tbuckley/cabot-search huggingface dataset:
Sustainability and disposable duodenoscope’s – First results from a prospective national recycling project
Authors: L. Welsch, F. Straulino, A. Genthner, T. Mollnow, S. Kangalli, A. Eickhoff
Journal: Endoscopy (2024)

Aims Single-use devices and equipment have been widely adopted in flexible endoscopy and currently almost all reusable accessories are abandoned due to hygiene, medico-legal and economic reasons. During the last 10 years also single-use endoscopes were deployed in the clinical routine, mainly in bronchoscopy and recently for duodenoscopy (ERCP) and gastroscopy to eliminate the risk of cross-contamination. A complete recycling of these scopes can reduce the ecological burden and may lead to a greener endoscopy. We evaluated the recycling process of single-use duodenoscope (aScope Duodeno; Ambu A/S, Denmark) in routine clinical practice.
Combination of tunneling and traction techniques for endoscopic submucosal dissection of a laterally spreading tumor in a ulcerative colitis patient
Authors: C. Ciuffini, M. F. Chiappetta, L. G. Papparella, T. Schepis, L. E. Del Vecchio, G. Costamagna, C. Spada, F. Barbaro
Journal: Endoscopy (2024)

Abstract Text A 56 years old ulcerative colitis patient, diagnosed with 50 mm Laterally Spreading Tumour – non Granular type in the descending colon, was scheduled for endoscopic submucosal dissection. Submucosal injection provided only a modest lifting of the lesion. After a partial mucosal incision on the anal side of the lesion with an electrosurgical knife, a submucosal tunnel up to the oral side was created. Afterwards a complete circumferential mucosal incision was performed. Submucosal dissection however was impaired by severe fibrosis, linked to chronic mucosal injury(1). Thus, the mucosal flap was tractionated using a clip and a rubber band to anchor it to the contralateral wall of the bowel. Afterward, the dissection plane was distinctly visible and submucosal dissection was carried out until "en-bloc" detachment of the lesion.
Endoscopic therapy of severe delayed-onset bleeding after transrectal prostate biopsy
Authors: S. Ramos Lopes, I. Costa Santos, M. Teixeira, J. Mangualde, E. Gamito, A. L. Alves
Journal: Endoscopy (2024)

Abstract Text A 62-year-old man with a high prostate-specific antigen level underwent transrectal prostate biopsy. Seven days after, he was admitted for hematochezia and hemorrhagic shock. Prompt resuscitation was initiated. Digital compression was ineffective. An emergency colonoscopy was performed, revealing a recent clot in the inferior rectum, which, upon removal, exposed an elevation of the mucosa with a pulsatile, large-caliber vessel in the anterior wall just above the pectineal line, suggestive of a Dieulafoy's-like lesion, which initiated active bleeding during the procedure. Hemostasis was successfully achieved using three through-the-scope (TTS) clips. The patient had no further bleeding and no need for additional red blood cell transfusions.
The Clinical associations with dysplasia in Barrett’s oesophagus in an Irish Endoscopy Population
Authors: A. Omar, M. Clarke, B. Hall, O. B. Kelly
Journal: Endoscopy (2024)

Aims Barrett's oesophagus is considered to be a precancerous condition and dysplasia detection and surveillance can lower the risk of Barrett'sassociated oesophageal adenocarcinoma. From a published European and North American cohort study, the estimated progression to adenocarcinoma in low grade dysplasia (LGD) is 0.54% per year and in high grade dysplasia (HGD) is 4-8% per year. Dysplasia now is treatable by endoscopy but rates in Ireland are unknown thus, we aimed to assess current incidence of dysplasia in patients attending the Irish endoscopy services and factors associated with presence of dysplastic change.
Recurrence rate after (f)EMR of colon adenomas≥2 cm: A retrospective single-center analysis
Authors: S. Glas, P. Stathopoulos, M. Zumblick, C. Denkert, U. W. Denzer
Journal: Endoscopy (2024)

Aims Piece meal EMR (fEMR) is an established technique for the resection of large colon adenomas. Based on the current literature, the recurrence rate of (f)EMR ranges between 15% and 25%, whereby recurrences can usually be resected endoscopically. Coagulation of the resection margins after fEMR has shown a reduction of recurrences in studies [1] [2] [3], and this has been implemented in our cohort since 2019.
Efficacy of different stent types on post-liver transplant anastomotic biliary strictures: a systematic review and meta-analysis
Authors: A. Papaefthymiou, D. Ramai, M. Maida, G. Tziatzios, A. Facciorusso, K. Triantafyllou, M. Arvanitakis, G. Johnson, S. Phillpotts, G. Webster, P. Gkolfakis
Journal: Endoscopy (2024)

Aims Stent selection in endoscopic management of post-liver transplant anastomotic biliary strictures remains controversial. This systematic review with meta-analysis aimed to evaluate the potential differences of the available stents.
Superficial dissecting esophagitis associated with bullous pemphigoid. Report of a case
Authors: C. Bógalo Romero, F. J. Sánchez Roncero, J. C. Espuche, L. Madrigal Bayonas, A. Gómez Gómez, J. Noa Turnes, M. Romero Martínez, J. Egea Valenzuela, F. Alberca De Las Parras
Journal: Endoscopy (2024)

Abstract Text 75-year-old male referred from regional Hospital due to cervical esophageal perforation after nasogastric tube placement. As a background, he presents bullous pemphigoid secondary to gliptin. The perforation is managed conservatively and gastroscopy is requested after several weeks of clinical improvement. In gastroscopy, we can observe esophageal mucosa with denuded appearance with wide areas of fibrosis tracts of scar appearance that were easily detached with rubbing causing bleeding in drooling that was self-limited compatible with superficial dissecting esophagitis. Superficial dissecting esophagitis is an infrequent entity that consists of extensive denudements of the esophageal mucosa. Its etiology is varied, from idiopathic, related to drugs (NSAIDs, bisphosphonates), very hot drinks, chemical irritants, celiac disease, collagenosis, and autoimmune blistering dermatoses."[1]
Successful EUS-HGS for management of benign biliary obstruction inaccessible by ERCP
Authors: C. Knox, D. Schneider, G. Johnson
Journal: Endoscopy (2024)

Aims Endoscopic ultrasound-hepaticogastrostomy (EUS-HGS) is now an accepted modality for biliary drainage in selected cases of left sided malignant biliary obstruction, such as in surgically altered anatomy. We report a case series whereby EUS-HGS has been invaluable to treating patients with proximal benign biliary obstruction.
ERCP in Billroth II gastroenterostomy and Braun anastomosis: a new technique to access the papilla
Authors: V. Lekakis, S. Papadakos, T. Alexopoulos, G. Papatheodoridis, A. Koutsoumpas
Journal: Endoscopy (2024)

Abstract Text ERCP has 83% success rate in Billroth II, but only 29% in those with an additional Braun anastomosis. Five patients with Billroth II and Braun anastomosis were referred to our center with choledocholithiasis. In all cases the initial attempt to reach the papilla with the side-view scope alone was unsuccessful. The "clipped guidewire & balloon catheter" method involves a straight-view scope reaching the ampulla and a guidewire passing through the scope; its proximal tip is then clipped with a TTS clip close to the papilla. The scope is withdrawn with a free guidewire being left in place. The side-viewing scope is inserted over this guidewire and a balloon catheter over the wire to stiffen it. The wire/catheter's presence greatly facilitates the intubation of the afferent loop and the optimal direction to reach the papilla, which was achieved in all 5 cases.
Barriers against implementation of European Society of Gastrointestinal Endoscopy performance measures for colonoscopy in clinical practice
Authors: G. Gibiino, L. Frazzoni, A. Anderloni, L. Fuccio, L. Alessandro, C. Spada, C. Fabbri
Journal: Endoscopy (2024)

Aims The implementation and monitoring of the European Society of Gastrointestinal Endoscopy (ESGE) performance measures for colonoscopy is suboptimal in clinical practice. Electronic reporting systems may play an important role in data retrieval. We aimed to define the possibility to systematically assess and monitor ESGE performance measures for colonoscopy through reporting systems.
Safety and efficacy of cryo-ablation on Barrett esophagus: a systematic review and meta-analysis
Authors: A. Papaefthymiou, A. Telese, N. Benjamin, P. Gkolfakis, D. Margaret, A. Murino, G. Johnson, C. Murray, R. Haidry
Journal: Endoscopy (2024)

Aims Barrett esophagus (BE) represents a pre-malignant condition of the esophagus and current guidelines favor endoscopic eradication therapy (EET). After endoscopic resection for visible neoplastic lesions, field ablation of the residual BE is advised to mitigate the risk of metachronous neoplasia. Cryoablation was introduced as an endoscopic ablative option for BE during the last decade with growing data on outcomes and interest in potential lower adverse events that established ablative techniques. This systematic review and meta-analysis aimed to summarize the existing data regarding safety and efficacy of Cryoablation on BE treatment.
Comparative Analysis of Microbial Species and Multidrug Resistance Patterns in Acute Cholangitis Patients with Cholecystectomy
Authors: B. Miutescu, D. Vuletici, T. Moga, I. Ratiu, E. Gadour, V. Sandru, B. Calin, G. Balan, A. Popescu
Journal: Endoscopy (2024)

Aims This study aimed to compare microbial species and multidrug resistance patterns in acute cholangitis patients with and without a history of cholecystectomy. We hypothesized that post-cholecystectomy patients would exhibit distinct microbial spectra and resistance patterns.
Endoscopic internal drainage for hematic peri-gastric collection after sleeve gastrectomy
Authors: P. Graceffa, P. Melatti, L. Capodicasa, C. Callari, A. Granata
Journal: Endoscopy (2024)

Abstract Text A 54-year-old male presented on the sixt days post operatively after sleeve gatsrectomy, with abdominal pain, fever, impaired consciousness. A CT scan showed a fluid peri-gastric collection. The esophagogastroduodenoscopy showed, at the level of the distal part of the suture line, an orifice of about 20 mm which connects the gastric lumen with an abdominal perigastric collection occupied by voluminous bloo dclots and which seems to have no well-defined walls. Two double pigtail stents (Boston Scientific, Marlborough, MA, USA) were placed on a guide wire with ends located respectively at the level of the gastric lumen and at the collection lumen as internal drainage. A feeding naso-jejeunal tube was placed. A rapid resolution of the symptoms was observed. Even in the case of perigastricblood collections, internal drainage with double pig tails can be used.
Management strategies and outcomes in Peptic Ulcer Bleeding: Insights from a Retrospective Study at a Tertiary Care Hospital
Authors: J. Serrazina, R. Fernandes, D. Couto, F. Samuel, E. Nassone, R. Rios Crespo, P. Santos, J. Lopes, F. C. Noronha, L. Carrilho Ribeiro, L. Correia, R. T. Marinho
Journal: Endoscopy (2024)

Aims Peptic ulcer bleeding (UGIB) may manifest with varying degrees of clinical severity, and its prognosis can be influenced by comorbidities. We aimed to evaluate clinical presentation and outcomes associated with the management of PUB.
Aerodigestive fistulas and leaks following immunotherapy in lung cancer patients: endoscopic diagnosis and management
Authors: M. Casadio, D. Orlando, L. Pesci, R. Tajè, E. Venti, D. Forcella, D. Assisi
Journal: Endoscopy (2024)

Aims Immunotherapy has dramatically changed advanced Non-Small Cell Lung Cancer (NSCLC) management improving oncological outcomes and reducing treatment related adverse events. However proximal and distal airway fistulas as well as esophageal leaks following chemo-immunotherapy have been reported. We report our experience in chemo-immunotherapy-related esophageal and airways fistula management.
Endometriosis. Report of a case
Authors: C. Bógalo Romero, J. C. Espuche, L. Madrigal Bayonas, F. J. Sánchez Roncero, A. Gómez Gómez, M. Romero Martínez, J. Noa Turnes, J. Egea Valenzuela, F. Alberca De Las Parras
Journal: Endoscopy (2024)

Abstract Text A 39-year-old woman who is studied for intermittent diarrhea since discontinuation of contraceptives. In the study, colonoscopy is performed, at the level of the sigma, a protruding lesion with intensely edematous and reddened mucosa is observed, although the pattern with light filters is apparently normal, which conditions an invagination and a relative stenosis of the lumen. Biopsies are taken, compatible with intestinal endometriosis. Intestinal endometriosis is an infrequent entity with a prevalence of 3-37% with a very variable clinical presentation. The most common finding in colonoscopy is the eccentric thickening of the mucosa, and nodular mucosa with a polypoid appearance can also be found. For the definitive diagnosis, anatomopathological study will be important, so it is important to take biopsies of the lesion. [1]
Endoscopic management of synchronous biliary and duodenal malignant obstruction
Authors: V. Lekakis, T. Alexopoulos, S. Papadakos, G. Papatheodoridis, A. Koutsoumpas
Journal: Endoscopy (2024)

Abstract Text We present a case of simultaneous, tight, malignant biliary and duodenal obstruction secondary to an infiltrative head of pancreas cancer in a 42-year-old female patient. A cannula with a guidewire traversed the duodenal stricture/mass and then a duodenal metal stent was deployed over the wire. Balloon dilatation of the duodenum in steps (12/13.5/15mm) was performed, allowing for a duodenoscope to traverse it. The papilla was identified amid malignant tissue and biliary cannulation through the duodenal stent was achieved with sphincterotome and guidewire. Over the biliary guidewire CRE balloon dilatation in steps (8/9/10mm) was performed, thus expanding the duodenal stent scaffold and allowing for a biliary fully covered metal stent to be deployed, crossing the duodenal stent. Excellent biliary drainage was achieved.
Endoscopic management of pancreatobiliary pathologies in the elderly with digital single-operator cholangiopancreatoscopy: a case-control study
Authors: E. Dall'Amico, C. Canalis, M. Gesualdo, M. T. Staiano, F. Mediati, R. C. Stasio, S. Dibitetto, A. Caneglias, A. Mauriello, F. Fimiano, F. Castellano, M. Sacco, C. De Angelis
Journal: Endoscopy (2024)

Aims Digital single-operator cholangiopancreatoscopy (D-SOC) is nowadays widely used for diagnosis and treatment of many biliopancreatic diseases, above all difficult lithiasis and indeterminate strictures; given the high prevalence of these affections in elderly, we aimed to compare safety and efficacy of this technique between younger and older patients.
Risk factors for intra and post-procedural bleeding following endoscopic mucosal resection of nonpedunculated colorectal lesions
Authors: S. Ramos Lopes, I. Costa Santos, M. Teixeira, C. Sequeira, C. Teixeira, J. Mangualde, E. Gamito, A. L. Alves
Journal: Endoscopy (2024)

Aims Post-polypectomy bleeding is one the most common complications of endoscopic mucosal resection (EMR). We aimed to assess the incidence of intraprocedural bleeding (IPB) and post-procedural bleeding (PPB) following EMR of nonpedunculated colorectal lesions and identify potential risk factors.
Achalasia – the role of pneumatic balloon dilation in the era of POEM: a small, single-center retrospective study
Authors: F. S. Marin, V. Mina, M. O. Mocanu, I. C. Enache, R. C. Monea, E. Perianu, D. V. Balaban, M. Jinga, I. C. Nedelcu
Journal: Endoscopy (2024)

Aims The advent of interventional endoscopy has popularized peroral endoscopic myotomy (POEM) as a primary treatment for achalasia. However, in regions with less POEM accessibility, pneumatic balloon dilation (PD) remains the main alternative as endoscopic management. This study aims to assess the efficacy and safety of PD as a therapeutic intervention for achalasia in such regions.
Buried Bumper Syndrome: One size does not fit all
Authors: S. Ramos Lopes, I. Costa Santos, M. Teixeira, C. Cardoso, J. Mangualde, E. Gamito, A. L. Alves
Journal: Endoscopy (2024)

Abstract Text A 94-year-old woman with post-stroke dysphagia underwent percutaneous endoscopic gastrostomy (PEG) placement. Four weeks later, she was readmitted due to peristomal leakage and phlegmon. CT scan excluded complications. Broad-spectrum antibiotics were initiated. EGD revealed internal bumper migration to the gastric wall and mucosal overgrowth. Reposition and tube replacement attempts failed. Then, an ERCP guidewire was introduced into the gastric lumen. Through the guidewire, the internal stoma was dilated using 7mm-9mm Savary-Gilliard dilators (SGD), followed by placement of a 24Fr PEG. Reintroduction of nutrition was uneventful.
Unusual endoscopic foreign body removal from duodenum in a psychiatric patient
Authors: S. Chiriac, C. Sfarti, B. Ciuntu, S. Zenovia, S. Sfarti, A. Gisca, A. Trifan
Journal: Endoscopy (2024)

Abstract Text The ingestion of foreign bodies occurs frequently in patients with psychiatric disorders and mental deficiencies. We present the case of a 25-year-old male patient suffering from severe mental deficiency and autism who swallowed a large spherical-shaped object. An upper gastrointestinal endoscopy was performed, identifying an Orbeez toy containing water-absorbent polymer beads located in the second portion of the duodenum. An initial attempt to remove it with a grasper was followed by its incidental puncture, thus revealing a rubber outer layer that was housing numerous small colored beads. Some of the beads were removed using an endoscopic retrieval net, after which the rubber exterior was removed with a grasper. The remaining beads were either washed down or removed by the otolaryngologist and anesthesia teams. Consequently, the patient was discharged in good condition.
Performance of endoscopic approaches for Zenker diverticulum management: a systematic review and meta-analysis
Authors: A. Papaefthymiou, N. Benjamin, A. Telese, K. Siggens, D. Margaret, A. Murino, G. Johnson, C. Murray, M. Boz, M. Muntzer, R. Bisschops, B. Pradeep, M. Birchall, R. Haidry
Journal: Endoscopy (2024)

Aims Zenker's diverticulum is associated with a significant burden on quality of life and morbidity, predisposing to dysphagia, regurgitation and aspiration pneumonia. Surgery has been the preferred option historically due to a lack of alternative options but remains invasive with major potential complications. Endoscopic approaches offer a minimally invasive alternative treatment option including rigid and flexible diverticulotomy, and the emerging Zenker per-oral endoscopic myotomy (Z-POEM). This systematic review and meta-analysis aimed to summarize the efficacy and safety of these endoscopic techniques.
The UK experience of zenker per-oral endoscopic myotomy (z-poem) for the treatment of zenker’s diverticulum
Authors: B. Norton, K. Siggens, A. Papaefthymiou, A. Telese, M. Duku, A. Murino, C. Murray, G. Johnson, B. Mohammadi, M. Mughal, R. Bisschops, P. Bhandari, M. Birchall, R. Haidry
Journal: Endoscopy (2024)

Aims A Zenker diverticulum (ZD) is an acquired sac-like outpouching of the mucosa and submucosa that occurs at the pharyngo-oesophageal junction. When symptomatic, it is characterised by oropharyngeal dysphagia and regurgitation. It tends to present in older patients with multiple co-morbidities, so optimising intervention is vital. Conventionally, they are treated by a surgical approach, which is effective but carries morbidity. Zenker peroral endoscopic myotomy (Z-POEM) is a novel endoscopic strategy predominantly performed by gastroenterologists that involves submucosal dissection either side of the muscular bar to enable a more precise and complete myotomy. We conducted a UK-based multi-centre retrospective cohort study to assess the safety and efficacy of Z-POEM for the management of ZD.
Endoscopic submucosal dissection for early gastrointestinal cancers in India: A retrospective analysis of a single-center experience for clinical outcomes and future directions
Authors: P. Inavolu, M. Ramchandani, Z. Nabi, A. Gahra, S. Darisetty, R. Ram, N. R. Duvvur
Journal: Endoscopy (2024)

Aims Our aim is to identify the success rate of endoscopic submucosal dissection (ESD) in early gastrointestinal cancers. The success of ESD is identified using R0 resection and Enbloc dissection for various early gastrointestinal cancers and to report the finding of our experience with ESD from India.
Novel Endoscopic Hand-Suturing: First experience in a German Tertiary Center
Authors: A. Ebigbo, M. W. Scheppach, J. Classen, S. Nagl, H. Messmann
Journal: Endoscopy (2024)

Aims Endoscopic hand suturing (EHS) was developed in Japan to close the resection site after endoscopic submucosal dissection (ESD). EHS utilizes a continuous suturing technique with a barbed suture and a flexible through-the-scope needle holder. Its feasibility has been demonstrated in various indications. We report the feasibility and technical success of the EHS in a German tertiary care center.
Combining a Computer Aided Detection system (CADe) and G-EYE balloon for adenoma detection in a FIT-based organized colorectal cancer screening program: preliminary results of a randomized controlled trial
Authors: S. Rocchetto, F. Segatta, A. Piagnani, S. Paggi, N. Bina, D. Di Paolo, G. Scardino, N. Terreni, G. Mandelli, E. Buscarini, S. Romeo, S. Alicante, A. Buda, E. Rosa Rizzotto, R. Di Mitri, C. Hassan, A. Repici, E. Rondonotti, F. Radaelli
Journal: Endoscopy (2024)

Aims Recent evidence shows that Computer Aided Detection (CADe) systems and mucosal-exposure devices might exert a synergic effect in adenoma detection during colonoscopy. We aimed at evaluating if the combination of CADe and GEYE balloon increases the adenoma detection in a fecal immunochemical test (FIT)-based colorectal cancer screening program.
Endoscopic Tunneled Biopsy: A Novel Approach for Definitive Diagnosis of Esophagogastric Junction Adenocarcinoma Mimicking Achalasia
Authors: A. Perez Gonzalez, D. de Frutos, V. Matallana, L. Relea, C. Serrano, J. G. Esteban Ruiz, E. C. Abad Izquierdo, R. Marcé, P. Gutiérrez Landaluce, A. Herreros De Tejada Echanojauregui
Journal: Endoscopy (2024)

Abstract Text Pseudoachalasia is a rare entity that mimics primary achalasia, often leading to significant underdiagnosis. When malignancy is suspected, achieving a definitive diagnosis becomes crucial.
Risk factors associated with the presence of serrated adenomas in a population undergoing screening colonoscopy in the northwest of Mexico
Authors: F. M. Roberto, M.L. F. Ochoa, L. Moye Haro, A. G. Paul, A. R. Jose Manuel, A. R. Flores Rendon
Journal: Endoscopy (2024)

Aims Analyze variables associated with the presence of serrated lesions in patients undergoing screening colonoscopy in Mexico.
Intra-observer reproducibility of share-wave endoscopic ultrasound elastography for assessing pancreatic tissue stiffness
Authors: B. Miutescu, F. Bende, R. Bende, B. Calin, O. Budii, D. Vuletici, R. Sirli, A. Popescu
Journal: Endoscopy (2024)

Aims Endoscopic ultrasound share-wave elastography (EUS) is a minimally invasive diagnostic technique for assessing tissue elasticity. The current study aims to assess the repeatability of pancreatic tissue stiffness using endoscopic ultrasound share-wave elastography (EUS-SWE) system Arietta 850 ultrasound machine and Olympus Echoendoscope.