tbuckley/cabot-search huggingface dataset:
Recurrence of upper gastrointestinal bleeding in an intubated patient with an actively oozing duodenal ulcer in a difficult anatomical site and successful hemostasis with an Over-The-Scope Clip
Authors: C. Sotiropoulos, C. Konstantakis, G. Theocharis, C. Triantos, K. Thomopoulos
Journal: Endoscopy (2024)

Abstract Text We describe a 79-year old man who was hospitalized intubated in the intensive care unit due to severe exacerbation of COPD and who presented in-hospital melena. The patient underwent gastroscopy, where in the second part of the duodenum (D2) we identified blood and two Forrest Ib ulcers, each treated with adrenaline injection and through the scope clips. After 72 hours and initiation of anticoagulant therapy the patient presented a recurrence of bleeding, he underwent endoscopy again and we identified an actively oozing duodenal ulcer successfully treated with adrenaline injection and an Over-The-Scope Clip placement. [1] [2] [3] [4] [5]
Impact of linked color imaging on proximal adenoma miss rate: a multicenter tandem randomized controlled trial
Authors: D. Karsenti, G. Perrod, B. Perrot, L. Quénéhervé, E. Chabrun, S. Koch, G. Vanbiervliet, G. Rahmi, G. Velut, M. Moreno-Garcia, M. Cavicchi, X. Dray
Journal: Endoscopy (2024)

Aims Missed lesions are common during standard colonoscopy and are correlated with post-colonoscopy colorectal cancer (PCCRC). Contrast enhanced technologies have recently been developed to improve polyp detection. The aim of this study was to evaluate the impact of linked color imaging (LCI) system on the proximal adenoma miss rate (pAMR) in routine colonoscopy.
An observational cohort study of patients with chronic liver disease undergoing variceal screening and surveillance using capsule endoscopy
Authors: V. Shivakumar, G. Neill, S. W. Mckenzie, P. Oka, R. Sidhu, L. Harrison, M. McAlindon
Journal: Endoscopy (2024)

Aims Meta-analysis identified a pooled sensitivity and specificity of 85% and 84%, respectively, for the detection of varices by the Pillcam ESO3 (Medtronic Ltd., Minneapolis, USA) compared to gastroscopy. [1] The most recent iteration, the Pillcam UGI, also a double ended capsule camera, had twice the image acquisition rate of 35 per second for the first 10 minutes. We aimed to evaluate this device in an observational cohort study as it was not previously studied in patients with liver disease.
Recycling potential of gastrointestinal endoscopy in German hospitals and offices – a multicentre prospective study
Authors: L. Welsch, S. Kim, A. Tal, N. Haider, A. Eickhoff, M. Schneider, L. Wittersheim, L. Schmitt, M. Heilani, S. Zeuzem, M. Friedrich-Rust, F. Michael
Journal: Endoscopy (2024)

Aims Waste is a relevant contributor of environmental pollution, as besides the direct consequences of landscape and water pollution, large amounts of greenhouse gases are also produced during incineration.The aim of the present study was to obtain a picture of the amount of waste generated and its composition during endoscopic examinations in order to be able to calculate the recycling potential for Germany's gastrointestinal endoscopy landscape.To the best of our knowledge, this is the first study worldwide to look at the amount of waste generated in the office-based sector.
Machine learning-based endoscopic classification for superficial mucosal lesions in hereditary diffuse gastric cancer
Authors: L. Wu, A. Wu, J. Honing, W. K. Tan, F. Markowetz, R. Fitzgerald, M. D. Pietro
Journal: Endoscopy (2024)

Aims Hereditary diffuse gastric cancer (HDGC) is typically due to pathogenetic variants in CDH1 (CDH1-PV) and carries 40-60% life-time risk of signet ring cell carcinoma (SRCC). Endoscopic surveillance can be elected to inform the time of prophylactic total gastrectomy by detecting early SRCC. The pale area is the most common endoscopic lesion harbouring SRCC but can be difficult to diagnose. We previously described the Cambridge criteria to aid endoscopic detection and characterisation of early SRCC in pale areas. [1] The criteria include six features: A, round shape (opposed to linear); B, well demarcated borders (opposed to faded margins); C, focally irregular microvessels; C++, diffusely irregular microvessels; D, irregular microsurface pattern; and E, reproducibility in dynamic view. The aim of this study was to validate the Cambridge criteria prospectively and to develop machine-learning (ML) tool based on these criteria to improve the effectiveness of the endoscopic diagnosis.
Motivation of nurses/technicians and expectations in today&amp;apos;s work process
Authors: M. Zubcic
Journal: Endoscopy (2024)

Aims The objective of this paper is to educate nurses on the importance of motivation, positive energy, and positive communication. Furthermore, the aim of this paper is to achieve positive energy in nursing through the realization of new ideas aimed at strengthening the nursing profession, recognizing talents, empowering a positive work atmosphere, increasing retention in the workplace, reducing stress levels, and strengthening rewards for one's work and effort, as well as improving employee morale. In today's time, the task in nursing that concerns all of us is to recognize good work, promote positive communication and teamwork. Ultimately, even small things can yield great results.
Novel method for refractory tracheoesophageal fistula closure : modified polydioxanone suture mesh with fibrin glue
Authors: B. R. Patra, S. Pujalwar, A. Singh, S. Gupta, C. Saner, S. Harindranath, A. Shukla
Journal: Endoscopy (2024)

Abstract Text A 5 year old child of congenital tracheoesophageal fistula (TEF) presented with recurrence after failing multiple surgical and endoscopic attempts of closure. An endoscopic examination revealed fistula opening with diameter of 7mm at 19cm from incisors. Our method used modified suture mesh placement with three sessions of fibrin glue injection. Polydioxanone suture of size 3-0 was used to knit the tubular mesh after putting multiple knots. It was then placed in the fistula and fixed with clips after ablating edges with argon plasma coagulation, forced mode, 40W. Subsequently a double lumen catheter was used to deliver processed components of fibrin sealant (fibrinogen and thrombin with aprotinin and calcium chloride) into the fistula tract to form the final fibrin clot. Repeat ablation and fibrin glue application (3 sessions) was done at interval of 2 weeks leading to complete closure of the fistula.
ESD for the treatment of early gastric cancer in the elderly: overall survival, safety, and technical success
Authors: M. Moreno-Sanchez, A. Herreros De Tejada, G. Fernandez-Esparrach, U. Goikoetxea, E. Rodriguez De Santiago, E. Albéniz, J. Rodríguez Sánchez, P. Miranda, O. Nogales Rincón, H. Uchima, Á. Terán, J. C. Marín-Gabriel
Journal: Endoscopy (2024)

Aims Early gastric cancer (EGC) is increasingly common in elderly patients [1]. This study aimed to determine the overall survival (OS) in elderly patients with EGC (aged≥80 years) undergoing ESD and compare it with the previous decade's cohort (aged 70-79 years). Additionally, technical success and safety were analyzed.
The safety and efficacy of endoscopic vacuum therapy for the management of leaks following bariatric surgery: A systematic review and meta-analysis
Authors: O. Barbouti, B. Norton, A. Papaefthymiou, A. Telese, A. Murino, C. Murray, G. Johnson, B. Mohammadi, M. Mughal, R. Haidry
Journal: Endoscopy (2024)

Aims Bariatric surgery is a highly effective treatment for patients living with obesity. However, it is not without risk and anastomotic leaks represent a dreaded complication. Reoperation for leaks is technically difficult and associated with major morbidity. Endoscopic vacuum therapy (EVT) is an emerging technology for treating post-bariatric surgery (PBS) leaks. During EVT, a polyurethane sponge is delivered endoscopically to the leak site to apply negative pressure. Early data confirms efficacy over conventional endoscopic techniques. We conducted a systematic review and meta-analysis to determine the pooled safety and efficacy of EVT for PBS leaks, and then compared it to conventional endoscopic therapy.
Durability of plastic pancreatic stents in post-ERCP pancreatitis prophylaxis
Authors: J. Parra, M. Perez, T. Gonzalez, L. Mejuto, C. Mateos, E. Quintanilla, J. L. Castro
Journal: Endoscopy (2024)

Aims Plastic pancreatic stents are one of the most effective methods for decreasing the incidence of post-ERCP acute pancreatitis.
Large gastric superficial lesion in the fundic dome resected by endoscopic submucosal disection combining &amp;apos;pocket creation method&amp;apos; and traction techniques
Authors: Á. Terán, M. J. López Arias, J. C. Rodríguez Duque, J. Crespo, M. Moris, M. Fraile-Lopez
Journal: Endoscopy (2024)

Abstract Text An 80-year-old female presented with a large superficial lesion located in the fundic dome. First biopsies showed high-grade dysplasia (HGD). Endoscopic submucosal dissection was proposed to achieve en bloc resection. It was performed under general anaesthesia and various endoscopes with distal caps and endo-knives were used. The lesion was firstly approached in an antegrade fashion creating a 'pocket' from the cardia to the fundus, followed by retroflexion working assisted by 3 clip-line tractions. Coagulation was made with bipolar forceps. There were 5 milimetrical perforations, all succesfully clipped. En bloc resection was achieved and the pathological report confirmed a 90x60 mm HGD-lesion with free margins. Patient resumed oral intake 3 days after. Endoscopic follow-up 11 months later revealed no residual lesion.
Effect of case selection on ESD outcomes in suspected T1 CRC
Authors: R. van Eijck van Heslinga, P. Didden, A. Koch, J. Boonstra, A. Lemmers, M. Figueiredo Ferreira, J. Santos-Antunes, W. De Graaf, J. Hardwick, S. Elias, M. Lacle, L.M. G. Moons
Journal: Endoscopy (2024)

Aims Colorectal endsocopic submucosal dissection (ESD) is advocated to be performed on polyps which harbor a risk of submucosal invasive cancer (SMIC) either based on size, location and morphological features, or the presence of an invasive pit- or vascular pattern at enhanced imaging. It is however unknown how the selection of cases for ESD influences technical success and vertical resection margin (VM) R0 rates for pT1 colorectal cancer (CRC) specifically. In this study, the influence of case selection on technical success and the VM R0 rate of ESD for suspected T1 CRCs was evaluated in a prospective cohort of ESDs.
Comparison of EMR and ESD for early Barrett&amp;apos;s neoplasia: A Systematic Review and Meta-Analysis
Authors: K. Khalaf, Y. Fujiyoshi, T. He, D. Tham, Y. Yuhong, M.R. A. Fujiyoshi, N. Gimpaya, N. Calo, S. Grover, G. May, C. Teshima
Journal: Endoscopy (2024)

Aims Barrett's esophagus (BE) with visible lesions including high-grade dysplasia and esophageal adenocarcinoma is treated by endoscopic resection. Endoscopic mucosal resection (EMR) and endoscopic submucosal dissection (ESD) are both accepted strategies for resection of Barrett's lesions. However, a lack of consensus exists regarding which technique offers superior clinical outcomes and safety. This study aims to compare the clinical outcomes and safety of EMR versus ESD in treating early Barrett's neoplasia and esophageal adenocarcinoma.
Delineation of recurrence amongst non-expert endoscopists is less accurate than experts but is readily trainable using a short learning intervention
Authors: S. Smeets, M. E. Argenziano, P. J. Poortmans, L. Debels, M. Montori, S. Ridolfo, C. Schoonjans, T. Tornai, L. Desomer, D. J. Tate
Journal: Endoscopy (2024)

Aims Colorectal cancer is prevented by colonoscopy and polypectomy. Failure to recognize the endoscopic resection scar after EMR risks unrecognized recurrent or residual adenoma (RRA), which may propagate into post-colonoscopy colorectal cancer. Expert series suggest scar recognition and interrogation is well performed with a high negative predictive value of endoscopic imaging vs histopathology. In this study we investigate the performance of endoscopic imaging in detecting RRA at an endoscopic resection scar amongst general endoscopists and the impact of a learning intervention on recognition of RRA.
Prevalence of Carbapenemase-producing organisms (CPO) colonization before and after endoscopic retrograde cholangiopancreatography (ERCP)
Authors: M. Mutignani, G. Bonato, L. Dioscoridi, I. Cottone, M. Cintolo, A. Palermo, M. Bravo, F. Pugliese, M. Capasso, E. Palmeri, D. Donnarumma, E. Forti
Journal: Endoscopy (2024)

Aims Carbapenemase-producing organisms (CPO) represent a major public health problem worldwide [1]. During the last two decades, risk of transmission of CPO from contaminated duodenoscopes has been widely described and is now considered a well-known threat [2] [3]. However, data on infection rates are limited to case series and confined to the setting of infection outbreaks. Disposable duodenoscopes seem to be promising tools to control infection spread, but cost-effectiveness has to be evaluated [4] [5]. To date, data on universal screening for multidrug-resistant microorganisms of patients referring to the Endoscopy service are extremely scant. Aim of this study was to evaluate the overall incidence of CPO colonization after endoscopic retrograde cholangiopancreatography (ERCP) outside the outbreak setting.
Remimazolam versus propofol for sedation in gastrointestinal endoscopic procedures: a systematic review and meta-analysis
Authors: E. Barbosa, P. Santo, S. Baraldo, G. Meine
Journal: Endoscopy (2024)

Aims This systematic review and meta-analysis aimed to compare efficacy-, safety-, and satisfaction-related outcomes between remimazolam, a novel benzodiazepine, and propofol, both combined with fentanyl congeners (FC), for sedation of adults undergoing gastrointestinal (GI) endoscopic procedures.
Cholangioscopy as a rescue technique of a major basket failure during ERCP
Authors: D. Kogias, N. Kafalis, G. Kouklakis
Journal: Endoscopy (2024)

Abstract Text This is a unique case of cholangioscopy in the role of rescuer, as it managed to free the basket from the wedged stone of the common bile duct (CBD). A 47-year-old man underwent an ERCP due to difficult CBD stone. During ERCP we attempted to extract the stone using a basket through the cholangioscope. While pulling the basket, its wire was damaged. As a result, the basket with the wedged stone remained in the CBD, making it impossible for the endoscopist to manipulate it. Then, we cut the wire leaving the basket with the wedged stone in the CBD and we promoted the lithotripsy probe through the cholangioscope. We reached the stone, applied successfully Electrohydraulic Lithotripsy and set free the basket from the stone (Video). Finally, using a simple forceps we pulled the basket out and cleaned the duct from the rubbish.
Comparision of safety profile, clinical success and re-intervention rates in EUS- Gastroenterostomy versus enteral self expandable metal stents in patients with malignant gastric outlet obstruction
Authors: A. A. Pagadapelli, R. Yewale, A. Bapaye
Journal: Endoscopy (2024)

Aims To compare safety profile, clinical outcomes and re-intervention rates between EUS-GE and enteral SEMS in the palliation of malignant GOO.
Treatment of a staple-line leak after laparoscopic sleeve gastrectomy using an esophagoduodenal Niti-S Mega-stent
Authors: F. Vara-Luiz, I. Mendes, G. Nunes, C. Oliveira, C. Afonso, A. Pascoal, P. Lages, S. Onofre, J. Fonseca
Journal: Endoscopy (2024)

Abstract Text Laparoscopic sleeve gastrectomy (LSG) has become the most frequently performed bariatric surgery. Staple-line leak occur in 5.5% of cases and is associated with significant morbidity. A 56-year-old female with class 3 obesity was admitted 2 weeks after LSG due to fever and abdominal pain. Upper endoscopy showed a 10-mm leak at the esophago-gastric junction with contrast extravasation. After 0,038'' guidewire placement through the proximal jejunum, a Niti-S Mega-Stent 28x230mm was deployed under fluoroscopy. Oral nutrition was started uneventfully. After 8 weeks the stent was removed, and granulation tissue was observed with no contrast extravasation. Endoluminal stenting is commonly used for staple-line leaks after LSG. Mega-stent offers complete bridging between esophagus and the duodenum, overcoming self-expandable metal stents' limitations and increasing treatment success [1] [2] [3] [4] [5].
Risk factors for metachronous colorectal cancer or advanced lesions after endoscopic resection of serrated polyps: a systematic review and meta-analysis
Authors: S. Baile-Maxía, C. Mangas Sanjuán, N. Sala-Miquel, C. Sánchez Ardila, P. Zapater, R. Jover Martínez
Journal: Endoscopy (2024)

Aims Serrated polyps (SPs) are precursors to 30% of colorectal cancers (CRCs). However, there are discrepancies about which SPs require surveillance and at what intervals, with recommendations adapted from those applied to adenomas in the absence of solid evidence in this regard. Our aim was to assess which PS risk characteristics are associated with a higher risk of metachronous CRC or total metachronous advanced lesions (TMAL).
Comparing Plastic vs Biodegradable Pancreatic Stents for the Prevention of Post-Endoscopic Retrograde Cholangiopancreatography Pancreatitis: Preliminary Results of A Single-center Randomized Controlled Trial
Authors: C. Robles-Medranda, D. Cunto, M. Egas-Izquierdo, M. Puga-Tejada, R. Del Valle, J. Baquerizo-Burgos, M. Arevalo-Mora, H. Alvarado-Escobar, H. Pitanga-Lukashok, J. Alcivar-Vasquez
Journal: Endoscopy (2024)

Aims ERCP stands as the primary choice for treating pancreatobiliary disorders. Among its complications, post-ERCP pancreatitis (PEP) is the most frequent, with a prevalence ranging from 4-10%, and reaching up to 15% in high-risk patients. To mitigate the hydrostatic pressure contributing to PEP in high-risk patients, the insertion of a pancreatic duct stent is considered a preventive measure. The available options for pancreatic duct stenting include plastic pancreatic stents (PPS) and biodegradable stents (BDS) placement; However, currently, there is no available data on their efficacy, nor the best setting for choosing between the two. Thus, our aim is to compare the effectiveness of PPS vs BDS for the preventing PEP. [1] [2] [3] [4]
Diagnostic accuracy of duodenal endoscopic markers of atrophy and their relation to tissue transglutaminase levels in adult patients with suspected coeliac disease
Authors: M. G. Shiha, S. A. Raju, N. Nandi, K. Ingham, H. A. Penny, D. S. Sanders
Journal: Endoscopy (2024)

Aims Endoscopic markers of atrophy in the duodenum are well described. However, their relation to IgA tissue transglutaminase (tTG) levels has not been studied. We aimed to evaluate the diagnostic accuracy of endoscopic markers of atrophy in adult patients with suspected coeliac disease and IgA-tTG≥10x the upper limit of normal (ULN) compared with those with IgA-tTG<10x ULN.
Assessment of the impact of gastroscopy quality protocols on the reduction of upper gastrointestinal cancer miss rate
Authors: N. del Val Huerta, J. Rodríguez Sánchez, F. J. Salamanca Santamaría, I. Romero Sánchez-Miguel, J. Díaz Tasende
Journal: Endoscopy (2024)

Aims There is a growing interest in enhancing quality in gastroscopy. However, the assessment of the role of quality measures in the early cancer detection and, subsequently, in the reduction of gastrointestinal cancer miss rate (GCMR) is limited. The aim of our study is to assess the real impact of gastroscopy quality standards on the reduction of GCMR.
Trans-nasal endoscopy – A viable post pandemic recovery option?
Authors: A. Rout, T. V. Le-Magowan, N. Direkze, S. Stevens
Journal: Endoscopy (2024)

Aims There have been increasing demands on endoscopy services across the UK over recent years, heightened significantly by the COVID-19 pandemic. Whilst oesophagogastroduodenoscopy (OGD), is the standard upper gastrointestinal (UGI) investigational tool, it has recognised shortfalls. Trans-nasal endoscopy (TNE) offers an established alternative. It has been shown to be better tolerated, less aerosol generating, have fewer complications and possesses the flexibility to be utilised outside of the traditional endoscopy setting with fewer staff. This comparative study investigates differences in qualitative and quantitative outcomes in un-sedated OGD (uOGD) and TNE (uTNE).
Transanal endosopic suturing of a recto-urethral fistula
Authors: J. Drzewiecki, M. Siepsiak-Połom, W. Połom, M. Pastuszak, M. Matuszewski
Journal: Endoscopy (2024)

Aims Present a novel endoscopic transrectal treatment method for recto-urethral fistula after Robot – Assisted Radical Prostatectomy (RARP) with the use of Apollo OverStitch SxTM Endoscopic Suturing System
EUS-guided rendezvous in gastric bypass: a double-edged transgastric ERCP
Authors: M. Cobreros del Caz, J. Ruiz Rodriguez, M. De Benito Sanz, R. Sánchez-Ocaña, C. De La Serna Higuera, M. Perez-Miranda
Journal: Endoscopy (2024)

Abstract Text Introduction: EUS-directed trans-Gastric Intervention (EDGI) via LAMS into the excluded stomach has not yet been reported for biliary rendezvous.Case: Symptomatic CBD stone in Roux-en-Y gastric bypass female. A 20x10 mm LAMS is placed for single-session EDGE. Wire-guided cannulation of a small papilla fails. EUS-rendezvous is chosen instead of pre-cut in a high-risk patient with hostile papillary anatomy. Duodenoscope is exchanged for the echoendoscope. CBD is 19G-punctured and guidewire passed antegrade across the papilla. Sphincterotomy with a home-made mono-rail sphincterotome with the echoendoscope allows wireless scope exchange, for a final balloon sweep with the duodenoscope. Comment: In hostile duodenal anatomy, pre-cut may be avoided by rendezvous, even in EDGE.
Upper gastrointestinal endoscopy combined with gastric juice analysis by the medical device Endofaster for real-time assessment of H. pylori infection and molecular-based antibiotic resistance
Authors: R. Vasapolli, F. Ailloud, B. Spießberger, S. Suerbaum, P. Malfertheiner, C. Schulz
Journal: Endoscopy (2024)

Aims The high prevalence of antibiotic resistance of Helicobacter pylori (H. pylori) demands for antibiotic susceptibility testing (AST) to optimize treatment selection. The aim of our study was to evaluate the accuracy of a gastric juice-based molecular AST (GM-AST) concerning clarithromycin and levofloxacin in a cohort of H. pylori-positive patients identified during diagnostic gastroscopy by use of the medical device Endofaster.
Optical Diagnosis in Colonoscopy: We can’t all be (GI) Geniuses
Authors: M. hanly, R. Varley, L. Kumar, E. Gibbons, M. Mccrossan, D. Aimee, S. Thomas, B. Hall, O. B. Kelly, G. Horgan, G. Doherty
Journal: Endoscopy (2024)

Aims To compare the performance of expert endoscopists, trainee endoscopists and CADx in characterising colonic polyps.
Distinguishing the Endoscopic Characteristics of Sessile Serrated Lesions and Microvesicular Hyperplastic Polyps from Goblet Cell-Rich Hyperplastic Polyps
Authors: O. Toyoshima, T. Nishizawa, T. Matsuno, S. Yoshida
Journal: Endoscopy (2024)

Aims Among colorectal serrated polyps (SPs), sessile serrated lesions (SSLs) and hyperplastic polyps (HPs) show a similar endoscopic appearance on endoscopy [1]. However, the endoscopic distinctions between the two categories, microvesicular HP (MVHP) and goblet cell-rich HP (GCHP) are not well understood. Therefore, we compared the endoscopic features of SSL, MVHP, and GCHP.
Evaluation of Artificial Intelligence-Assisted Colonoscopy for Adenoma Detection in Lynch Syndrome: a multicentre randomized controlled trial (Timely study)
Authors: O. Ortiz, L. Rivero-Sánchez, A. Gimeno-Garcia, J. Lopez Vicente, R. Jover Martínez, L. Ricciardiello, I. Puig, R. Huneburg, M. T. Herraiz Bayod, J. Gordillo Abalos, M. Daca-Alvarez, S. Tejpar, R. Bisschops, A. Repici, J. Herrero, R. David, L. Cid, V. Alvarez, C. Romero, A. Huerta, M. T. Betes, F. Riu, M. Carrillo, G. M. Cavestro, F. Balaguer, M. Pellisé
Journal: Endoscopy (2024)

Aims To compare mean number of adenomas per colonoscopy (APC) between CAD assisted colonoscopy (CADe) versus white light (WLE) in Lynch syndrome patients.