tbuckley/cabot-search huggingface dataset:
Retrospective analysis of patient with upper gastrointestinal (UGI) bleed service and time to endoscopy in a district general hospital
Authors: Y. J. Chew, S. R. Joel, W. Choudhary, S. Edmond
Journal: Endoscopy (2024)

Aims We performed a retrospective audit of the endoscopic findings and timing to endoscopy, among patients presented with upper gastrointestinal (UGI) bleed as new admission and as inpatient at George Eliot NHS Trust; It provides hospital services to a population of 350,000 [1].
Endoscopic treatment of a Mirizzi Syndrome type 5 with cholecystobiliary and cholecystocolonic fistulas
Authors: M. Moris, M.J. López Arias, M. Fraile-Lopez, J.C. Rodríguez Duque, J. Crespo, Á. Terán
Journal: Endoscopy (2024)

Abstract Text A 90-year-old male presented with recurrent biliary sepsis secondary to Mirizzi Syndrome (MS) with cholecystobiliary (CB) and cholecystocolonic (CC) fistulas. A digital cholangioscopy showed a 2.5-cm gallbladder stone impacted at the common hepatic duct (CHD). Electrohydraulic lithotripsy was performed from the CHD through the CB fistula, clearing the fistula tract. A guidewire was advanced from the CHD through both fistulas leaving its distal end within the colonic lumen. A fully covered metal biliary stent was deployed through the CB fistula into the gallbladder to maintain the CB fistulous tract patent for future procedures. Colonoscopy was immediately performed. The distal end of the guidewire was followed to locate the CC fistula. An over the scope clip was deployed successfully closing the colonic orifice. The patient has remained asymptomatic after 1 year since the procedure.
Clinicopathological features and outcomes in young adults with gastric cancer
Authors: H. Aouroud, M. Aouroud, F. E. Lairani, N. Oussama, A. Ait Errami, S. Oubaha, Z. Samlani, K. Krati
Journal: Endoscopy (2024)

Aims Gastric cancer rarely occurs in individuals under the age of 40, and little is known about its clinicopathological features and predictors of outcome. The aim of our study was to evaluate the clinical and pathological characteristics of young adult patients with gastric cancer and to analyze prognostic factors in these patients
Salvage procedure for LAMS complete misdeployment during EUS-guided pancreatic pseudocyst drainage
Authors: C. Chavarría, C. Suarez-Cabrera, L. Sancho-Del Val, S. Agudo-Fernández, C. Castaño-Milla
Journal: Endoscopy (2024)

Abstract Text A 51-year-old female with liver cirrhosis and recurrent alcohol-induced pancreatitis was admitted for abdominal pain and vomiting. An MRI confirmed a large pancreatic pseudocyst. An EUS-guided drainage using a lumen-apposing metal stent (LAMS) was performed. Due to a LAMS complete misdeployment during the procedure, a second LAMS was placed, and the LAMS retrieval inside the pseudocyst was delayed. After seven days, the stent was removed endoscopically.
Post-colonoscopy diverticulitis; a cases report and review of the literature
Authors: M. Mohamed, I. Beintaris, M. Rutter
Journal: Endoscopy (2024)

Abstract Text Colonoscopy, generally safe but not devoid of risks, can result in rare complications. We present two cases of post-colonoscopy diverticulitis (PCD). Case 1: A 63-year-old patient developed acute sigmoid diverticulitis within 48 hours of colonoscopy. Despite extensive diverticulosis (DICA score: 2), conservative management with antibiotics led to recovery. Notably, she had a recurrent episode a month later. Case 2: A 74-year-old patient with pan-colonic diverticulosis (DICA score: 2) developed severe sigmoid diverticulitis after two colonoscopies, managed conservatively with antibiotics. Discussion underscores PCD's rarity (prevalence: 0.04%-0.08%) and unclear causes. Both cases had DICA scores≥2, suggesting potential risk factors. Clinicians should be vigilant about PCD, as it can mimic common post-colonoscopy complications. Early recognition and management are crucial. [1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12] [13] [14] [15] [16] [17]
AAPRI is superior to APRI in Predicting Oesophageal Varices in Primary Biliary Cholangitis Patients
Authors: R. Tababi, H. Kchir, H. Yacoub, D. Cherif, H. Debbabi, H. Hassine, N. Maamouri
Journal: Endoscopy (2024)

Aims While the Aspartate-Aminotransferase (AST) to Platelet Ratio Index (APRI) is a well-established non-invasive biomarker for fibrosis assessment in primary biliary cholangitis (PBC) and a potential predictor of oesophageal varices (OV), the AST to Alanine-Aminotransferase (ALT) to Platelet Ratio Index (AAPRI) remains underexplored in PBC. This study aims to compare both scoring systems in predicting OV in PBC patients.
The Incidence Rates and Risk Factors of Cardio-Cerebrovascular Adverse Events after Sedative Esophagogastroduodenoscopy in Patients with Gastric Cancer: A Nationwide Population-Based Cohort Study
Authors: J. K. Lee
Journal: Endoscopy (2024)

Aims There is limited data on the impact of sedation on cardiocerebrovascular disease (CCD) adverse events after esophagogastroduodenoscopy (EGD). We investigated the incidence rate, risk factors and the impact of sedation on CCD adverse events after EGD in patients with gastric cancer.
Management of splenic arterial bleeding as intraprocedural complication during pseudocyst drainage using LAMS
Authors: B. Agudo, E. Santos Pérez, P. Gutiérrez Landaluce, E. Maderuelo Gonzalez, D. De Frutos Rosa, A. Martins Pinto da Costa, M. González-Haba Ruiz
Journal: Endoscopy (2024)

Abstract Text A 56y/o male with a pancreatic pseudocyst following an episode of acute pancreatitis presents abdominal pain, so endoscopic drainage with LAMS is decided. Upon LAMS release, significant hemorrhagic content and an actively bleeding vascular structure are observed. An urgent angio-CT scan reveals active arterial bleeding from the splenic artery, leading to radioembolization. LAMS is removed, and the gastric perforation is closed with OTCS. Subsequently, the patient achieves clinical stability.
G-poem assisted by marking the tunnel pathway to the pylorus via a preemptive submucosal injection with a viscous solution all the way to the pylorus in order to avoid swirling
Authors: M. Lajin
Journal: Endoscopy (2024)

Abstract Text A 65-year-old male with a history of hiatal hernia repair complicated with postoperative gastroparesis (large gastric food bezoars on endoscopy, gastric emptying of 14% at 4 hours). His GCSI score was 2.8. Hemoglobin A1c 6.8.
A retrospective study of adenoma detection rates in patients undergoing colonoscopy screening in a tertiary hospital in Morocco
Authors: H. Aouroud, M. Aouroud, J. Rizkou, F. E. Lairani, N. Oussama, A. Ait Errami, S. Oubaha, Z. Samlani, K. Krati
Journal: Endoscopy (2024)

Aims It is now widely accepted that most colorectal cancers develop from adenomas and that detection and removal of adenomas will lead to a reduction in the incidence of colorectal cancer. This study aims to establish the incidence of adenoma detection in patients undergoing routine screening colonoscopy.
Prevention of peri-interventional hypothermia during endoscopic retrograde cholangiopancreatography using a forced-air heating system
Authors: K. Stahl, E. Schuette, P. Schirmer, A. L. Weber, B. Heidrich, A. Schneider, T. Pape, T. Krauss, H. Wedemeyer, H. Lenzen
Journal: Endoscopy (2024)

Aims Perioperative hypothermia is associated with significant complications, and can be prevented by forced-air heating systems (FAHS). If hypothermia occurs during prolonged endoscopic sedation is unclear and prevention measures are not addressed in endoscopic sedation guidelines. We hypothesized that hypothermia also occurs in a significant proportion of patients undergoing endoscopic interventions associated with longer sedation times such as endoscopic retrograde cholangiopancreaticography (ERCP), and that FAHS may prevent it.
Factors influencing the patient&amp;apos;s decision for sedation in endoscopy
Authors: H. Aouroud, F. E. Lairani, N. Oussama, A. Ait Errami, S. Oubaha, Z. Samlani, K. Krati
Journal: Endoscopy (2024)

Aims Many factors influence patients' decision to choose sedation for endoscopy. This issue has been the subject of numerous studies. However, there are few data on this aspect in Morocco. This study aims to fill the gaps in our knowledge of patient-related factors in the choice of sedation.
Risk factors for treatment failure after endoscopic balloon dilation in managing anastomosis stricture from colorectal surgery
Authors: S. W. Hong, Y. I. Kim, S. B. Lim
Journal: Endoscopy (2024)

Aims Anastomosis stricture after colorectal surgery is priorly managed by endoscopic balloon dilation (EBD). However, although EBD is effective, patients are frequently required with additional procedures or surgical interventions. The aim of this study was to assess the long-term outcomes in patients who received EBD for anastomosis stricture occurring after surgery for colorectal cancer.
Formalin Irrigation of Radiation Hemorrhagic Proctitis a single tertiary center experience in Morocco
Authors: H. Aouroud, M. Aouroud, J. Rizkou, F. E. Lairani, N. Oussama, A. Ait Errami, S. Oubaha, Z. Samlani, K. Krati
Journal: Endoscopy (2024)

Aims Radiotherapy is an essential treatment modality for pelvic malignancies such as gynaecological, rectal and prostate cancer. However, the rectum is vulnerable to secondary radiation injury. Implicit causes of this type of complication include endarteritis obliterans and progressive submucosalalfibrosis. The aim of our study is to evaluate the efficacy and safety of the local formalin irrigation method in patients with radiation-induced hemorrhagic proctitis.
PROTOCOL trial – PROTon pump inhibitors and stent OCclusion rate Of Lumen apposing metal stents
Authors: J. Hamm, A. Simsova, A. Arlt, G. Beyer, A. Hoffmeister, A. Kleger, J. Mayerle, C. Meinhardt, V. Philip, J. Rosendahl, L. Schulte, S. Sirtl, S. Sulzer, L. Welsch, J. Cardinal Von Widdern, A. Amanzada, G. Petzold, V. Ellenrieder, A. Neeße, C. Ammer-Herrmenau
Journal: Endoscopy (2024)

Aims A common complication of acute pancreatitis is the formation of walled off necroses (WON) in 5-10% of all cases. In case of suprainfection of a necrosis the mortality rises from 2% to 28%. Lumen apposing metal stents (LAMS) are widely used to drain necroses. LAMS-occlusion however, remains a considerable complication. Nevertheless, the prevalence, clinical impact and management of LAMS-occlusion-related complications remains uncertain. Moreover, the German guidelines for management of acute pancreatitis do not specify whether a concomitant proton pump inhibitor (PPI)-therapy should be discontinued or not. A recent study suggested a lower rate of LAMS-occlusions, but a higher number of required endoscopic necrosectomies upon concomitant PPI-therapy. Thus, current data are conflicting. Therefore, we aim to perform an expert survey and a multicentric retrospective cohort study to elucidate the clinical importance of LAMS-occlusion-related complications and the effect of PPI-discontinuation on occlusion.
Colorectal cancer in a tertiary hospital in Morocco: incidence in young people and associated factors
Authors: H. Aouroud, F. E. Lairani, M. Aouroud, N. Oussama, A. Ait Errami, S. Oubaha, Z. Samlani, K. Krati
Journal: Endoscopy (2024)

Aims The incidence of early-onset colorectal cancer (CRC) before the age of 50 is increasing worldwide. However, epidemiological data on early-onset colorectal cancer are still limited, particularly in developing countries. This study aims to assess the prevalence, sociodemographic, clinical and histopathological characteristics, and risk factors associated with patients with early-onset CRC in Morocco.
Endoscopic vacuum therapy for leaky cavities: is it possible?
Authors: F. Bas-Cutrina, S. Bazaga, M. A. Jair, M. Gomis, E. Jiménez-Serrano, E. Rodríguez-Jiménez, M. V. Herrero-Guardado, C. García-Abollo, S. Glahn, M. Crego, D. Ribé, X. Mira, O. Silva
Journal: Endoscopy (2024)

Abstract Text Endoscopic vacuum therapy (EVT) requires, in a theoretical approach, that the cavity to be drained must be watertight; otherwise, the vacuum mechanism will not work. CASE: A 71-year-old male patient with an iatrogenic recto-urehral leak and an adjacent 25-mm collection after a Bricker-type surgery. Unsuccessful suture attempt due to the appearance of fecaluria. Rectoscopy: identification of wall defect in the midrectum, confirming communication to a cavity drained by urethra (an elastic duct). Placement of EVT (Endo-SPONGE), achieving negative pressures (KCI, -100mmHg). Review after 72 hours confirming the appearance of granulation tissue and beginning of closure of the cavity. By carrying out of 3 replacements (total 4 sponges), a collapse of the cavity was achieved. Finally, successful leak closure with placement of two over-the-scope clip-type clip (Ovesco) and instillation of endoscopic adhesive (Glubran).
Pancreatic Masses Clinically Diagnosed as Tuberculosis: A Case Series
Authors: V. Chuabio, J. Bandoy, A. Ong, M. Te, R. Maralit
Journal: Endoscopy (2024)

Aims Pancreatic masses are not uncommonly encountered in clinical practice, with concern for the possibility of cancer that may indicate poor prognosis. Pancreatic tuberculosis can present as masses that may be difficult to differentiate from cancer, both clinically and radiologically. Thus, tissue sampling or outright surgical resection are part of the options for patients with pancreatic masses. However, surgical resection such as pancreaticoduodenectomy has been reported to be unnecessarily performed in patients with pancreatic masses that turned out to be benign. It would therefore be worthwhile to look into less invasive management options for pancreatic masses that may potentially be benign, such as tuberculosis, in order to avoid overtreatment of patients. The aims of this study are as follows: to present patients with pancreatic masses suspected to be cancer, to demonstrate that pancreatic tuberculosis may masquerade as cancer, and to show that clinical diagnosis and treatment for tuberculosis may be an option for patients presenting with pancreatic masses in an endemic region.
Inter-Rater Reliability in Assessment of Solid Necrotic Tissue Extent in Pancreatic Walled-Off Necrosis on CT and MRI
Authors: G. A. Olsen, A. B. Jensen, P. N. Schmidt, S. E. Johansson, E. F. Hansen, S. Novovic, J. Gásdal Karstensen
Journal: Endoscopy (2024)

Aims In the treatment of pancreatic walled-off necrosis (WON), the extent of solid necrotic tissue is believed to impact the necessity for endoscopic necrosectomy. However, the ideal imaging modality for assessing this extent has yet to be determined. We aimed to determine the inter-rater reliability of the extent of solid necrotic tissue within WON using magnetic resonance imaging (MRI) and contrast enhanced computed tomography (CT) and to assess the correlation with the overall duration of endoscopic procedures.
The QNI classification&amp;apos;s usefulness for Pancreatic Necrosis Management
Authors: R. I. Orzan, C. Pojoga, C. Hagiu, V. Rednic, G. Molnar, A. Seicean
Journal: Endoscopy (2024)

Aims Pancreatic walled-off necrosis (WON) is a severe complication of acute pancreatitis that often needs endoscopic intervention for drainage and necrosectomy. The selection of stent type for endoscopic drainage remains a topic of debate, with plastic pigtail stents (PPS) and lumen-apposing metal stents (LAMS) emerging as commonly used options. However, strict criteria for stent selection are not available yet. The aim of our study was to evaluate the utility of the QNI classification in guiding the selection of stent types for WON drainage.
A cost-evaluation of different imaging approaches for patients undergoing patency capsule investigation at a video capsule endoscopy service
Authors: A. S. Badesha, S. Ansari
Journal: Endoscopy (2024)

Aims Patients undergoing video capsule endoscopy (VCE) receive a pre-test patency capsule to reduce the incidence of capsule retention. This study investigated outcomes following patency capsule (PC) investigation. An economic evaluation was conducted to explore the cost implications of different approaches.
Optimal removal time of lumen-apposing metal stent (LAMS) after placement for drainage of pancreatic fluid collections: a systematic review and meta-analysis
Authors: M. Maida, G.E. M. Rizzo, L. Carrozza, G. Rancatore, D. Ligresti, M. Traina, C. Fabbri, A. Anderloni, I. Tarantino
Journal: Endoscopy (2024)

Aims Lumen-apposing metal stents (LAMS) are broadly used for endoscopic ultrasound (EUS)-guided drainage of pancreatic fluid collections (PFCs), mainly for walled-off pancreatic necrosis (WOPN). LAMS removal is still a debate due to the risk of adverse events (AEs) related to long-term stent retention, even because no clear evidence-based indications for removal timing are present in literature. Our aim was to perform a systematic review with meta-analysis on the removal time of LAMS in patients undergoing EUS-guided PFCs drainage
Comparison of aggressive versus standard hydration in the prevention of pancreatitis after endoscopic retrograde cholangio-pancreatography
Authors: H. Aouroud, M. Aouroud, F. E. Lairani, N. Oussama, A. Ait Errami, S. Oubaha, Z. Samlani, K. Krati
Journal: Endoscopy (2024)

Aims Post-ERCP pancreatitis is a frequent complication with increased morbidity and mortality. We are conducting a double-blind randomized clinical trial to evaluate the impact of aggressive hydration as prevention of post-ERCP pancreatitis.
Retrospective analysis of patient with upper gastrointestinal (UGI) bleed in a district general hospital
Authors: Y. J. Chew, S. R. Joel, W. Choudhary, S. D. Sveda, S. Edmond
Journal: Endoscopy (2024)

Aims We performed a retrospective audit of the demographics, risk stratification, timing of endoscopy, endoscopy therapy and post endoscopy management among patients presented with upper gastrointestinal (UGI) bleed as new admission and as inpatient at George Eliot NHS Trust; It provides hospital services to a population of 350,000 [1].
EUS-guided dRainagE of post-Surgical versus post-PancrEatitis coLLections (RESPELL): a prospective comparison of clinical presentations and therapeutic outcomes
Authors: G. Vanella, R. Leone, G. Dell'anna, G. Rossi, P. Preatoni, G. Guazzarotti, D. Palumbo, L. Aldrighetti, M. Falconi, G. Capurso, P. Arcidiacono
Journal: Endoscopy (2024)

Aims Post-surgical fluid collections (pS-FC) following gastrointestinal and pancreatobiliary surgeries are commonly suitable for EUS-guided drainage (FCD). However, no prospective evidence exists, including comparisons with post-pancreatitis collections (pP-FC).
Early versus Delayed Nutrition in Patients After Upper Gastrointestinal Bleeding Hemostasis: A Systematic Review and Meta-analysis of Randomized Controlled Trials
Authors: M. Obeidat, B. Teutsch, D. E. Floria, D. S. Veres, P. Hegyi, B. Erőss
Journal: Endoscopy (2024)

Aims Despite a lack of evidence, patients are often not fed for 48 to 96 hours after upper gastrointestinal bleeding (UGIB); however, many trials have demonstrated the benefits of early nutrition (EN). We conducted a meta-analysis of randomized controlled trials (RTCs) to evaluate the outcomes of EN compared to delayed nutrition (DN) after UGIB.
Endoscopic necrosectomy in walled-off pancreatic necrosis after EUS-guided drainage with LAMS: a predictive clinical index
Authors: S. Bosso, G. Rizzatti, G. Tripodi, F. Borrelli de Andreis, F. Attili, A. Milani, A. Gasbarrini, A. Larghi, C. Spada
Journal: Endoscopy (2024)

Aims Endoscopic ultrasound (EUS) placement of Lumen-Apposing Metal Stent (LAMS) represents a minimally invasive treatment for Walled-off pancreatic necrosis (WOPN). Further endoscopic necrosectomy procedures (EN) may be required in a subset of patients, mostly in order to achieve infection control. The possibility of an early identification of the subjects requiring EN may therefore represent a valuable clue in the management of patients with WOPN.
EUS-guided hepaticogastrostomy with a lumen apposing metal stent used in the management of a malignant hilar stricture
Authors: M. Lajin, N. Khan
Journal: Endoscopy (2024)

Abstract Text A 58-year-old female presented with jaundice due to metastatic cholangiocarcinoma. After a failed ERCP, EUS-guided hepaticogastrostomy using LAMS was attempted. LAMS catheter did not penetrate the gastric wall due to connecting to an improper cable. This resulted in bleeding from scratching the gastric wall with the tip of the "cold" delivery catheter. LAMS was connected to the proper cable and a hepaticogastrostomy (LAMS 15 x 15mm) was achieved. Angiogram revealed extravasation from a branch of the left gastric artery which was embolized. The resultant blood clot occluded LAMS requiring a temporary PTC. Three weeks later, the patency of LAMS was confirmed. PTC was removed and two uncovered metal stents were deployed to the right side after endobiliary RFA.
Predictive Value of Albumin-Platelet-Diameter of Portal Vein Risk Score for Large Oesophageal Varices in Compensated Cirrhosis
Authors: R. Tababi, S. Mrabet, R. Harbi, I. Akkari, E. Ben Jazia
Journal: Endoscopy (2024)

Aims The Albumin-Platelet-Diameter of the portal vein (APD) is a non-invasive scoring system originally designed for screening high-risk oesophageal varices (OV) in hepatitis B patients with compensated advanced liver disease. In this study, we evaluate the APD score's performance in predicting large OV in patients with compensated cirrhosis of various causes.
Urgent ERCP reduces mortality in acute cholangitis due to common bile duct stones
Authors: H. Aouroud, F. E. Lairani, M. Aouroud, N. Oussama, A. Ait Errami, S. Oubaha, Z. Samlani, K. Krati
Journal: Endoscopy (2024)

Aims ERCP is the standard treatment for acute cholangitis.Urgent ERCP within 24 hours is suggested for moderate to severe acute cholangitis, but the impact on clinical outcomes remains to be explored.This study aimed to evaluate the clinical outcomes of patients undergoing urgent versus delayed ERCP in acute cholangitis due to common bile duct stones.
Safety and efficacy of biliary endoscopic balloon-based laser treatment vs. endobiliary radiofrequency ablation in swine models
Authors: S. Jeong, J. H. Lim, J. Lee, D. H. Lee
Journal: Endoscopy (2024)

Aims Endoscopic local treatments including endobiliary radiofrequency ablation (EB-RFA) have got noticed for palliative management of cholangiocarcinoma. However, safety concerns have emerged, and clinical benefits have not yet been accurately demonstrated. We have newly developed a dilation balloon-equipped cylindrical laser light diffuser for local endoscopic treatment of cholangiocarcinoma. We focused on the comparison of the safety and efficacy of biliary endoscopic balloon-based laser treatment (B-EBLT) and EB-RFA in normal bile duct swine model.
Training and validation of deep learning for the detection of malignant bile duct stenosis in fluoroscopy images of endoscopic retrograde cholangiopancreatography
Authors: K. Vu Trung, M. Hollenbach, A. Hoffmeister, K. Jakob
Journal: Endoscopy (2024)

Aims Accurate distinction between benign and malignant biliary strictures (BS) is challenging. The use of bile duct biopsies and brush cytology via endoscopic retrograde cholangiopancreaticography (ECRP) remains suboptimal. Single-operator cholangioscopy increases the diagnostic yield in BS but has limited availability and high costs. Convolutional neural network (CNN)-based systems have the potential to assist in the diagnostic process and improve reproducibility. Thus, we assessed the feasibility of using deep learning to differentiate BS out of fluoroscopy images during ERCP.
Characteristics and causes of post-endoscopy Barrett’s adenocarcinoma
Authors: Y. Iwaya, T. Tsuchiya, Y. Koh, H. Ikeuchi, H. Sawaguchi, K. Hashigami, A. Hirayama, T. Okamura, T. Nagaya
Journal: Endoscopy (2024)

Aims While considerable attention has been devoted to post-colonoscopy colorectal cancer, the attributes of missed Barrett's adenocarcinoma (BAC) remain unexplored. Our aim was to elucidate the characteristics of BAC instances that eluded detection during screening endoscopy.