tbuckley/cabot-search huggingface dataset:
Multidisciplinary management of a rare case of obstructive jaundice
Authors: G.E. M. Rizzo, L. Carrozza, S. Gruttadauria, A. Bertani, D. Ligresti, G. Rancatore, I. Tarantino, M. Traina
Journal: Endoscopy (2024)

Abstract Text 47-year-old man affected by diaphragmatic laceration due to road trauma in 2007, after 15 years developed an episode of cholestasis and jaundice. Oral steroid therapy was started without any clinical benefit. After a multidisciplinary evaluation, it was decided to perform surgery to repair the diaphragmatic hernia. Unfortunately, patient underwent ERCP due to the persistence of jaundice. Cholangiography showed an angled VBP at the hilar confluence causing stricture of the common hepatic duct. Sphincterotomy was performed with placement of both a biliary and pancreatic plastic stent. 20 days later, the chest drainage had biliary contents. He performed percutaneous cholangiography showing extravasation of contrast dye from CBD, so an external-internal biliary catheter was placed and subsequently replaced by an internal plastic stent with an endoscopic-radiologist rendez-vous.
Solid Pseudopapillary Neoplasms – Case Series. A Single Center Experience of a Rare Tumor
Authors: M. P. Olar, I. Rusu, R. Seicean, O. Mosteanu, H. N. Al, A. Seicean
Journal: Endoscopy (2024)

Aims Solid pseudopapillary neoplasm of the pancreas (SPN) is a rare entity first described by V. K. Franz in 1959 and it represents 2% of all pancreatic exocrine tumors. A small percent (10-15%) have a malignant behavior. Most affected are women between second and third decade of life. Endoscopic ultrasound fine needle aspiration (EUS-FNA) is the gold standard for perioperative diagnosis.Due to a small amount of cases in the literature the management of this type of lesions is not well defined, there are no clear guidelines. Some patients are overtreated because of the fear of the malignant potential. Our aim was to evaluate the cases in our hospital from diagnosis to treatment and follow-up.
Endoscopic assisted electrochemotherapy in addition to neoadjuvant treatment of locally advanced rectal cancer: a randomized clinical phase II trial
Authors: L. Ngo-Stuyt, R. Vogelsang, M. Broholm, M. Bulut, M. Seiersen, A. L. Jakobsen, H. H. Johannesen, T. Stigaard, J. Gehl, I. Gögenur
Journal: Endoscopy (2024)

Aims The aim of this clinical trial is to establish electrochemotherapy with bleomycin as a safe and feasible part of the standard neoadjuvant down-staging treatment of patients with locally advanced rectal cancer (UICC stage II-III) prior to intended curative surgery. The study's primary objective is to establish safety and efficacy of electrochemotherapy treatment in locally advanced rectal cancer, while the secondary objective is to investigate changes in tumour size (down staging) and structure (grade of regression).
Factors predicting the presence of large esophageal varices in cirrhotic patients: 7 Years’ Experience of a Tertiary Care Hospital in eastern Morocco
Authors: K. Rais, G. Kharrasse, A. Zazour, O. Elmqaddem, H. Koulali, Z. Ismaili
Journal: Endoscopy (2024)

Aims Variceal hemorrhage stands as a significant contributor to morbidity and mortality in cirrhosis. While primary prophylaxis with nonselective beta-blockers and endoscopic band ligation can mitigate the risk of variceal bleeding, the expense and invasiveness of endoscopic screening have sparked interest in developing a noninvasive approach to predict the presence of large varices. The objective of this study was to ascertain predictive factors for the presence of large esophageal varices in our population.
Yeyuno-ileal diverticulosis: a rare cause of hemorrhagic shock
Authors: S. Wang, E. Maderuelo Gonzalez, E. C. Abad Izquierdo, P. Gutiérrez Landaluce, A. Ramirez García-Mina, A. Herreros De Tejada Echanojauregui, J. L. Martinez Porras, J. L. Calleja Panero
Journal: Endoscopy (2024)

Abstract Text Approximately, 5-10% of gastrointestinal bleeding comes from the small bowel. Rarer is haemorrhage related to jejunoileal diverticulosis (0.06-5%). An 80 years-old-man presented melena and massive transfusion was needed. In EGD, duodenal ulcers Forrest IIc and III were observed. After 24h, the patient persisted with hemodynamic instability. CT scan revealed an active contrast extravasation in jejunum, hence, superselective embolization was performed. Due to the uncommon localization of bleeding, capsule endoscopy was completed. Jejunal diverticula with an ulcer with fibrin was found. The patient had no further bleeding and was discharged after close monitoring. Although most of patients with jejunal-ileal diverticulosis are asymptomatic, haemorrhage is a potentially fatal complication. Suspicion must be raised in elderly men and capsule endoscopy constitutes a valid and non-invasive diagnostic test. [1] [2] [3]
EUS-duodenojejunostomy (EUS-DJ) for gastric-outlet obstruction (GOO) in gastric linitis plastica
Authors: M. Cobreros del Caz, R. Sánchez-Ocaña, C. De La Serna Higuera, J. Londoño-Castillo, N. Marcos-Carrasco, M. Perez-Miranda
Journal: Endoscopy (2024)

Abstract Text Introduction: EUS-GE is superior to duodenal stents for the palliation of GOO. Gastric linitis plastica hinders EUS-GE.
Overtube-assisted endoscopic ultrasound (EUS) for the diagnosis of Schwannoma in the ascending colon
Authors: S. Cheng, D. Bonilha, C.L. S. Aluizio, M.H.D. P. Ribeiro, J. O. meirelles dos santos, R. G. Diaz, C. G. Montes
Journal: Endoscopy (2024)

Abstract Text A 68-year-old male patient was admitted to undergo colonoscopy for colorectal cancer screening. The examination revealed a subepithelial lesion in the ascending colon of hardened consistency and 25 mm in diameter. EUS was performed with the aid of an overtube and showed a solid, well-defined, oval, hypoechoic and heterogeneous lesion that was infiltrated in the muscle layer. The lesion was punctured with an FNB Topgain 22G needle. The cytopathological analysis revealed a spindle-cell mesenchymal tumor of low histological grade suggestive of a gastrointestinal stromal tumor (GIST). However, the immunohistochemical profile showed positivity for S-100 and Ki-67 of 2%. The diagnosis was spindle-cell mesenchymal tumor with neural differentiation suggestive of Schwannoma. The patient was submitted to resection by videolaparoscopy and was discharged two days later without intercurrences [1] [2].
Prospective study of Prucalopride&amp;apos;s Influence on Gastrointestinal Transit Times and Completeness of Examinations in Colon Capsule Endoscopy
Authors: A. Finta, M. Szalai, R. Liebe, L. Madácsy, B. Lovasz, L. J. Barkai, F. Tupcsia
Journal: Endoscopy (2024)

Aims This study aimed to investigate the impact of Prucalopride, a prokinetic medication, on gastrointestinal transit times in individuals undergoing colon capsule endoscopy.
Endoscopic luminal impedance planimetry of the lower oesophageal sphincter and pylorus in experimental pigs: a pilot study
Authors: J. Bures, V. Radochova, D. Kohoutova, M. Zavoral, K. Hugova, S. Suchanek, O. Soukup, J. Martinek
Journal: Endoscopy (2024)

Aims The functional lumen imaging probe (FLIP) relies on the principle of impedance planimetry that enables direct measurement of intraluminal cross-sectional areas, allowing the assessment of intraluminal diameters, lumen geometric profiles, and wall biomechanical properties. The aim of our pilot project was to introduce this method to assess function of the lower oesophageal sphincter and pyloric muscle in experimental pigs.
PRIORITIZE study: Prioritizing Resumption Of Colorectal screening after covid pandemic
Authors: S. Pecere, L. Frazzoni, C. Hassan, L. E. Del Vecchio, C. Fabbri, F. Iacopini, A. Repici, C. Spada, C. Senore, A. Giulio, L. Fuccio
Journal: Endoscopy (2024)

Aims FIT-based colorectal cancer screening programs have been severely hampered during COVID-19 pandemic and its aftermath. Both test distribution and post-FIT colonoscopies have seen a manifold decrease in number of performed procedures. It is well known that any delay in post-FIT+colonoscopy results in an increase in advanced neoplasia and CRC. Since colonoscopy slots are limited, any means to risk-stratify subjects before post-FIT colonoscopy may result in timely diagnosis of CRC and advanced adenomas, but such tools are currently lacking.
Parastomal variceal bleeding successfully treated with tissue adhesive injection (cyanoacrylate)
Authors: C. Sotiropoulos, C. Konstantakis, O. Ampazis, G. Theocharis, C. Triantos, K. Thomopoulos
Journal: Endoscopy (2024)

Abstract Text Peristomal varices occur in patients with portal hypertension and a preexisting stoma. [1] [2] [3] [4] [5] [6]
Feasibility, safety and accuracy of endoscopic ultrasound guided biopsy for diagnosis of splenic focal lesions
Authors: E. Ghoneem, G. Shiha, A. Eladl, A. Al-Lehibi, O. Abdallah
Journal: Endoscopy (2024)

Methods Prospective study included patients presented or referred to participating tertiary centers for EUS guided biopsy. We documented the criteria of the splenic focal lesions (size, echogenicity, site, vascularity, cystic or solid, and strain index/elastography). we tried to use larger size needles and FNB needle in our study. we avoid suction method except in cystic lesions in which we used 19G FNA needle. we followed up the patient for 4-6 hours in the recovery room, evaluating vital signs and abdominal pain.
Novel cleaning method for flexible GI endoscopes
Authors: L. Moshkanbaryans, V. Shah, L. Y. Tan, E. Wishart, M. Alfa, J. Burdach
Journal: Endoscopy (2024)

Aims Flexible endoscopes have been associated with the greatest number of patient infections when compared to other reusable medical devices. Ineffective manual cleaning of endoscope channels is a root cause of biofilm formation and persistent contamination. The objective of this study is to asses the performance of a automated endoscope channel cleaner (AECC) to address biofilm removal.
The Apollo Overstitch suturing system is the last chance for rectal bleeding after complicated Endoscopic Submucosal Dissection (ESD)
Authors: M. De Siena, F. Barbaro, M. F. Chiappetta, M. V. Matteo, V. Pontecorvi, I. Boskoski, C. Spada, V. Bove
Journal: Endoscopy (2024)

Abstract Text A 54-year-old woman underwent endoscopic submucosal dissection (ESD) for a 3 cm Laterally Spreading Tumor (LST) of the mid-proximal rectum. The ESD was complicated by post-operative bleeding episodes. Several endoscopic techniques have been unsuccessfully used to control and stop bleeding as endoclips placement (mechanical hemostasis), fibrin glue injection (injective hemostasis), and hemostatic powder- Hemospray (Cook Medical Inc.; Bloomington, Ind). We performed endoscopic suturing with the Apollo Overstitch achieving instantaneous and long-lasting bleeding control from the eschar. This suture system is safe, effective and could be successfully used when all other methods of endoscopic hemostasis had previously failed
Analysis of the performance of the Modified Kyoto Classification Scoring Model in predicting current Helicobacter Pylori infection
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 Helicobacter Pylori-infected gastric mucosa shows distinct manifestations under upper gastrointestinal endoscopy. Chinese studies established a new scoring system based on the Kyoto classification score and proved its accuracy in diagnosing HP currect infection in the Chinese population. We aimed in this study to evaluate its performance in the Tunisian Population.
ERCP with the disposable duodenoscope aScope Duodeno in routine clinical practice
Authors: L. Welsch
Journal: Endoscopy (2024)

Aims Bacterial colonization of reuseable duodenoscopes has been linked to healthcare-associated infections and was extensively discussed in the recent years as a potential risk for patients after ERCP. Therefore, disposable duodenoscopes were developed to eliminate the risk of cross-contamination. We evaluated the safety and efficacy of the single-use duodenoscope aScope Duodeno (Ambu A/S, Denmark) in routine clinical practice.
The natural clinical course of endoscopic transpapillary gallbladder drainage (ETGBD) for benign acute cholecystitis
Authors: T. H. Lee, G. H. Choi, J. K. Yang, Y. N. Lee, I. S. Shin, J. H. Moon, Y. D. Cho, N. H. Heo, S. H. Park
Journal: Endoscopy (2024)

Aims Endoscopic transpapillary gallbladder drainage (ETGBD) in patients with symptomatic gallbladder (GB) diseases is a safe and feasible bridge therapy for patients at high risk of surgery or with terminal liver disease awaiting transplantation. However, there are few reports considering the long-term outcomes in natural clinical courses in benign symptomatic GB diseases.
Efficacy and safety of sodium alginate solution for endoscopic mucosal or submucosal resection: A prospective, multicenter, randomized, triple-blinded, parallel-group, phase 3 study
Authors: A. Y. Lee, J. Y. Seo, S. H. Kim, J. Y. Cho
Journal: Endoscopy (2024)

Aims The safety and efficacy of solutions for submucosal injection are critical for endoscopic resection of gastric adenomas or early gastric cancers. Although several injectable solutions have been introduced for endoscopic resection, they have some limitations. We aimed to compare the efficacy of the new sodium alginate-based solution with that of normal saline (NS, 0.9% sodium chloride).
Treatment of delayed postpolipectomy bleeding. Real life experience in a unicentric Spanish cohort
Authors: N. Salazar Parada, J. Rodriguez Sánchez-Migallón, G.J. C. Marín, I. Romero Sanchez Miguel, M. Lopez Cerón Pinilla, J. B. Díaz Tasende
Journal: Endoscopy (2024)

Aims Delayed post-polypectomy bleeding (DPPB) is the most common complication of endoscopic polypectomy. Its treatment has not been adequately studied in controlled clinical trials; generally, hemostatic methods applied in lower gastrointestinal bleeding are often effective.
Hybrid Stent with Endoscopic Vacuum Therapy (VACStent) for the treatment of post-Ivor Lewis esophagectomy leaks: The First Italian Experience
Authors: F. V. Mandarino, G. Dell'Anna, L. Laterza, E. Fasulo, A. Barchi, L. Fanti, E. Viale, D. Esposito, M. C. Verga, M. Napolitano, U. Elmore, L. Fuccio, R. Rosati, S. Danese, F. Azzolini
Journal: Endoscopy (2024)

Aims Endoscopic vacuum therapy (EVT) and covered self-expandable metal stent (c-SEMS) are primary treatments for post-esophagectomy leaks. Although these methods have improved clinical outcomes, they have shown some limitations, including the lack of drainage function in c-SEMS and lumen obstruction in EVT. A new fully covered stent within a polyurethane sponge cylinder (VACStent, Microtech, Germany) merges the mechanism of action of both c-SEMS and EVT. The evidence is still preliminary but promising.
Efficacy of a novel hemostatic peptide gel (PuraStat) in preventing bleeding after endoscopic resection of large gastrointestinal lesions: a case series study
Authors: P. Andreozzi, M. Diaferia, E. Di Girolamo, C. Civiletti, V. D'angelo, V. Tudisco, V. Lambiase, P. Marone, M. De Bellis
Journal: Endoscopy (2024)

Aims A novel synthetic self-assembling peptide (PuraStat; 3-D Matrix, Tokyo, Japan) has been introduced as a hemostatic agent [1]. This case series aimed to evaluate the clinical efficacy of PuraStat for the prevention of bleeding after endoscopic resection of large gastrointestinal (GI) lesions.
Artificial Intelligence and Minimally Invasive Endoscopy – Panendoscopic Detection of Pleomorphic Lesions
Authors: M. Mascarenhas, J. P. Afonso, T. Ribeiro, C. Pedro, M. Francisco, C. Hélder, A. Patrícia, P. F. João, M. Guilherme
Journal: Endoscopy (2024)

Aims Capsule endoscopy (CE) is a minimally invasive exam suitable of panendoscopicevaluation of the gastrointestinal tract. Nevertheless, CE is time-consuming withsuboptimal diagnostic yield in the upper GI tract. Convolutional neural networks (CNN) are human brain architecture-based models suitable for image analysis. However, there is no study about their role in capsule panendoscopy.
Single-centre experience of using a new Lumen-apposing metal stent for approved and off-label indications
Authors: D. Paduano, F. Auriemma, F. Calabrese, C. Gentile, M. Spertino, C. Hassan, A. Repici, B. Mangiavillano
Journal: Endoscopy (2024)

Aims Electrocautery-enhanced lumen-apposing metal stents (LAMS) they were originally developed to facilitate drainage of pancreatic fluid collections, later on, they got approved for gallbladder drainage (for non-surgical candidates) and bile duct drainage (in case of failed ERCP or malignant distal biliary obstruction). Lately, LAMS have also been used for off-label indications, including gastrojejunostomy and drainage of postsurgical collections. Our objective was to analyze the indications, technical/clinical success rates and complications of all LAMS inserted in the last 3 years at our center using a new device called Hot SPAXUS.
A Comprehensive Analysis of the Adverse Events and Device Failures Associated with Pancreatic Duct Stents: An FDA&amp;apos;s MAUDE Database Study
Authors: F. Jaber, S. Alsakarneh
Journal: Endoscopy (2024)

Aims Pancreatic duct stents (PDS) are widely used for the prevention of post-ERCP pancreatitis and for pancreatic endotherapy in chronic pancreatitis patients. Several commercially available PDS are commonly utilized [1] [2]. However, there is a paucity of data regarding the adverse events associated with PDS placement. This study aims to investigate the reported adverse events and device failures related to PDS, utilizing the Manufacturer and User Facility Device Experience (MAUDE) database maintained by the U.S. Food and Drug Administration (FDA).
Initial results of screening program in Mongolia where burdening high gastric cancer – Multi center study
Authors: B. Jargalsaikhan, G. Boldbaatar, T. Khurelbaatar, S. Tserenchimed, D. Jambal, B. Bayaraa, G. Baatar, R. Sadel, C. Tsolmonbaatar, S. Purevsuren, D. Monkhjargal, B. Altankhuyag, E. Batkhuyag, B. Barkhas, O. Damdinsuren, T. Tolya
Journal: Endoscopy (2024)

Aims Background: Mongolia is the leading country by the incidence and mortality rate of gastric. In 2022 national cancer screening program for upper gastrointestinal neoplasia was initiated therefore we conducted the multi-center study for determining the gastric cancer among Mongolian population.
Endoscopic retrograde appendicitis therapy (ERAT) : A good alternative choice for stump appendicitis: Largest retrospective single center experience
Authors: L. Zhao, M. Li, L. Kong, B. Liu
Journal: Endoscopy (2024)

Aims The aim of this study was to determine the baseline characteristics, diagnosis, and management of stump appendicitis (SA), and evaluate and compare the feasibility, safety and efficacy of treating SA with surgical approaches and endoscopic retrograde appendicitis therapy (ERAT).
The enigma of asymptomatic walled off pancreatic necrosis : Natural history and predictors of intervention in a prospective observational study
Authors: S. Harindranath, S. Sundaram, B. R. Patra, A. Vaidya, A. Shukla
Journal: Endoscopy (2024)

Aims Most acute pancreatitis cases are mild, but 20% can develop complications such as extensive necrosis, significantly increasing morbidity and mortality. The revised Atlanta classification introduced the term "walled-off pancreatic necrosis" (WOPN) for a collection with a defined wall, containing liquefied necrosis and tissue fragments. Symptomatic WOPN warrants intervention—endoscopic, radiological, or surgical drainage. Managing asymptomatic WOPN lacks consensus. We aimed to study the natural history of asymptomatic WOPN and the predictors of intervention in this subgroup of patients
Helicobacter Pylori Gastritis: Clinical, Endoscopic and Histological features
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 Helicobacter pylori (HP) is a bacteria that plays a central role in the development of various gastrointestinal conditions, including gastritis, which can progress to gastric or duodenal ulcers and gastric adenocarcinomas. The aim of our study is to investigate the epidemiological, endoscopic, and histological aspects of HP-associated gastritis.
Factors associated with difficult biliary stones in a tertiary health center in South America
Authors: C. E. Lombo-Moreno, O. Muñoz-Velandia, A. M. Leguizamo-Naranjo, D. Larotta, N. Brahim, R. Vargas-Rubio
Journal: Endoscopy (2024)

Aims To evaluate factors associated with the development of Difficult biliary stone (DBS) based on a cohort of patients treated in a reference hospital in Colombia.
The incidence of ileitis on routine capsule endoscopy in a single UK centre
Authors: M. Waqar, U. Hussain, M. Bark, D. Fry, N. Nair, L. Simms, T. Akbar
Journal: Endoscopy (2024)

Methods All patients who had a WCE performed at Hampshire Hospitals NHS Foundation Trust between June 2021- June 2023 were retrospectively studied. Data was collected using electronic patient records onto an Excel spreadsheet. A total of 286 capsule reports were evaluated, along with the prior work-up of investigations for each patient, findings of ileitis, and underlying causes. Data were recorded and analysed anonymously onto a spreadsheet.
Risk factors associated with re-bleeding in outpatients’ management of gastrointestinal bleeding: a cohort observational study
Authors: C. Marmo, B. Funaro, D. Feliciani, L. Petrucci, A. Gasbarrini, M. E. Riccioni
Journal: Endoscopy (2024)

Aims The aim of the study is to evaluate the risk factors associated with re-bleeding in patients with iron deficiency anemia or gastrointestinal bleeding from vascular lesions followed up in a dedicated practice.
Efficacy and safety of endoscopic internal drainage using double pigtail stents for the treatment of postsurgical anastomotic leaks of the upper gastrointestinal tract
Authors: N. Marcos-Carrasco, E. Fuentes-Valenzuela, M. De Benito Sanz, D. Muñoz Lopez, C. Abril, A. Martinez-Ortega, R. Sánchez-Ocaña, C. De La Serna Higuera, M. Perez-Miranda
Journal: Endoscopy (2024)

Aims The optimal endoscopic treatment of postsurgical leaks (PSL) remained to be determined. Endoscopic internal drainage (EID) using double pigtail stents (DPS) might be an option.
The Dublin Score: a new approach for assessment of Ulcerative Colitis
Authors: A. Bouazizi, E. Souilem, W. Dahmeni, N. Elleuch, A. Hammami, A. Braham, A. Ben Slama, H. Jaziri, M. Ksiaa
Journal: Endoscopy (2024)

Aims Endoscopy plays a fundamental role in management and follow up of patients with Ulcerative Colitis. MES score (Mayo endoscopic score) and UCEIS (Ulcerative Colitis index of severity) are commonly studied by physicians to assess the disease severity and its activity. But both scoring systems focus only on the mucosal lesions, none of them include the extent. The degree of ulcerative colitis burden of luminal inflammation (DUBLIN) score is calculated as a product of MES (0-3) and disease extent (E1-E3), Thus, the aims of this study are to assess whether new scoring systems were useful to detect serious disease and also to study the significant factors associated with medical treatment failure among patients with UC .
Always look twice: missed early gastric cancer treated in same-session ESD
Authors: A. Sugeac, C. Diaconu, A. Bengus, B. Mateescu, A. Voiosu
Journal: Endoscopy (2024)

Abstract Text A patient with prior endoscopy showing atrophic pangastritis and a well defined, 1 cm, Paris IIa elevated lesion on the greater curvature of the stomach, with lacy vessels(VS+) and absent glandular pattern, was referred for ESD. Biopsies confirmed high-grade dysplasia and H.Pylori-negative chronic gastritis with atrophy and metaplasia foci. At the examination preceding resection, a second, morphologically similar, 7 mm antral lesion was detected in the proximity of the initial lesion. Both lesions were resected en-bloc by ESD and hybrid ESD-snare resection, respectively. Pathology confirmed curative R0 resection of mutifocal gastric adenocarcinoma with submucosal invasion (pT1b and, pT1a, respectively, both with eCura 0). High-risk patients should be thoroughly examined for synchronous gastric lesions amenable to same-session endoscopic treatment.