tbuckley/cabot-search huggingface dataset:
A challenging unexpected complication during Endoscopic Sleeve Gastroplasty: how to manage the anchoring of OverStitch Tissue Helix into the gastric wall
Authors: M. Dalla Libera, M. Valvano, M. C. Campanale, E. Giambruno, A. Montale, G. Stefanelli, A. Allegretti, P. Romagnoli, M. Oppezzi
Journal: Endoscopy (2024)

Aims Bariatric endoscopy is a less invasive and safe approach for obesity management. Endoscopic sleeve Gastroplasty (ESG) consists of stomach remodeling using a suture device composed of a stapler and a dedicated device (Helix) for the traction of the gastric wall inside the stapler.
Ischemic cholangiopathy secondary to hepatic artery thrombosis diagnosed by endoscopic ultrasound
Authors: E. Maderuelo Gonzalez, S. Wang, E. C. Abad Izquierdo, A. Perez gonzalez, B. Agudo, C. Esteban Fernández-Zarza, M. González-Haba Ruiz, J. L. Calleja Panero
Journal: Endoscopy (2024)

Abstract Text Hepatic artery thrombosis (HAT) is the most common vascular complication and the first cause of ischemic cholangiopathy (IC) in liver transplantation (LT). 62-year-old male LT in 2005, admitted for abdominal pain and fever, with elevated bilirrubin and leucocytosis. MRI describes intrahepatic bile duct (IHBD) dilation and anastomotic stenosis. EUS revealed hyperechogenic, heterogeneous, poorly defined images, which condition retrograde dilations of IHBD. Under suspect of IC, a Doppler-US was requested, revealing a subacute HAT, hepatic infarction and biliar duct necrosis. The gold-standard test for HAT diagnosis is Doppler-US, and for IC, MRI. EUS could play a relevant role in this entity diagnosis, although it is not well described yet. [1] [2] [3] [4]
Factors associated with failure of clearing common bile stones during a first endoscopic retrograde cholangiopancreatography
Authors: H. Sawsen, M. Medhioub, A. Khsiba, A. Ben Mohamed, M. Yakoubi, M. Mahmoudi, L. Hamzaoui, M. M. Azouz
Journal: Endoscopy (2024)

Aims Endoscopic retrograde cholangiopancreatography (ERCP) has become the first-line treatment for choledocholithiasis with a success rate of around 90%. However, difficulties may arise during stone extraction. The aim of this study is to analyze the factors associated with the failure of common bile duct stone (CBD) extraction.
Diagnosis of Helicobacter pylori Infection by the Arrangement of Collecting Venules Using White Light Endoscopy: preliminary results of a multicenter study
Authors: R. Garcés-Duran, P. Delgado-Guillena, P. Deprez, J. Bornschein, R. Vasapolli, A. Ebigbo, J. Llach, H. Cordova, I. Lutakov, S. Realdon, M. Cavlina, I. Francis, M. Kalauz, G. Fernández-Esparrach
Journal: Endoscopy (2024)

Aims Helicobacter pylori (HP) is the major cause of gastritis and gastritis-associated diseases. Endoscopic detection of a regular arrangement of collecting venules (RAC) pattern in the lesser gastric curvature correlates with negative HP status in Asian countries when using magnification endoscopes. The aim of the study was to evaluate the value of RAC as a diagnostic method of HP infection during non-magnification white-light endoscopy in Western countries.
Colonic interposition graft and risk of adenomatous polyp. Do we need screening?
Authors: A. Hysa, M. Sina, X. Pemaj, D. Osmanaj, B. Kola, A. Dhima, S. Prifti
Journal: Endoscopy (2024)

Aims Esophageal colonic interposition graft is a common surgical technique used for benign and malignant indications. The development of polyps and colonic carcinomas within grafts used for esophageal reconstruction is a rare event and there is a lack of data in regard of surveillance. Our aim is to present a case who developed polyps many years after the surgical procedure.
The impact of two- vs. four-hands endoscopy techniques on post-colonoscopy colorectal cancer deaths in Austria
Authors: L. M. Rockenbauer, A. Klinger, E. Fuchs, E. Waldmann, A. Ferlitsch, D. Penz, J. Zessner-Spitzenberg, A. Hinterberger, A. Demschik, M. Trauner, M. Ferlitsch
Journal: Endoscopy (2024)

Aims Prior research has established that the choice of colonic intubation technique influences the quality of screening colonoscopies. Two commonly used techniques encompass single-handed gear control (referred to as 'two-hands') and the assistance of an endoscopy nurse (referred to as 'four-hands'). However, the impact of these colonic intubation techniques on post-colonoscopy colorectal cancer (PCCRC) deaths in Austria has not been investigated yet.
Massive continuous irrigation/soaking(MCIS) combined with endoscopic debridement an effective treatment for refractory abscess-fistula complexes
Authors: Z. Yue, Z. Qingfen, B. Liu
Journal: Endoscopy (2024)

Aims To evaluate the feasibility, safety, and efficacy of massive continuous irrigation combined with endoscopic debridement for the treatment of refractory abscess-fistula complexes.
Prevalence of local recurrence following resection of esophagogastric neoplasia: analysis of factors related to endoscopic diagnosis
Authors: E. Vayreda, J. Colan-Hernandez, L. Gutiérrez-Rios, E. Castillo-Regalado, R. Muñoz González, E. Nuñez-Garcia, I. Iborra, H. Uchima, V. Moreno De Vega
Journal: Endoscopy (2024)

Aims The endoscopic follow-up after resection of esophagogastric neoplasms (EGN) lacks consensus due to the uncertain prevalence of local recurrence and its associated factors. The common recommendations include gastroscopy for subtotal gastrectomy cases and esophageal examination only when symptoms are present.
Modified Per-Oral Endoscopic Septo-Miotomy (m-POESM) for Zenker Diverticulum management: results from a prospective cohort at a tertiary referral center
Authors: F. Azzolini, F. V. Mandarino, M. C. Verga, G. Dell'Anna, E. Fasulo, A. Barchi, L. Fanti, E. Viale, D. Esposito, M. Napolitano, S. Danese
Journal: Endoscopy (2024)

Aims Endoscopy is the first-line approach for Zenker Diverticulum (ZD) management. Various endoscopic techniques have been described, each with its advantages and limitations. We present a new technique called Modified Per-Oral Endoscopic Septo-Miotomy (m-POESM) and describe the results from our initial experience in a prospective cohort.
Endoscopic Treatment of Anastomotic Leak after Esophagectomy and Gastrectomy
Authors: S. Katsila, A. Triantafyllou, K. Kakounis, S. Triantafyllou, K. Dimopoulou, D. Theodorou, V. Xiromeritou
Journal: Endoscopy (2024)

Aims Presentation of cases and endoscopic treatment of anastomotic leaks after esophagectomy and gastrectomy.
Performing routine duodenal biopsies to diagnose Celiac Disease: is there any value?
Authors: F. Saidani, L. Khayat, H. Jaziri, N. Elleuch, D. Wafa, A. Ben Slama, S. Ajmi, A. Braham, A. Hammami, M. Ksiaa
Journal: Endoscopy (2024)

Aims Duodenal biopsies are routinely performed on all patients exhibiting symptoms suggestive of Celiac Disease (CD). The aim of our study is to evaluate the diagnostic yield of systematic duodenal biopsies in patients showing clinical manifestations suggestive of CD.
Morphology of the papilla can predict procedural safety and efficacy of ERCP – a retrospective cohort study
Authors: E. Tari, T. Tóth, P. Hegyi, B. Erőss
Journal: Endoscopy (2024)

Aims Endoscopic Retrograde Cholangiopancreatography (ERCP) is the most commonly used therapeutic procedure for pancreaticobiliary disorders. Despite the essential role of bile duct cannulation in procedural safety and success, research on this topic is still limited. Certain studies suggest that the anatomy of the papilla affects its efficacy and safety. We aimed to assess the influence of papilla morphology on ERCP outcomes and adverse events.
Palliative endoscopic management of malignant biliary obstruction : a retrospective report about 270 cases
Authors: T. Addajou, A. Benhamdane, S. Mrabti, R. Berraida, I. Elkoti, R. Fedoua, S. Hassan
Journal: Endoscopy (2024)

Aims Endoscopic biliary drainage remains the main palliative treatment for biliopancreatic cancers. The aim of our study was to analyze the results of this drainage technique, as well as the various associated success and failure factors.
Another use of Spybite: A tool for migrated stent retrieval. A case series
Authors: S. Stavrinidis, D. Kypraios, D. Xinopoulos, D. Dimitroulopoulos
Journal: Endoscopy (2024)

Aims Stent migration is a late adverse event of stent placement in ERCP. Depending on the stent type, migration might occur distally (5-10%) or proximally (<5%) and is associated with a diverse array of adverse events. In this case series, we report our experience on endoscopic extraction of two proximally migrated stents and a silicon catheter with Spybite biopsy forceps (Boston Scientific), under single-operator direct cholangioscopy (Spyglass – Boston Scientific).
Third generation of EUS-FNB needles in solid pancreatic lesions: an attempt to define the right number of needle passes for the diagnosis
Authors: A. Busatto, L. Zornetta, B. M. Battaglini, B. Perini, M. Ghisa, F. Ferrara
Journal: Endoscopy (2024)

Aims Endoscopic ultrasound-guided fine needles biopsy (EUS-FNB) is considered essential for the assessment of solid pancreatic lesions (SPLs) in the current personalized medicine era. Despite the advantages in tissue acquisition due to the newest generation of FNB needles, many aspects still require technical standardization, above all the right number of needle passes to obtain adequate histological characterization and optimal core for molecular analysis due to the newest therapeutic interest for the microsatellite instability in pancreatic ductal adenocarcinoma. In our study we aim to evaluate if less than 3 passes are enough to ensure high rates of confirmed histological diagnosis with the newest generation of FNB cutting needles.
Jejunal lipoma complicated with small bowel bleeding
Authors: L. Madrigal Bayonas, A. Gómez Gómez, C. Bógalo Romero, F. J. Sánchez Roncero, C. Espuche Jiménez, E. Fuentes García, A. Garre Urrea, G. Calatayud Vidal, C. Martínez Camacho, M. I. Rodríguez Tirado, C.A. B. Ayuso Carrasco, A. Jurado Hernández
Journal: Endoscopy (2024)

Abstract Text We present a 53-year-old man with melena for 3-4 days. Gastroscopy and colonoscopy did not found any alterations and endoscopic capsule showed in the proximal jejunum an ulcerated submucosal lesion of 15-20 mm. A push enteroscopy with colonoscope was performed, identifying in the proximal jejunum a 20 mm nodular lesion with a fibrinous ulcer with yellowish borders (which we have denominated as the "inverted fried egg sign"), tattooing its location. General Surgery was contacted and the lesion was resected. The anatomopathological study finally reported an ulcerated lipoma. Small bowel lipomas are generally asymptomatic benign tumors, although when their size is>2 cm they can cause complications, mainly intussusception and gastrointestinal bleeding due to ulceration/necrosis, complications usually associated with malignant tumors. [1] [2] [3]
Endoscopic treatment of difficult biliary stones: retrospective experience of a single italian tertiary centre
Authors: Y. Abdel Hadi, V. G. Mirante, G. Sereni, M. Cavina, S. Grillo, V. Iori, F. Bassi, R. Sassatelli
Journal: Endoscopy (2024)

Aims To compare the efficacy of cholangioscopy-guided electrohydraulic lithotripsy (EHL) with traditional lithotripsy techniques as mechanical lithotripsy (ML) and extracorporeal shock wave lithotripsy (ESWL) in the treatment of difficult biliary stones and evaluate the factors related to the failure of traditional lithotripsy.
Do Fib-4 and APRI have predictive value for identifying esophageal varices in cirrhotic patients?
Authors: K. Rais, G. Kharrasse, A. Zazour, O. Elmqaddem, H. Koulali, Z. Ismaili
Journal: Endoscopy (2024)

Aims According to the Baveno VII consensus, individuals with compensated advanced chronic liver disease, characterized by a liver stiffness<20 kPa and a platelet count>150,000/mm3, are deemed to have a minimal risk of developing esophageal varices.These patients may potentially avoid screening endoscopy.Transient elastography(FibroScan)is acknowledged as the most promising noninvasive technique for assessing portal hypertension in chronic liver disease.However,its limited accessibility in lower-middle-income countries is predominantly attributed to its high cost.In this retrospective study,we compared the diagnostic performance of Fib-4 Index and APRI indices in predicting the presence of esophageal varices, with the aim of evaluating their effectiveness in ruling out patients with high-risk varices.
Assessment of standard EUS FNB for molecular testing in cancers; a retrospective tertiary center study
Authors: M. Korani, S. Nadir, L. Foster, J. Geraghty
Journal: Endoscopy (2024)

Aims Precision oncology is a promising development in cancer treatment that uses target therapies based on the genomic profile of a patient's cancer. Nearly 30% of pancreatic cancers have detectable genomic lesions that could potentially impact management. This study assessed whether standard endoscopic ultrasound-guided fine needle biopsy (EUS FNB) could produce sufficient samples for molecular research.
Endoscopic gallbladder lithotripsy for the treatment of recurrent lithiasic cholecystitis after EUS-guided gallbladder drainage
Authors: C. Castaño-Milla, S. Agudo-Fernández, L. Sancho-Del Val, C. Chavarría
Journal: Endoscopy (2024)

Abstract Text An 86-year-old female with acute lithiasic cholecystitis unfit for surgery underwent EUS-guided gallbladder drainage (EUS-GBD) using a lumen apposing-metal stent (LAMS). Two months later she was readmitted for a new episode of acute cholecystitis. Computed tomography scan showed obstruction of the LAMS and two large lithiasis, one of them adjacent to the cystic duct. During the procedure we identified that the LAMS was embedded so we repermeabilized it, performed a direct cholecystoscopy with a standard gastroscope through the LAMS, cleaned the gallbladder and replaced the LAMS with two double pigtail plastic stents.
Kissing-suture and massive continuous peritoneal irrigation for treating a rare gastric antrum uncontained leak
Authors: L. Deliang
Journal: Endoscopy (2024)

Abstract Text A 69-year-old woman presented with significantly abdominal pain after endoscopy submucosal dissection for 4 days. A large defect was found in the wound of ESD. First, endoscopy was introduced into peritoneal cavity from the defect, and fully flushed whole peritoneal cavity with normal saline. Then, successful closure of the defect was achieved using a kissing-suture technique. We then performed double percutaneous abdominal puncture catheter insertion, locating at the left and right lower abdomen respectively. One catheter was used for irrigating normal saline, whereas the other was connected to the drainage bag which could form an efficient circulation pathway to achieve continuous peritoneal irrigation.
Surgery after endoscopic removal of a malignant polyp: is residual disease a real issue?
Authors: A. I. Ferreira, J. Goncalves, M. Marques Souto, S. Xavier, P. Boal Carvalho, J. Magalhães, J. Cotter
Journal: Endoscopy (2024)

Aims Evaluate factors associated with the presence of residual malignant disease in the surgical specimen after endoscopic removal of a malignant polyp without endoscopic cure.
Colonoscopy in the elderly : risks versus benefits compared with younger patients
Authors: L. Khayat, A. Souilem, H. Jaziri, W. Dahmeni, N. Elleuch, M. Ksiaa, A. Ben Slama, A. Hammami
Journal: Endoscopy (2024)

Aims Chronic constipation remains a prevalent reason for consultation in Gastroenterology. It affects approximately 25% of the general population and may reveal an underlying organic or functional pathology. Our study aims to determine the frequency of lesions diagnosed through colonoscopy and the factors associated with pathological colonoscopy concerning age.
Intracavitary vacuum therapy in the treatment of anastomotic leak: knowing when to stop is also crucial!
Authors: J. Chaves, R. Ortigão, R. Azevedo, D. Libanio, M. S. Inês
Journal: Endoscopy (2024)

Abstract Text 62 years-old male submitted to a total gastrectomy due to gastric cancer.Within 72 hours, the patient developed sepsis.CT revealed an anastomotic leak.Endoscopy showed a 45% dehiscence with a large-sized cavity.Endoluminal vacuum therapy(EVT)was placed intracavitary.After the third replacement, the patient presented hemorrhage through the transnasal tube.New endoscopy showed the EVT in situ.After removal, a 3 cm granulated cavity with a clot in its distal portion was identified. Given the tissue granulation and possible complications(proximity with the Aorta)EVT was stopped.The patient maintain medical treatment with improvement.Endoscopy one week after revealed complete closure of the dehiscence.This case highlights that even when there is a considerable size cavity the presence of granulation tissue can allow its closure even after EVT removal. [1]
Removal of an ingrown biliary self-expanding metal stent – An easy fix?
Authors: A. Ocepek, T. Ademović
Journal: Endoscopy (2024)

Abstract Text Removal of ingrown self-expanding metal stents (SEMS) is difficult. Several possible removal techniques for ingrown SEMS such as »SEMS-in-SEMS« technique, the invagination method, and the use of a mechanical lithotripter have been described [1] [2] [3] [4] [5]. A 67-year-old mail patient, with benign stenosis of distal common bile duct (CBD) due to chronic pancreatitis, was referred 6 months after a covered SEMS was placed in an attempt to dilate the stenosis. Removal with a snare and »SEMS-in-SEMS« technique failed due to ingrowth of the proximal end of SEMS. An attempt to remove the SEMS using a a mechanical lithotripter and a long guide-wire passed through the mash at the distal end of SEMS in a loop-shaped manner was made. SEMS was pulled into the lithotripter sheath and peeled of CBD wall. Removal of an ingrown SEMS can be very painstaking. Using the described technique the procedure can be done safely.
Optimising EUS-FNB guided tissue acquisition: The significance of TRAP score in solid pancreatic and gastrointestinal lesions for positive diagnostic output
Authors: S. Karim, S. Kadir, A. Faryal
Journal: Endoscopy (2024)

Aims Endoscopic ultrasound-guided FNB tissue acquisition (EUS-FNB-TA) has revolutionized diagnostic approaches in gastroenterology related solid lesions. Accurate lesion localization, needle gauge, rapid on-site evaluation (ROSE), effective tissue core (>4mm) size, effective number of needles passes (such as>2 passes) are the requirement for the successful output. Furthermore, advanced age especially>60 also considered a risk factor for GI related malignancies. Keeping this in view, the Purpose or AIM of this study was to develop the tool/score based on the important factors responsible for higher number of positive EUS-FNB-TA output.
Medium and long term outcomes of Per Rectal endoscopic myotomy for Hirschsprung&amp;apos;s disease
Authors: A. A. Pagadapelli, R. Yewale, P. Dashatwar, A. Bapaye
Journal: Endoscopy (2024)

Aims To evaluate technical outcomes and clinical success (measured as stool frequency ,unit laxative usage and improvement in Hirschsprung's disease Anorectal malformation QoL questionnaire [HAQL]) pre and post per rectal endoscopic myotomy ( PREM) .
Per oral endoscopic myotomy and endoscopic release of tight fundoplication wrap for reccurent dysphagia after Laparoscopic Hellers myotomy plus Dor fundoplication for achalasia
Authors: A. A. Pagadapelli, R. Yewale, R. Pujari, A. Bapaye
Journal: Endoscopy (2024)

Abstract Text A 61 year gentleman underwent laparoscopic Hellers myotomy with Dor Fundoplicaton for Achalasia six months prior, and twice Pneumatic balloon dilatation. Had symptoms of dysphagia. Pre procedure hold up of barium contrast seen. After POEM, fundic wrap was identified deep to myotomy and fundus was dissected off the adhesions. Four sutures were identified between the fundus and crura and were dissected. Adhesiolysis was done between the fundus -left lobe of liver, between the fundus – under surface of diaphragm, scope was passed into peritoneum, adhesiolysis was done and fundus wrap was released. post procedure free flow of barium seen. Patient was on liquids day 1, soft diet day 2 without dysphgia. Follow up gastroscopy showed lax sphincter and an opened up wrap.
Development of novel training for magnet-assisted capsule endoscopy (MACE) using cumulative sum analysis
Authors: M. G. Shiha, S. W. Mckenzie, G. Neill, P. Oka, X. Jiang, Z. Liao, M. McAlindon
Journal: Endoscopy (2024)

Aims Magnet-assisted capsule endoscopy (MACE) is a novel, non-invasive alternative to upper gastrointestinal endoscopy for the diagnosis of gastric diseases. Operating the MACE system requires a different skillset from conventional endoscopy. However, dedicated training for MACE has not yet been developed. We established a training programme in which novices developed their MACE skills on ex-vivo models prior to examining human subjects. The learning curve was evaluated, and competencies were established using CUSUM analysis.
Trans-duodenal gallbladder EUS-guided drainage: a single center experience
Authors: M. Marasco, S. Godat, B. Annibale, F. Panzuto, D. Galasso
Journal: Endoscopy (2024)

Aims Endoscopic ultrasound-guided gallbladder drainage (EUSGBD) is becoming an important and effective alternative to percutaneous drainage (PTD) for patients not suitable for surgery. It is also an acceptable option for biliary drainage in oncologic patient, if retrograde drainage failed. Placing of a lumen apposing metal stent (LAMS) for EUSGBD allows the removal of gallbladder stones too, so becoming a possible alternative to surgery in very selected cases.
Pancreatic metastases diagnosed by endoscopic ultrasound-guided fine-needle aspiration/biopsy: experience of a tertiary center
Authors: G. Soy, I. Olivas, I. Archilla, O. Sendino, S. Hoya, M. G. Fernández-Esparrach, B. González-Suarez, E. C. Vaquero, À. Ginès
Journal: Endoscopy (2024)

Aims Pancreatic metastases account for 2% of malignant solid pancreatic lesions. Clinical suspicion based on history of previous neoplasm is essential for diagnosis. Confirmation generally comes through cytological examination and immunocytochemistry tests of specimens obtained by endoscopic ultrasound-guided fine-needle aspiration/biopsy (EUS-FNA/FNB). Existing evidence on this entity is in the form of case series with a limited number of patients. The aim of our study is to evaluate the incidence of pancreatic metastases diagnosed by EUS-FNA/FNB in our centre and characterize their clinicopathological features.
Esophagogastric junction outflow obstruction: is it an early stage of achalasia?
Authors: A. Labidi, M. Oumaima, L. Zouiten, N. Ben Mustapha, S. Laabidi, S. Meriem, M. Fekih, J. Boubaker
Journal: Endoscopy (2024)

Aims Esophagogastric junction outflow obstruction (EGJOO) shares symptomatic similarities with achalasia, a well-recognized condition marked by dysregulated esophageal motility. This study aims to examine the clinical and paraclinical aspects of EGJOO while drawing relevant comparisons with achalasia.
Clinical and epidemiological profile of digestive hemorragia during VKA overdosage in elderly subjects
Authors: M. A. Dhiflaoui, H. Jaziri, A. Hassine, D. Wafa, A. Hammami, A. Ben Slama, A. Braham, S. Ajmi, N. Elleuch, M. Ksiaa
Journal: Endoscopy (2024)

Aims All anticoagulant treatments, whether preventive or curative, maybe responsible for digestive hemorrhage (DH). These are essentially anti-vitamin K drugs (VKA), most often due to dosage errors. The management of these patients poses a major therapeutic problem, since the hemorrhage occurs in elderly patients at high thrombo-embolic risk, with the increased incidence of severity of these DH. The aim of this study was to clarify the epidemiological, clinical and evolutionary of DH in elderly patients with VKA overdosage.