the efficacy of adjuvant radiotherapy and/or chemotherapy following endoscopic resection for reducing recurrence after local resection in patients diagnosed with deeply infiltrative rectal polyps unwilling or unsuitable for additional surgical resection.