tbuckley/cabot-search huggingface dataset:
EUS-guided gastroenterostomy to treat obstructive gastric twist after laparoscopic sleeve gastrectomy
Authors: L. Monino, Y. Deswysen, M. Thoma, P. H. Deprez, T. Moreels
Journal: Endoscopy (2024)

Abstract Text A 69-years old woman underwent sleeve gastrectomy. One month later, she presented symptoms of gastric outlet obstruction. Endoscopy showed a peptic oesophagitis associated with a mid-gastric twist confirmed by CT-Scan. Three sessions of endoscopic dilatation were performed without clinical improvement. An EUS-GE was proposed to "bypass" the mid-gastric twist. EUS-GE was perfomed using an oroenteric catheter combined with wireless endoscopy simplified technique (WEST). No adverse events were reported. Clinical improvement was reported and confirmed by radiology and endoscopy at one and three months. The improved technical and clinical success of EUS-GE has allowed it to be used in case of benign GOO due to gastric twist. Moreover, in this case, EUS-GE avoided surgical conversion to RYGB [1] [2] [3] [4] [5].
EUS-Choledochoduodenostomy versus Hepaticogastrostomy combined with EUS-Gastroenterostomy in malignant double obstruction (CABRIOLET_Pro): a prospective comparative study
Authors: G. Vanella, R. Leone, G. Dell'anna, M. Reni, L. Aldrighetti, M. Falconi, G. Capurso, P. Arcidiacono
Journal: Endoscopy (2024)

Aims Combined Biliary (BO) and Gastric Outlet Obstruction (GOO) represent a challenging clinical scenario. Previous retrospective experiences have demonstrated higher risk of Dysfunction-Free survival (DFS) of EUS-guided Choledochoduodenostomy (EUS-CDS) versus EUS-Hepaticogastrostomy (EUS-HGS) in this scenario, but no prospective evidence is available.
Role of yoga practice as add-on therapy on severity of bowel movements and anxiety level in irritable bowel syndrome patients
Authors: D. Devi, S. Bhattacharya, S. Rungta
Journal: Endoscopy (2024)

Aims Irritable bowel syndrome (IBS) is a chronic disease that is mostly related with stress and anxiety. Patients with this illness primarily experience irregular bowel movements with abdominal pain. It interferes with individual physical health as well as mental health. Although most of cases lack of diagnosis, people suffer from bowel discomfort that have a strong impact on daily life. This study's major goal was to find out how regular yoga practice helped IBS patients control their stress levels and abdominal pain.
Use of decompression drainage tubes for enhancement of colorectal endoscopic submucosal dissection
Authors: A. Rimondi, A. Murino, Y. Hayashi, H. Yamamoto, E. Despott
Journal: Endoscopy (2024)

Abstract Text We have started using drainage tubes in the form of a Foley catheter or a flatus/naso-gastric tube connected with a low-pressure suction to facilitate colorectal saline immersion technique (SITE) pocket creation method ESD [1] [2] [3] [4] [5]. Low pressure suction decreased the need for through-the-scope suction of fluids and bubbles allowing a more efficient dissection, with increased speed. We also noted improved patient comfort and decreased need for sedation. Managed, minimal distention of the bowel also facilitates endoscopic dissection with improved access to the submucosal layer.
Endoscopic ultrasound-guided choledochoduodenostomy versus endoscopic ultrasound-guided hepaticogastrostomy in the treatment of malignant biliary obstruction – a comparative study of single center experience
Authors: Y. Petkova, P. Karagyozov, N. Shumka
Journal: Endoscopy (2024)

Aims Endoscopic retrograde cholangiopancreatography is the standard procedure for treating unresectable malignant biliary obstruction/MBO/, however, it has a failure rate of 3% up to 12% and a rate of complications up to 6,85%. Endoscopic ultrasound-guided biliary drainage/EUS – BD/ is a feasible alternative in palliation of MBO, applicable especially with patients with inaccessible papillae due to local invasion or surgically altered anatomy. Several techniques are available, among them hepaticogastrostomy /EUS – HGS/ and choledochoduodenostomy/EUS – CDS/ are most commonly performed.Aim:To compare the most commonly used transluminal techniques for endoscopic ultrasound-guided biliary drainage in terms of efficacy, safety, and stent patency.
Long-term results of Endoscopic Sleeve Gastroplasty
Authors: M. V. Matteo, G. Carlino, G. Ciasca, V. Bove, R. Di Santo, V. Pontecorvi, M. De Siena, L. Gualtieri, G. Giannetti, M. Angeletti, N. Antonini, C. Massari, C. Chiarini, M. Papi, C. Spada, I. Boskoski
Journal: Endoscopy (2024)

Aims Obesity is a chronic and recurrent disease. In the past few years, Endoscopic sleeve gastroplasty (ESG) has emerged as a minimally invasive technique to fill the therapeutic gap between medical and surgical approaches to obesity. ESG consists of full-thickness suturing of the gastric body aimed at restricting gastric volume and impairing gastric motility. Most of the published data on ESG show the results of the procedure in the first 12-24 months. In this study, we aim to report long-term results of ESG to implement the evidence of long-term effectiveness further.
Sizing colorectal adenomas and potential implications for further surveillance
Authors: C. Tocia, I. Popescu, R. Rafti, B. A. Bugescu, E. Dina
Journal: Endoscopy (2024)

Aims Adenomatous polyps are well-known preneoplastic lesions of colorectal cancer (CRC). Endoscopic resection of adenomas reduce the incidence of CRC. Surveillance colonoscopy in such cases is mandatory and the time intervals are based on the initial findings at index colonoscopy where size of the adenomas has an important role for determing surveillance intervals. Even there are many guidelines for surveillance colonoscopy, none of these offer details on how to measure the size of adenoma and whether to use endoscopy or pathology size.
Sarcopenia as a Prognostic Factor in Peptic Ulcer Bleeding: A Comprehensive Analysis of 7-day and 30-day Mortality Risks
Authors: H. T. Lee, J. H. Yu, J. Y. Seo, S. K. Jang, A. Y. Lee, S. J. Kim, E. J. Jang, J. S. Park, S. J. Park, S. W. Park
Journal: Endoscopy (2024)

Aims Peptic ulcer disease represents a leading cause of non-variceal gastrointestinal bleeding (NVGIB). With an increasing elderly population, the prevalence of sarcopenia is rising. Although sarcopenia is known to influence the prognosis of various gastrointestinal diseases, its association with the clinical outcomes of peptic ulcer bleeding (PUB) has not been extensively studied. This study aims to investigate the correlation between sarcopenia and PUB, as determined by the psoas muscle index (PMI).
Less is more: lignocaine spray use in unsedated esophagogastroduodenoscopy
Authors: G.Y. C. Sit, K.K. F. Wong, C. F. Leung, T. H. Chan, Y. K. Lam, H.Y. S. Wong, I.H. C. Wu, Z. Wu, K.Y. E. Liu
Journal: Endoscopy (2024)

Aims To investigate different regimens of lignocaine spray in minimizing discomfort during esophagogastroduodenoscopy (EGD).
Endoscopic Resection and Laparoscopic Lymph Node Dissection for Early Gastric Cancer Beyond Conventional Endoscopic Treatment Indications: A 10-Year Outcome Study
Authors: A. Y. Lee, J. Y. Seo, S. H. Kim, J. Y. Cho
Journal: Endoscopy (2024)

Aims Endoscopic full-thickness gastric resection (EFTGR) with laparoscopic regional lymph node dissection (LLND) and endoscopic submucosal dissection (ESD) with LLND have been investigated as treatment options for early gastric cancer beyond the absolute indications for ESD. However, comparative studies on the long-term outcomes of these procedures are lacking. This study aimed to analyze and compare the 10-year outcomes of both procedures in a real clinical setting.
Quality indicators during Endoscopic Retrograde Cholangiopancreatography (ERCP): Tunisian center’s experience
Authors: E. Souilem, L. Khayat, W. Dahmeni, N. Elleuch, A. Hammami, A. Ben Slama, A. Braham, H. Jaziri, M. Ksiaa
Journal: Endoscopy (2024)

Aims The endoscopic retrograde biliopancreatic catheterization procedure holds a significant role in the therapeutic management of biliary and pancreatic pathologies, mainly dominated by lithiasis and tumoral strictures. To ensure the success of this endoscopic procedure and prevent known complications, the ESGE recommends adapting performance criteria. Our study aims to assess the applicability of these quality criteria in routine practice.
Survey-based Analysis of Colonoscopy Quality Among Ukrainian Endoscopists
Authors: I. Hornik, G. Savulionyte, A. Dzhemiliev, S. Polishchuk, G. Shabat, I. Huivaniuk, A. Prystaia, M. Antoniv, N. Melnitchouk
Journal: Endoscopy (2024)

Aims Screening colonoscopy is an effective strategy to prevent and provide early diagnosis for colorectal cancer (CRC). In order to optimize the quality of colonoscopy, performance measures (PM) have been identified and published by major international gastrointestinal societies. This study aimed to evaluate adherence to colonoscopy PMs among Ukrainian endoscopists and investigate factors related to suboptimal polyp management.
Use of endocytoscopy in the evaluation of esophageal squamous cell carcinoma
Authors: I. Iborra, R. Muñoz-González, E. Nuñez-Garcia, E. Castillo-Regalado, J. Colan-Hernandez, I. Marin, V. Moreno De Vega, H. Uchima
Journal: Endoscopy (2024)

Abstract Text Endoscopic treatment is a potentially curative alternative for superficial esophageal squamous cell carcinoma (SESCC). Endocytoscopy is a novel ultra-high magnification technique enabling high-quality in-vivo assessment of mucosal lesions. We present a patient with a SESCC which extended 50-80% circumferentially, margins were poorly-defined and vascular pattern was B2 primarily and B3 in suspected areas. A thorough examination of the margins with endocytoscopy and double staining (crystal violet & methylene blue) prior to the submucosal dissection allowed the expansion of a suspicious lateral margin. The final diagnostic was an pT1b sm2 lesion with negative lateral and vertical margins. We suggest that endocytoscopy might be very useful in the delimitation of large SESCC prior to endoscopic submucosal dissection. [1] [2]
Cold Endoscopic Mucosal Resection (c-EMR) Of Non-Pedunculated Colorectal Polyps≥20 mm: A Systematic Review And Meta-Analysis
Authors: D. Ramai, M. Maida, M. Previtera, O. Brooks, B. Clement, Y. Wang, S. Chandan, B. Dhindsa, F. Antonio, M. A. Khashab, A. Ofosu
Journal: Endoscopy (2024)

Aims There is increasing evidence that cold EMR (c-EMR) can effectively treat large colorectal polyps. We aim to appraise the current literature and evaluate outcomes following c-EMR for non-pedunculated colonic polyps≥20 mm.
Endoscopy-led risk stratification of gastric intestinal metaplasia – diagnostic accuracy of virtual chromoendoscopy combined with targeted biopsies in patients with premalignant gastric lesions in a low incidence area
Authors: F. E. Marijnissen, W. W. Waddingham, S. A. Nieuwenburg, D. Graham, P.J. F. De Jonge, J. Honing, M. Rodriguez-Justo, M. Doukas, E. J. Kuipers, M. Banks, M. Jansen, M.C. W. Spaander
Journal: Endoscopy (2024)

Aims Accurate identification and staging of gastric intestinal metaplasia (GIM) during endoscopy is challenging, in particular in countries with a low incidence of gastric cancer (GC). Random biopsy histopathology, Sydney staging, remains the current gold standard for GIM staging, although random biopsy sampling is poorly reproducible which hinders individual risk prediction and might lead to an underestimation of GIM. Virtual chromoendoscopy (VCE) has shown to be superior to white light endoscopy (WLE) with accuracy for GIM higher than 90% in countries with a middle-high GC incidence. We evaluated clinical yield of an endoscopy-led risk stratification strategy combining VCE and targeted GIM biopsies in low GC incidence settings.
Case Report: A Rare Cause of Gastric Mass Presenting With An Upper Gastrointestinal Bleed
Authors: S. Williams, C. Tai
Journal: Endoscopy (2024)

Abstract Text A 54yo male with known relapsed multiple myeloma(MM) presented with melaena. Gastroscopy demonstrated 25mm gastric mid-body mass with stromal tumour appearances. CT scan showed ~3 cm focus of gastric greater curve thickening and skeletal lytic lesions in keeping with the known myeloma. He was discussed four times in the local MDT before conclusive diagnosis was reached. Initial biopsy requests did not provide the medical history and were simply reported as 'dysplastic'. When further information was eventually provided the histology was reported as a gastric deposit of myeloma with plasmablastic features. MM with extramedullary plasmacytoma is extremely rare, accounting for<5% of MM [1]. Extramedullary disease affecting the GI system is even more unusual and accounts for<1% of all MM [2]. We must consider the wider clinical context and provide as much clinical information as possible at all stages of diagnosis.
Simple is Better: Endoscopic Treatment of Giant Gastric Bezoar
Authors: I. Roa Esparza, M. Carhuas Canchán, C. Ibarra Ponce De León, M. Dura Gil, A. Bausela Sainz, D. Quiñones Diaz, J. A. Viveros Goméz, I. Casado Morentín
Journal: Endoscopy (2024)

Abstract Text Managing large gastric bezoars remains a challenge in endoscopy, despite advanced tools. This case features a 66-year-old male with a resistant 12 cm bezoar. After unsuccessful attempts with various methods, an innovative approach was pursued. Initially, underwater Holmium:YAG lithotripsy was considered, gradually fragmenting the bezoar while preventing thermal damage through continuous water irrigation. Due to the extended procedure duration, a second-stage approach was adopted, incorporating a Jagwire guide loop through a polypectomy snare catheter. This technique successfully eliminated the bezoar over two sessions spaced two months apart. We report our experience, incorporating a catheter to enhance visibility and maneuverability. Due to its accessibility and reduced risk of complications, it may become the preferred choice for giant bezoar treatment [1] [2] [3].
Impact of proximal small bowel lesions detected by capsule endoscopy in Crohn&amp;apos;s Disease patients
Authors: C. El Maimouni, G. Casanova, M. Urpi, G. Fernandez-Esparrach, A. Gines, G. Soy, J. I. Ordás, B. Caballol Oliva, A. Fernández, E. Ricart, B. González Suárez
Journal: Endoscopy (2024)

Aims Capsule endoscopy (CE) is an increasingly used method for the evaluation and monitoring of small bowel Crohn's Disease (CD). Our study aimed to describe the clinical significance of small bowel CD, specifically, proximal lesions diagnosed using CE.
Endoscopic approach of a de novo perivaterian abscess
Authors: M. T. Koutroumpi, D. Kalos, G. Kallimanis, T. Thomaidis
Journal: Endoscopy (2024)

Abstract Text A 53-year-old patient presented with persistent fever up to 38.5 C and deterioration of her clinical state. She had mild leucocytosis, negative initial blood and urine cultures and no response to empiric antibiotic treatment. CT and MRI showed a thickening of the D1-D2 and cystic elements of around 2 cm between the head of the pancreas and the duodenal wall. We performed an upper GI endoscopy followed by an CE- endoscopic ultrasound (CE-EUS). All the findings were consistent with perivaterian abscess confirmed with presence of pus in the cytology after FNA. Due to incomplete drainage, we forwarded an 0.035 inch guidewire into the cyst under EUS guidance. The needle knife was used to form a fistula between the duodenal lumen and the abscess. Pus was seen to flow endoscopically. The patient showed rapid improvement of her clinical state with normal findings in next radiological imaging.
Endoscopic retrograde appendicitis therapy (ERAT) for treating periappendiceal abscess: A multicentral experience from China
Authors: S. Ullah, J. Zhang, L. Dan, L. Jianyi, F. Jianping, B. Liu
Journal: Endoscopy (2024)

Aims The aim of this study was to evaluate the safety and efficacy of endoscopic retrograde appendicitis therapy (ERAT) for treating periappendiceal abscess.
Training in EUS: current state of training modalities from a worldwide survey
Authors: M. Tacelli, L. Archibugi, M. C. Petrone, M. Kahaleh, P. Fusaroli, J. Iglesias-Garcia, P. Arcidiacono
Journal: Endoscopy (2024)

Aims Endoscopic Ultrasound (EUS) is an advanced procedure requiring a formal and specific training. Currently position papers by American and European societies for endoscopy (ASGE and ESGE) have been published on required training modalities, but data on the adoption of such standards lack. Our aim was to describe the current state of training in EUS around the world, investigate educational lacks and clarify expectations of trainees for their training period.
Use of artificial intelligence device in colorectal cancer screening colonoscopies. Experience in a second-level hospital
Authors: E. González de Castro, L. F. Aguilar Argeñal, D. Robles de la osa, P. U. Claudia, E. P. Pablo, C. M. Luis, Á.M. Montero Moretón, L. Pérez Citores, M. Cimavilla Román, M. Curieses Luengo, J. Santos Fernández, F. Santos Santamarta, B. A. Moreira Da Silva, S. Maestro Antolín, F. J. Rancel Medina, J. Barcenilla Laguna, A. G. Pérez Millán
Journal: Endoscopy (2024)

Aims Colonoscopies often miss lesions, a fact associated with interval cancer. Artificial Intelligence (AI) devices could enhance this performance.
Artificial Intelligence automated assessment of colonoscopy key performance measures
Authors: G. Carlino, R. Bose, G. Leonardi, V. Srivastav, V. Bove, I. Boskoski, S. Cristiano, N. Padoy, P. Mascagni
Journal: Endoscopy (2024)

Aims Colorectal cancer is the third most frequent cancer and is an important cause of morbidity and mortality. A high-quality colonoscopy is the most, and only, effective method for the screening and early treatment of this disease. The key performance measures (KPM) that define a high-quality colonoscopy include the completeness of the examination, adequate intestinal cleansing, and retraction technique (evaluated through the retraction time) as established by the ESGE. The use of a single AI software can potentially make simpler, faster, and more objective the evaluation of the aforesaid KPM.
Endoscopic retrieval of a forgotten 4-year-old trans-gastric LAMS
Authors: R. Prata, M. I. Canha, P. Martins, S. Santos, M. J. Silva, D. Carvalho, G. Ramos
Journal: Endoscopy (2024)

Abstract Text A 61-year-old asymptomatic male was referred to our department for lumen-apposing metal stent (LAMS) removal. A medical records review confirmed an EUS-guided trans-gastric drainage of a pancreatic collection 4 years earlier, with placement of a 15x10mm LAMS (Hot Axios stent, Boston Scientific). The patient was lost to follow-up, thus failing to remove the stent at the appropriate timing. CT evaluation confirmed the LAMS was in place, embedded in the gastric wall. Endoscopy revealed the LAMS circumferentially surrounded by gastric wall, with both ends free in the gastric lumen. There was disintegration of the outer coating, tissue ingrowth, and severely mangled stent ends. Using foreign body forceps, we achieved partial mobilization of the distal end, which allowed for en bloc stent removal using a standard polypectomy snare. There were no post-procedure adverse events.
Factors associated with the diagnostic yield of endoscopic ultrasound (EUS)-guided tissue sampling for the cyto-histological diagnosis of solid pancreatic tumors: analysis of a large prospective registry
Authors: Y. Dominguez-Novoa, J. Lariño-Noia, D. De La Iglesia-Garcia, I. Abdulkader-Nallib, H. Lazare-Iglesias, J. E. Dominguez-Munoz, J. Iglesias-Garcia
Journal: Endoscopy (2024)

Aims EUS-guided sampling is considered the gold standard for the cyto-histological diagnosis of solid pancreatic tumors (SPT). The development of new needles over the last few years has improved the diagnostic accuracy of EUS sampling. Our study aimed to evaluate factors associated with the diagnostic yield of EUS sampling for the cyto-histological diagnosis of SPT in clinical practice.
Haemocer Plus in the treatment and prevention of lower GI post-resectional bleeding: prospective multicenter registry
Authors: F. Auriemma, G. Andrisani, A. Facciorusso, F. Calabrese, N. Citterio, D. Paduano, C. Gentile, M. Spertino, G. Marcozzi, C. Hassan, F. M. Di Matteo, A. Repici, B. Mangiavillano
Journal: Endoscopy (2024)

Aims GI bleeding associated to endoscopic procedure is defined as clinical evidence of bleeding and a drop in hemoglobin of≥2g/dL on the day of the procedure (early bleeding) or up to 14 days after the procedure (delayed bleeding). GI bleeding is a common complication of endoscopic procedures, such as endoscopic mucosal resection (EMR) and endoscopic sub mucosal dissection (ESD). Endoscopic treatments encompass injection therapy (epinephrine, sclerosing agents), mechanical therapy (hemoclipsplacement),andthermaltherapy(monopolarandbipolarcoagulation,argonplasma coagulation, or heat probe). New endoscopic hemostasis modalities (topical hemostatic agents) are emerging as possible alternative endotherapies for primary hemostasis when bleeding is refractory or not amenable to standard endoscopic hemostasis therapies. We aim to establish a multicenter, observational registry to collect data related to the use of HaemoCer PLUS for the primary prevention of delayed bleeding linked to endoscopic resectional procedures of the lower GI tract. Primary aim: prevention of delayed bleeding after colonic EMR or ESD larger than 30 mm. Secondary aim: evaluation of possible adverse events (AEs) related to the application of the powder.
Colorectal Cancer and Gender, Similarities and Disparities
Authors: N. Abu-Freha, J. A. Abu, S. Weissman, O. Alamour, O. Etzion
Journal: Endoscopy (2024)

Aims Sex-related differences were reported in different fields, including gastroenterology. Differences could be related to the biological body structure, nutrition habits, and social aspects. We aimed to investigate the general characteristic, comorbidities, and all cause-mortality of colorectal cancer (CRC) among females and males in a large population.
No evidence of difference in mortality with amoxicillin versus co-amoxiclav for hospital treatment of community-acquired pneumonia
Authors: Jia Wei, Aashna Uppal, Christy Nganjimi, Hermione Warr, Yasin Ibrahim, Qingze Gu, Hang Yuan, Najib M. Rahman, Nicola Jones, A. Sarah Walker, David W. Eyre
Journal: Journal of Infection (2024)

ObjectivesCurrent guidelines recommend broad-spectrum antibiotics for high-severity community-acquired pneumonia (CAP), potentially contributing to antimicrobial resistance (AMR). We aim to compare outcomes in CAP patients treated with amoxicillin (narrow-spectrum) versus co-amoxiclav (broad-spectrum), to understand if narrow-spectrum antibiotics could be used more widely.MethodsWe analysed electronic health records from adults (≥16 y) admitted to hospital with a primary diagnosis of pneumonia between 01-January-2016 and 30-September-2023 in Oxfordshire, United Kingdom. Patients receiving baseline ([-12h,+24 h] from admission) amoxicillin or co-amoxiclav were included. The association between 30-day all-cause mortality and baseline antibiotic was examined using propensity score (PS) matching and inverse probability treatment weighting (IPTW) to address confounding by baseline characteristics and disease severity. Subgroup analyses by disease severity and sensitivity analyses with missing covariates imputed were also conducted.ResultsAmong 16,072 admissions with a primary diagnosis of pneumonia, 9,685 received either baseline amoxicillin or co-amoxiclav. There was no evidence of a difference in 30-day mortality between patients receiving initial co-amoxiclav vs. amoxicillin (PS matching: marginal odds ratio 0.97 [0.76-1.27], p=0.61; IPTW: 1.02 [0.78-1.33], p=0.87). Results remained similar across stratified analyses of mild, moderate, and severe pneumonia. Results were also similar with missing data imputed. There was also no evidence of an association between 30-day mortality and use of additional macrolides or additional doxycycline.ConclusionsThere was no evidence of co-amoxiclav being advantageous over amoxicillin for treatment of CAP in 30-day mortality at a population-level, regardless of disease severity. Wider use of narrow-spectrum empirical treatment of moderate/severe CAP should be considered to curb potential for AMR.