tbuckley/cabot-search huggingface dataset:
Use of Artificial Intelligence to assess the quality of cleanliness of esophagogastroduodenoscopy
Authors: I. Luzko Scheid, H. Cordova, N. De La Fuente, L. Moreira Ruiz, S. Carballal Ramil, L. Rivero Sánchez, J. Jiménez, F. Martín, J. Bernal Del Nozal, M. G. Fernández-Esparrach
Journal: Endoscopy (2024)

Aims A detailed examination in optimal conditions during upper gastrointestinal endoscopy is essential to identify premalignant lesions and early-stage neoplasms. Currently, there are no validated scales to evaluate the cleanliness during esophagogastroduodenoscopy. The objective of this study was to evaluate the potential of Artificial Intelligence (AI) to automatically determine the quality of cleanliness during esophagogastroduodenoscopy
Closure of rectal Exposed Endoscopic Full-Thickness Resection (E-EFTR) defect using a novel technique: Clip &amp; Line &amp; Cinch
Authors: M. Spandre, F. Frigo, G. Testa, D. Arese, A. Garripoli, G. Giudici, M. A. La Terra, N. Sapone, F. Coppola
Journal: Endoscopy (2024)

Abstract Text In this video, we present a novel suturing technique used to close a large rectal wall defect following an exposed endoscopic full-thickness resection of a non-granular 15 mm lateral spreading tumor (LST) in the lower rectum, with suspicion of deep submucosal invasion. The wall defect was closed by grasping the distal eschar's margin with a clip tied with a suture thread, tensioned, and attached alternately to the margins of the defect with additional clips. Finally, the suture was secured with an Overstitch Suture Cinch (Apollo Endosurgery, Austin, Texas). The remaining defect was closed using clips. After one month of follow-up, no adverse events were reported, and the eschar healed completely.
Topflight Endoscopic Submucosal Dissection: a novel technique for the resection of gastric fundus tumors
Authors: F. Baldaque-Silva, J. P. Pereira, P. Antunes, H. Maltzman, V. Miroslav, W. Naining, M. Omae
Journal: Endoscopy (2024)

Abstract Text Recently, we described a new ESD technique, the "topflight ESD", that enables the resection of large lesions in the fundus, without the need for special instruments or devices. With this technique a tunnel is created from the distal esophagus and all the fundus submucosa is dissected through the tunnel. Herein, we describe 2 cases of fundus tumors resected with this technique. A patient had a 6 cm lesion in the fundus(Paris 0-IIa+b). The specimen was 75x50mm in size. The pathology revealed a mixed type, moderately differentiated adenocarcinoma SM2L0V0R0, pT1b. The other case had a 4 cm lesion in the gastric fundus(Paris 0-IIa+b). The specimen was 70x58mm in size. The pathology revealed a tubular type, poorly differentiated adenocarcinoma SM3L0V0R0, pT1b. Both patients were discharged asymptomatic on the following day. This technique might be considered as a option in such cases in the future. [1]
ESD vs EFTR in small pT1 lesions’ resection, a cost-effectiveness analysis
Authors: A. Gubbiotti, G. Corrà, M. Bucci, L. Peraro, D. Caroli, E. Guido, E. Rosa Rizzotto
Journal: Endoscopy (2024)

Aims Endoscopic submucosal dissection (ESD) and Endoscopic Full-thickness Resection (EFTR) represent treatments of choice in the endoscopic resection of small gastrointestinal (GI) lesions with superficial submucosal invasion. It is often challenging to assess the best curative option in daily practice, since ESD is thought to be more technical demanding, and requires a longer learning curve.
Is Hospital Admission Essential? Evaluation of Immediate Postoperative Care and Adverse Events Following Endoscopic Peroral Myotomy (POEM) for achalasia
Authors: H. Uchima, A. Calm, R. Muñoz-González, S. Dall'oglio, A. Avella, I. Iborra, E. Domènech, V. Moreno De Vega, I. Marin
Journal: Endoscopy (2024)

Aims Our aim is to calculate the rate of patients from our cohort who could be discharged early after POEM (without hospital admission) and determine the rate of readmission by identifying the occurrence of early and delayed adverse events (AE) that require in-hospital management.
Diagnostic acuity of cholangioscopy in the evalution of indeterminate biliary strictures
Authors: H. Coelho, F. Pereira Correia, G. Alexandrino, M. Cardoso, L. Carvalho Lourenço, D. Horta, J. Canena
Journal: Endoscopy (2024)

Aims We sought to determine the diagnostic value of cholangioscopy in the distinction between begnin and malignant etiologies of biliary strictures. As a primay outcome we established the sensitivity and specificity of the optic diagnostic and biopsies directed through cholangioscopy in diagnosing malignant etiologies. As the secondary outcome we defined the ocurrence of complications related to the procedure.
Clarifying approach to carbon footprint analysis in GI endoscopy – Comparison of an open access approach to professional analysis software
Authors: M. García-Castellanos, V. Lorenzo-Zúñiga, S. Gayam, R. Martín-Cabezuelo, K. A. Smolen, G. Vilariño-Ferrer, P. López-Muñoz, N. Ayer, I. Tort-Ausina, A. Vidaurre-Garayo, A. Campillo, V. Pons-Beltrán, H. Pohl
Journal: Endoscopy (2024)

Aims Carbon footprint analysis using life cycle assessment (LCA) has become more frequent in GI endoscopy. Various methods are available. To compare carbon emissions obtained through open access databases with an approach using professional software.
Endoscopic ultrasound-guided liver biopsy: a safe and effective procedure. Comparative study with a retrospective cohort of patients who underwent percutaneous liver biopsy
Authors: V. Marquina, X. Andújar, I. Salvador, P. Ruiz- Ramírez, A. Raga, C. A. Martin, D. Horta, C. González, M. Esteve, C. Loras
Journal: Endoscopy (2024)

Aims Percutaneous liver biopsy (PLB) has been considered as the main technique for liver diseases anatomopathological diagnosis. Endoscopic ultrasound-guided liver biopsy (EUS-LB) has been reported as an alternative diagnostic method. The aim of our study is to compare the diagnostic yield and safety of EUS-LB vs. PLB.
Evaluation of GPT-4 for common questions regarding anti-obesity medications. A comparative analysis
Authors: M. Aggarwal, S. Dilmaghani, R. Tariq, A. Acosta
Journal: Endoscopy (2024)

Aims Large language models (LLM) such as GPT-4 are being increasingly used to answer common medical questions. The accuracy and understandability of responses generated by LLMs as it relates to anti-obesity medications (AOMs) is unknown. This study evaluated GPT-4 generated responses to common AOM related questions and compared these to Food and Drug Administration (FDA) patient information sheet.
Treatment of Postsphincterotomy Bleeding With a Novel Self-assembling Peptide Hemostatic Gel
Authors: P. Hrabak, R. Bruha, J. Petrtyl, L. Stepanek
Journal: Endoscopy (2024)

Aims Bleeding following endoscopic sphincterotomy (ES) is among the most common complications of endoscopic retrograde cholangiopancreatography (ERCP). Significant bleeding manifested by melena or hematochezia occurs in 2-5% of procedures. Common endoscopic hemostatic methods include injection of diluted adrenaline, application of hemoclips, and coagulation techniques. Our objective was to assess the safety and efficacy of the a novel self-assembling peptide hemostatic gel in the treatment of acute and delayed bleeding after endoscopic sphincterotomy or precut.
Predictors of inadequate bowel preparation for colonoscopy: Study of the Last Bowel Movement Appearance, Body Mass Index and Diabetes
Authors: R. Saidani, D. Cherif, H. Debbabi, H. Yacoub, H. Hassine, H. Kchir, M. Nadia
Journal: Endoscopy (2024)

Aims This study aims to investigate the interplay between body mass index (BMI), diabetes mellitus, characteristics of the last bowel movement before colonoscopy, and the quality of colonic preparation assessed using the Boston Bowel Preparation Scale (BBPS).
Cold snare polypectomy in the management of duodenal adenoma in familial adenomatous polyposis
Authors: F. Cavalcoli, A. Magarotto, E. Rausa, R. Rosa, E. Borsotti, F. Benedicenti, A. Mancini, S. Lauricella, M. Vitellaro, P. Cantù
Journal: Endoscopy (2024)

Aims Duodenal adenomas are frequent manifestations in individuals affected by familial adenomatous polyposis (FAP), being present in 30–90% of FAP patients. Due to the specific risk of neoplastic transformation associated with duodenal adenomas, careful surveillance and management are essential. The Spigelman index (SI) score system, introduced in 1989, is utilized to predict the risk of duodenal cancer in FAP patients. Patients with a Spigelman score of IV face a higher risk of duodenal cancer and are advised to undergo pancreaticoduodenectomy. Endoscopic resection of duodenal adenoma can prevent the occurrence of duodenal cancer and recently the use of cold snare polypectomy has been proposed for the prevention of advanced duodenal lesions.
Impact of sedation on post colonoscopy colorectal cancer (PCCRC) deaths
Authors: D. Penz, J. Zessner-Spitzenberg, E. Waldmann, L. M. Rockenbauer, M. Trauner, M. Ferlitsch
Journal: Endoscopy (2024)

Aims Use of sedation is associated with a positive effect on endoscopists ADR and a higher proportion of colonoscopies with a withdrawal time>10min. However, the impact of sedation on the risk of post colonoscopy colorectal cancer (PCCRC) remains unclear.
Ergonomic analysis of functional colonoscopy simulations using inertial sensors
Authors: A. Rodriguez-D’jesús, M. Caeiro Rodriguez, F. A. Mikic-Fonte, A. Lugilde-López, M. Ayude Galego, M. M. Rodríguez González, A. Iglesias Doallo, D. Nogueira Senties, L. De Castro Parga, A. Martinez Turnes, J. I. Rodríguez Prada
Journal: Endoscopy (2024)

Aims Suboptimal ergonomics during colonoscopy procedures can lead to significant physical discomfort and fatigue for the endoscopist. The purpose of this study is to objectively analyze the ergonomic positions of endoscopists when performing colonoscopy procedures using a simulator and to assess the risk of potential injuries.
A Search Strategy for Detecting Duodenoscope-Associated Infections: A Retrospective Observational Study
Authors: K. van der Ploeg, C.H. W. Klaassen, M. C. Vos, J. A. Severin, B.C.G. C. Mason-Slingerland, M. J. Bruno
Journal: Endoscopy (2024)

Aims Duodenoscope-associated infections (DAI) are exogenous infections resulting from the use of contaminated duodenoscopes [1]. While numerous outbreaks of DAI involved multidrug-resistant microorganisms (MDRO), outbreaks involving non-MDRO are also likely to occur [2]. Detection is hindered because infections are resolved before being cultured or causative strains are not stored for later comparison with strains from contaminated duodenoscopes. This retrospective observational study aims to identify and analyze DAIs that occurred over a seven-year period.
Digital Single-Operator Pancreatoscopy Guided Laser Lithotripsy of Symptomatic Pancreatic Ductal Stones: A Single Centre Care Experience
Authors: R. Chavan, R. Solanki, M. Patel, C. Gandhi, S. Rajput
Journal: Endoscopy (2024)

Aims Chronic calcific pancreatitis (CCP) is common cause of chronic abdominal pain. Pancreatic endotherapy is effective modality for symptomatic main pancreatic duct (MPD) calculi. Large MPD calculi (≥5 mm) may require additional therapy including extra-corporeal shock wave lithotripsy (ESWL), mechanical, laser or electrohydraulic lithotripsy (EHL). Few studies have reported effectivity of digital single operator pancreatoscopy (DSOP) guided EHL for MPD calculi. In this study, we aimed to evaluate the efficacy and safety of DSOP guided laser lithotripsy for symptomatic MPD calculi.
Comparison of the sequence between endoscopic examinations (gastroscopy and colonoscopy) both performed in a single procedure
Authors: E. Moya-Valverde, M. Rivero-Fernández, A. García-Romero, A. Díaz-Sánchez, R. Manzano-Fernández, A. I. González-Tallón, J. A. Núñez-Otero, S. García-Mulas, L. Diéguez-Montes, M. Muñiz-Muñoz
Journal: Endoscopy (2024)

Aims Gastroscopy and colonoscopy are digestive explorations that may be indicated to be performed in the same session.
Pancreatoscopy for the diagnosis of main duct IPMN: a case series (with video)
Authors: M. Sacco, E. Dall'Amico, M. T. Staiano, C. Canalis, S. Dibitetto, A. Mauriello, F. Fimiano, A. Caneglias, S. Caronna, C. De Angelis
Journal: Endoscopy (2024)

Abstract Text We present three cases of main pancreatic duct (MPD) IPMN successfully diagnosed with single-operator pancreatoscopy (SOP). Patients (two male, one female; mean age 66 years) were referred for dilated MPDs (mean diameter 12 mm) at cross sectional imaging; SOP demonstrated typical features of IPMN (thick mucus in the duct, villous projections and mural nodules) and permitted tissue acquisition with microforceps biopsies (Spybite, Boston Scientific, US), confirming the presumed diagnosis allowing an appropriate treatment. Procedures were uneventful and patients were all discharged the day after the procedure [1].
Evolution of hepatic stiffness and steatosis in an obese cohort underwent Endoscopic Sleeve Gastroplasty
Authors: G. Carlino, M. V. Matteo, A. Liguori, V. Pontecorvi, M. De Siena, L. Gualtieri, P. Mascagni, G. Giannetti, C. Massari, N. Antonini, C. Chiarini, S. Varca, T. Fabrizio, G. Palumbo, L. Miele, V. Bove, C. Spada, I. Boskoski
Journal: Endoscopy (2024)

Aims Obesity is a multifactorial, chronic, and relapsing disease that by 2030 could potentially affect one in four Italian adults. Among the obesity-related diseases, metabolic dysfunction-associated steatotic liver disease (MASLD) is becoming one of the leading causes of cirrhosis. Waiting for new therapies, weight loss is still the most effective treatment to prevent the evolution of MAFLD. Endoscopic sleeve Gastroplasty (ESG), ensuring adequate weight loss and being potentially repeatable, may represent an effective therapy for MAFLD. Few studies have assessed the impact of ESG on liver elastography assessment.
Safety and efficacy of Muscular-Tunneling Peroral Endoscopic Septotomy (MT-POES) for the treatment of Zenker’s diverticulum
Authors: M. Spandre, G. Testa, F. Frigo, M. Roma, A. Garripoli, G. Giudici, M. A. La Terra, N. Sapone, F. Coppola, D. Arese
Journal: Endoscopy (2024)

Aims This observational study aims to evaluate the technical success, clinical efficacy, and safety of a Peroral Endoscopic Septotomy (POES) variant, named Muscular Tunnelling Peroral Endoscopic Septotomy (MT-POES), for the treatment of Zenker's diverticulum (ZD).
Acute upper gastrointestinal bleeding in the UK: patient characteristics, diagnoses, and outcomes in the 2022 prospective audit of 5000 patients
Authors: G. Nigam, P. Davies, P. Dhiman, L. Estcourt, J. Grant-Casey, E. Ratcliffe, B. Kumar, R. Uberoi, K. Oakland, J. A. Leithead, S. Hearnshaw, V. Jairath, M. F. Murphy, S. Travis, A. Stanley, A. Douds
Journal: Endoscopy (2024)

Aims With the evolving landscape of acute upper GI bleeding (AUGIB) management, a comprehensive understanding of changing clinical outcomes becomes imperative. This report presents findings from the 2022 UK-wide multi-centre AUGIB audit, drawing comparisons to the previous 2007 study. [1]
Saline-immersion therapeutic endoscopy for endoscopic submucosal dissection of fibrosed lesion: results from a single centre retrospective study
Authors: A. Rimondi, A. Murino, L. Lucaciu, N. Lazaridis, E. Despott
Journal: Endoscopy (2024)

Aims Fibrosis is a crucial factor to consider when performing endoscopic submucosal dissection (ESD) in the colorectum. The degree of fibrosis has been associated with longer procedure time, failed en-bloc resection, lower R0 (~ 80% for F1 fibrosis; ~ 30-50% for F2 fibrosis), lower curative rates and higher risk of adverse events [1] [2] [3] [4] [5] [6]. Fibrosis poses a challenge even to the most experienced endoscopists [1]. In this context, saline-immersion therapeutic endoscopy (SITE) could offer a safer and more effective profile, joining its other advantages of improved visibility, intrinsic magnification, buoyancy (traction effect) and heat sink effect [7]. We describe our centre's experience on the efficacy and safety of SITE pocket creation method ESD (SITE-PCM-ESD) for fibrosed lesions.
Nurses role in performing cholangioscopy and laser lithotripsy
Authors: I. Sambol
Journal: Endoscopy (2024)

Cholangioscopy is a procedure for diagnosing and treating problems within the biliary tract. Cholangioscopy is used to identify and resolve: obstruction of the biliary ducts and pancreatic ducts such as large gallstones that are difficult to remove, pancreatic duct stones spot a cancer in the ducts and collect tissue samples (biopsies)
Endoscopic full thickness resection using “Full thickness resection device”- review of literature and retrospective analysis of our data
Authors: R. Ujakovic, B. Rosić Despalatovic, Z. Ardalic, I. Mijic
Journal: Endoscopy (2024)

Aims The aim of this study is to present a case series of our, single centre, experience with this resection technique and compare it to published data.
Impact of reduction of energy consumption in endoscopy units – a multicenter study
Authors: A. Fichtl, K. Hamesch, D. Wichmann, M. Wagner, T. Seufferlein, B. Walter
Journal: Endoscopy (2024)

Aims Endoscopy is among the top three sources of CO2 emissions in hospitals. While it is difficult for users to influence the CO2 emissions of consumer goods, power consumption is a significant in-house factor, which can be directly addressed. The goal of the study was to measure power consumption during endoscopic procedures and to present easily implementable approaches for energy conservation.
Successful procedure of POEM is improved using two submucosal injection solutions
Authors: H. Tomida, K. Tange, Y. Ikeda, Y. Hashimoto, K. Shiraishi, Y. Yamamoto, E. Takeshita, Y. Hiasa
Journal: Endoscopy (2024)

Aims POEM is the first choice of treatment for esophageal achalasia and has been performed worldwide. In Japan, we recommend the preservation of the gastric oblique muscle for the prevention of post-POEM GERD, which requires the reliable creation of a submucosal tunnel into the lesser curvature of the stomach. We developed a technique in which indigocarmine additive solution and carbazochrome sodium sulfonate additive solution are injected into the submucosal layer, and a submucosal tunnel is reliably created into the lesser curvature of the stomach guided by the color difference between the two solutions.
Deep learning and High-Resolution Anoscopy: development of an interoperable algorithm for the detection and differentiation of anal squamous cell carcinoma precursors – a multicentric study
Authors: M. Mascarenhas, S. Lucas, N. Fathallah, T. Ribeiro, J. P. Afonso, M. Martins, M. Francisco, C. Pedro, T. Manzione, N. Sidney, P. F. João, M. Guilherme, V. D. Parades
Journal: Endoscopy (2024)

Aims High-resolution anoscopy (HRA) plays a central role in the detection and treatment of precursors of anal squamous cell carcinoma (ASCC). The visual characterization of high-grade intraepithelial lesions (HSIL) is hampered by a limited interobserver agreement. Artificial intelligence (AI) algorithms have shown high levels of efficiencyin detecting and differentiating HSIL from low-grade squamous intraepithelial lesions(LSIL) in HRA images. Nevertheless, these studies have been conducted using a digital videoproctoscope, whose use is not predicted in the standards of the International Anal Neoplasia Society (IANS). Our aim was to develop a deep learning system for automatic detection and differentiation of HSIL versus LSIL using HRA images from both conventional and digital proctoscopes.
Endoscopic vs. surgical myotomy in patients with idiopathic achalasia – five-year follow-up of a randomised trial
Authors: K. Hugova, J. Mares, B. Hakanson, A. Repici, B.H. A. Von Rahden, A. Bredenoord, R. Bisschops, H. Messmann, M. C. Vollberg, T. Ruppenthal, O. Mann, J. Izbicki, A. Pazdro, U. Fumagalli, R. Rosati, C. T. Germer, M. P. Schijven, A. Emmermann, V. R. Daniel, P. Fockens, G. Boeckxstaens, T. Rösch, J. Martinek, Y. Werner
Journal: Endoscopy (2024)

Aims Endoscopic myotomy (POEM) was shown equally effective as laparoscopic Heller myotomy (LHM) in patients with achalasia at two years in a multicenter randomized trial. Postprocedural reflux esophagitis and treatment with acid inhibitors were more frequent after POEM. Here we report treatment success rate and analysis of post-procedural reflux at the five-year follow-up.
Distant metastasis after treatment of pT1 colorectal carcinomas
Authors: K. Gijsbers, L. van der Schee, Y. Backes, J. Tuynman, Y. Alderlieste, J. Bosman, A. Van Berkel, F. Boersma, J. Boonstra, P. Bos, P. Didden, J. N. Groen, K. Kessels, A.U. G. Van Lent, M. W. Mundt, R.W. M. Schrauwen, R. M. Schreuder, M. P. Schwartz, T. Seerden, M.J. M. Groenen, J. Terhaar Sive Droste, L. Vogelaar, W. H. De Vos Tot Nederveen Cappel, H. L. Van Westreenen, F. Wolfhagen, G. R. Vink, M. Koopman, F. Vleggaar, S. Elias, M. Lacle, F. Ter Borg, L.M. G. Moons
Journal: Endoscopy (2024)

Aims For decades, lymph node metastases (LNM) were considered to be stepping stones for distant metastasis (DM) in submucosal invasive colorectal cancers (T1 CRCs). Despite completion surgery, DM still developed in 2-4% of T1 CRCs, suggesting a direct route of metastases. Extensive research has been performed to identify risk factors to predict LNM. However, data on the relationship between these risk factors, DM and survival are very limited. The aim of this study was to investigate risk factors for DM in T1 CRCs, and how this affects CRC specific survival (CSS).
Diagnostic performance of Japan NBI Expert Team (JNET) classification and CONECCT classification for large colorectal laterally spreading lesions treated by endoscopic submucosal dissection: a large western cohort study
Authors: C. Gabriel, J. Albouys, R. Legros, D. Martin, H. Lepetit, C. Brule, S. Geyl, V. Valgueblasse, R. Collin, L. Alfarone, P. Leclercq, J. B. Zeevaert, M. Pioche, J. Jacques
Journal: Endoscopy (2024)

Aims Endoscopic characterization aims to predict histology of a lesion and thus the risk of cancer. The JNET (Japan NBI Expert Team) classification is the classification proposed by guidelines to select the optimal therapeutic approach between EMR (endoscopic mucosal resection), ESD (endoscopic submucosal dissection), or surgery but has not been evaluated in large laterally spreading lesions. CONNECT classification adds macroscopic features to the JNET classification.
Efficacy and safety of left atrial appendage occlusion in patients with severe, recurrent, and refractory gastrointestinal bleeding
Authors: P. Fernández, P. Roquero, L. M. Garcia, M. Calvo, P. Miranda García, C. Santander, E. Rojo
Journal: Endoscopy (2024)

Aims To assess the safety and efficacy of left atrial appendage (LAA) percutaneous occlusion in preventing digestive rebleeding in patients with indications for chronic anticoagulation and recurrent refractory gastrointestinal bleeding.
Endoscopic peroral myotomy and septotomy (D-POEM) in the treatment of symptomatic pulsatile epiphrenic esophageal diverticula: a new gold standard?
Authors: J. M. Gonzalez, V. Vitton, M. Barthet
Journal: Endoscopy (2024)

Aims Esophageal epiphrenic diverticula (EED) are rare, developing in the lower 1/3 and in 60% of cases associated with a motor disorder. They cause disabling symptoms such as dysphagia, chest pain and regurgitation, sometimes with weight loss and pulmonary inhalation. The historical treatment is surgery, which remains morbid (30%) or even lethal (5%). Peroral endoscopic myotomy (POEM) is a gold standard for treating achalasia, and submucosal septotomy is performed in Zenker. We therefore propose to evaluate it in the treatment of EED.
Tolerance and colonic prep quality with a sodium ascorbate based custom crafted preparation: Blind comparative study with split dose polyethylene glycol
Authors: M.L. F. Ochoa, A. G. Paul, L. Moye Haro, F. M. Roberto, A. R. Jose Manuel, A. R. Flores rendon
Journal: Endoscopy (2024)

Aims Compare the degree of colon cleansing and patient tolerance in two single-dose bowel preparation regimens: a split dose of 105 g of polyethylene glycol 3350 diluted in 4 liters (PEG) of water versus a split dose of a low-volume custom preparation based on polyethylene glycol plus sodium ascorbate and ascorbic acid diluted in 1 liter of water (P-ASC).