tbuckley/cabot-search huggingface dataset:
The Presence of Scarring Significantly Impacts Blink Decision Making in Large Non-pedunculated Colorectal Polyps and should therefore be Proactively Identified
Authors: L. Debels, P. J. Poortmans, S. Smeets, M. E. Argenziano, M. Montori, S. Ridolfo, T. Tornai, L. Desomer, D. J. Tate
Journal: Endoscopy (2024)

Aims The detection of cancer within large non-pedunculated colorectal polyps (LNPCPs) is suboptimal in non-expert settings. Identification of 6 macroscopic (Blink) features (6BF) of deep submucosal invasive cancer (SMI) has shown significant improvement in the sensitivity of cancer detection by inexperienced endoscopists at the expense of decreased specificity. This study investigates the impact of endoscopic resection scars, which can resemble deep SMI, on the accuracy of non-expert endoscopists using the 6BF evaluation system known as Blink Impression.
Role of random biopsies and histological analysis in Indian patients with chronic diarrhoea and normal colonoscopy findings
Authors: P. Chintan, P. N. Desai, K. Mayank, M. Rajiv, S. Nandwani, P. Ritesh, N. Patel, M. Sethia, R. Kakadiya
Journal: Endoscopy (2024)

Aims To evaluate whether the biopsies performed in patients with chronic diarrhoea and a normal colonoscopy contribute to the differential diagnosis and alter the therapeutic approach.
Quality assessment of endoscopic image capture and impact on decision making in a complex polyp multidisciplinary team meeting
Authors: J. Gertner, R. Vega, E. Seward, O. Ahmad
Journal: Endoscopy (2024)

Aims Endoscopic resection strategies are becoming increasingly complex for colorectal polyps. Decision making relies significantly on post procedure captured endoscopic images presented at multidisciplinary team (MDT) meetings, however image quality assessment has not been reported in the literature. This study assessed the quality of image capture in a tertiary centre, complex polyp MDT, and evaluated impact on decision making.
Domain-specific data augmentation improves robustness of endoscopic AI systems
Authors: M. Jong, C. Kusters, Q.N. E. van Bokhorst, J. Jukema, K. Fockens, R. van Eijck van Heslinga, T. Jaspers, T. Boers, B. B. Houwen, M. Van Der Vlugt, E. Dekker, F. Van Der Sommen, P. De With, J. De Groof, J. Bergman
Journal: Endoscopy (2024)

Aims The emergence of deep learning has significantly increased the amount of artificial intelligence (AI) systems in endoscopy. However, these systems are generally developed in expert centers with the use of uniform, high-quality imagery. In daily practice, imagery will be more heterogeneous, which will likely result in heavy degradation of AI performance. One aspect of this image heterogeneity is the use of different enhancement settings across endoscopy units. Endoscopy systems have numerous enhancement settings to improve perceived image quality. This study aims to quantify the impact of various enhancement settings on AI performance and proposes mitigation strategies.
Band-assisted endoscopic mucosal resection of synchronic gastric and esophageal granular cell tumours
Authors: S. Redondo Evangelista, A. Santos Rodríguez, I. Bartolomé Oterino, P. García Centeno, S. Kheiri Vázquez, L. González Sanchez Ocaña, A. Flandes Iparraguirre, F. M. Salinas Nuñez, J. I. Busteros Moraza, S. Tabernero Da Veiga
Journal: Endoscopy (2024)

Abstract Text Granular cell tumours (GCT) are uncommon soft tissue neoplasms. Up to 10% arise in the gastrointestinal tract (esophageal, colonic and gastric in order of frequency). They are thought to have a Schwann cell origin (S-100 and neuron-specific enolase+). The majority have a benign course, although malignant GCT have been rarely reported. The literature has depicted multiple treatment approaches, being a conservative attitude an accepted option. It is unclear if endoscopic surveillance is required in those cases. The differential diagnosis encompasses other submucosal lesions, varying according to the location. EUS may misdiagnose GCT as neuroendocrine tumours, as its echoendoscopic appearance may be similar. [1] [2] [3] [4]
Palliative EUS-guided gastroenterostomy in malignant gastric outlet obstruction – a 2 years single center experience
Authors: J. Lock, J. Pohl, H. Otto
Journal: Endoscopy (2024)

Aims Malignant gastric outlet obstruction (mGOO) is associated with poor prognosis and impairment in patient´s quality of life. Surgical laparoscopic gastroenterostomy (L-GE) is considered as standard treatment but is associated with significant postoperative morbidity. Endosonography-guided gastroenterostomy (EUS-GE) has emerged as a less invasive alternative with high efficacy for patients with mGOO. We conducted a retrospective analysis to evaluate the clinical outcome after EUS-GE.
Giant pediculated subepithelial cervical esophagus lesion: dissection after circumferential marking and unusual post procedure complication
Authors: E. Castillo-Regalado, M. Vidal Delso, A. Pèlach, E. Vayreda, L. Gutiérrez-Rios, E. Nuñez, R. Muñoz González, I. Iborra, M. Jimeno, N. Caballero, I. Marín Fernández, J. Colan-Hernandez, V. Moreno De Vega, H. Uchima
Journal: Endoscopy (2024)

Abstract Text A 58-year-old man with dysphagia and dyspnea presented a pedunculated lesion implanted in the cricopharyngeus from 20 to 34cm of incisors. EUS demonstrated a hyperechogenic, homogeneous, submucosa-dependent lesion, EUS-FNB compatible with angiolipoma. The pedicle was circumferentially marked, en bloc dissection was performed, due to its size, it was fragmented into the stomach with a polypectomy snare, managing to resect and recover only a fragment of 4x3cm. After discharged, patient re-consulted with melena, showing a fibrined esophageal ulcer and five extensive Forrest III gastric ulcers due to thermal damage during previous attempt of snare fragmentation, requiring only conservative management. Esophageal angiolipomas present as giant pedunculated lesions that can cause dysphagia and dyspnea. They are endoscopically resectable, but complex to fragment and to extract orally. [1] [2]
Colonoscopy Quality Improvement: An Audit on Bowel Preparation for Colonoscopy in a Surgical Unit of a Tertiary Care Hospital, Sri Lanka
Authors: K.G. V. Saranga, V. C. Wickramasinghe, J.K. G. Madhawa, S. A. Piyarathne, A.H. A. Prashantha
Journal: Endoscopy (2024)

Aims This re-audit aimed to evaluate the impact of implemented changes on colonoscopy bowel preparation practices in a surgical unit of a tertiary care hospital in Sri Lanka, aligned with recommendations from the European Society of Gastrointestinal Endoscopy (ESGE) guidelines. The primary objective was to assess improvements in adherence to ESGE recommendations following the introduction of a protocol and educational initiatives.
Assessing dysplasia/cancer in large non-granular and homogenous granular laterally spreading tumors: Optical evaluation versus forceps biopsy
Authors: V. Tkachov, O. Kiosov, A. Klymenko
Journal: Endoscopy (2024)

Aims Evaluate the precision of dysplasia/cancer detection using forceps biopsy(FB) compared to optical evaluation methods for homogenous granular and non-granular subtypes of large laterally spreading tumors (LSTs), aligning their outcomes with histopathological findings.
Colorectal explosions: a systematic review on causes and risk factors
Authors: G. E. Tontini, A. Rimondi, T. Pessarelli, G. Ciprandi, M. Vecchi
Journal: Endoscopy (2024)

Aims Colorectal explosion (CE) is an exceptional and potentially fatal complication of colorectal endoscopy or surgery. For happening, the simultaneous presence of high concentrations of oxygen and/or methane and an igniter is required. We conducted a systematic review of the literature to identify risk factors for CE and evidence-based recommendations to prevent this complication.
Vacuum-Stent Treatment for Transmural Defects in the Upper Gastrointestinal Tract: Experience and Case Series in a Tertiary Referral Center
Authors: L. M. Pattynama, W. J. Eshuis, J. Bergman, M. Van Berge Henegouwen, R. Pouw
Journal: Endoscopy (2024)

Aims Transmural defects in the upper gastro-intestinal (GI) tract, e.g. anastomotic leak (AL), Boerhaave syndrome or iatrogenic defects, are associated with severe morbidity and mortality. [1] [2] Treatment options include conservative, surgical and endoscopic modalities. Endoscopic vacuum therapy (EVT) has recently been established as a promising endoscopic treatment option for such defects and is most often applied using endoscopically placed vacuum-sponges.[3] [4] The vacuum-stent is a novel device to apply EVT, combining the advantages of negative pressure wound therapy and an intraluminal stent, allowing for oral intake. [5] [6]
Giant idiopathic esophageal ulcer as an initial manifestation of HIV infection
Authors: S. Navajas Serena, M. Fernandez Calderón, I. García Kamiruaga, P. Pazo Mejide, M. Dura Gil, A. Abando Zurimendi, M. Gomez Villagrá, M. Atance Cola, M. López Gutiérrez, A. Hernandez Martín
Journal: Endoscopy (2024)

Abstract Text HIV-associated idiopathic esophageal ulcers may be more prevalent than initially believed. We present a 30-year-old woman with a recently diagnosed HIV infection and dysphagia. Gastroscopy revealed a 3 cm deep esophageal ulcer. Following the exclusion of infectious pathogens and malignancy, the diagnosis of an HIV-associated idiopathic esophageal ulcer was established [1]. The patient experienced an unfavorable initial course, with the ulcer affecting the entire circumference and extending up to 7 cm. After an adequate response to antiretroviral therapy, complete healing of the ulcer was achieved, revealing a residual inflammatory stenosis measuring 7 cm in length and 3 mm in diameter [2]. Due to severe malnutrition, a percutaneous endoscopic gastrostomy was implemented pending endoscopic treatment. Esophageal ulcers may be considered as an initial manifestation of HIV [3].
The Future Of Digestive Health: Personalized Treatments Through Wearable Ai Technologies
Authors: R. M. Ram mohan, M. Joy, D. Natt, S. G. Magam, S. R. Magam, L. Pannikodu, J. Desai, P. Mustacchia
Journal: Endoscopy (2024)

Aims This research examines the application of Artificial Intelligence in obtaining health information, with a particular emphasis on Siri, the intelligent assistant developed by Apple. The study involves contrasting Siri's answers to frequently asked questions related to gastroenterology on both the iPhone and iWatch. Given the growing importance of AI tools such as Siri, Alexa, Google Assistant, and Cortana in daily healthcare, the significance of comprehending the type of questions and the quality of the responses provided has become a crucial field of study.
Jejunal Dieulafoy&amp;apos;s Lesion: An Exceptionally Rare and Challenging Culprit of Gastrointestinal Bleeding
Authors: J. Goncalves, A. I. Ferreira, T. Lima Capela, J. Magalhães, M. J. Moreira, B. Rosa, J. Cotter
Journal: Endoscopy (2024)

Abstract Text A 78-year-old male presented with fatigue and melena, necessitating blood transfusion. His medical history was unremarkable. Initial endoscopies were inconclusive, prompting a capsule endoscopy that revealed an active bleeding site in the jejunum. Device-assisted enteroscopy confirmed a mid-jejunum Dieulafoy's lesion, initially managed with two through-the-scope clips. Ongoing melena and decreasing hemoglobin led to a subsequent device-assisted enteroscopy, revealing continued bleeding. Definitive hemostasis was achieved through diluted adrenaline injection, four additional through-the-scope clips, and polidocanol sclerotherapy. With just over a hundred reported cases of jejunal Dieulafoy's lesions, our experience underscores the essential role of capsule endoscopy followed by purposeful multimodal therapeutic intervention through device-assisted enteroscopy. [1]
Successful treatment of Candy Cane syndrome using a lumen-apposing metal stent
Authors: O. Sendino Garcia, A. Panades, R. Muñoz-González, A. Ortega Sabater, J. C. Balboa, A. Mata, R. Turro, J. Espinós, M. Rosinach, H. Uchima
Journal: Endoscopy (2024)

Abstract Text We present the case of a 67-year-old man with a total gastrectomy, diagnosed of Candy Cane syndrome (SCC) by clinical and radiological criteria, who was successfully treated endoscopically. A nasoenteral tube was introduced into the efferent loop a few centimeters below the anastomosis. A linear echoendoscope was then introduced into the blind loop. Subsequently, saline solution was injected through the nasoenteral tube to distend the efferent loop and a EUS-guided jejuno-jejunostomy was performed using a 15 x 10 mm Axios Stent. The patient presented immediate clinical improvement. Axios was removed 4 months later and the fistula has been patent until today, 3 months after removing the stent. SCC is a little-known entity, that could be underdiagnosed. Endoscopic management through EUS-guided jejunojejunostomy appears to be an effective and easy-to-use treatment. [1] [2]
Modified endoscopic vacuum therapy for the treatment of gastrointestinal fistulas and perforations: experience at State University of Campinas – Brazil
Authors: D. Bonilha, F. B. Monteiro, B. Durlacher, R. G. Diaz, J. O. meirelles dos santos, N. A. Andreollo, L. R. Lopes, C. G. Montes
Journal: Endoscopy (2024)

Aims The aim of this study is to describe the clinical, laboratory and endoscopic characteristics of patients submitted to endoscopic vacuum therapy (EVT) for treatment of fistulas and perforations in the gastrointestinal (GI) tract at a Brazilian tertiary care center, as well as indications, success rate and treatment-related complications.
Prevalance, endosonographic, cytological and histological features of secondary tumors of the Pancreas: a retrospective analysis of e from two care centers
Authors: M. Balzarini, N. Zignani, L. Millefanti, S. Segato, G. Missale, D. Moneghini
Journal: Endoscopy (2024)

Aims Pancreatic metastases are rare neoplastic lesions and data on metastatic pancreatic tumors diagnosed by fine needle aspiration (FNA) or fine needle biopsy (FNB) are limited. We report a two centres experience of FNA/FNB of secondary pancreatic tumors. Aim of this study is identify which neoplasms may lead to a higher risk of developing pancreatic metastases and to define the prevalence of this condition in pancreas endoscopic ultrasound examinations with cytological and histological lesion sampling (FNA-FNB).
Full-Circumferential (360°) endoscopic submucosal dissection (ESD) of an early neoplasm involving the gastric fundus and the gastro-esophageal junction
Authors: S. Bassioukas, C. Katzakis, D. Gkaragkanis, B. Kosmidis, M. Chatzinikolaou
Journal: Endoscopy (2024)

Abstract Text The aim of this presentation is to demonstrate the technical difficulties of performing ESD on lesions that extend throughout the gastric fundus. We present the case of a patient with a high-grade dysplastic lesion at the gastro-esophageal junction, that extends to more than 90% of the lumen periphery in the cardia and fundus. We proceeded to the creation of a longitudinal submucosal channel from the esophageal part of the lesion towards the lesser curvature. The lateral fundic part of the lesion was not accessible with retroflexion of the gastroscope. Therefore, a pediatric PCF-H190TL/i colonoscope was used with a bending range of 210°. This enabled a straightforward submucosal dissection plan and the lesion was successfully detached from the lateral parts of the submucosal channel.
Endoscopic ampullectomy: case report
Authors: S. hmimass, M. Borahma, F. Z. Chabib, M. Kadiri, C. Berhili, I. Benelbarhdadi, N. Lagdali, F. Z. Ajana
Journal: Endoscopy (2024)

Results Case 1: Mrs A.E, aged 50, was admitted for liver colic. On clinical examination, BMI of 30kg/m2. Abdominal ultrasound showed bi-ductal dilatation upstream of a hypoechoic image measuring 12/8 mm in the ampulla of Vater. A CP-MRI showed dilation of the VBIH, the VBP, and the Wirsung on a probable lesion of the ampulla of Vater measuring 9/10 mm. EUS showed CPP and CBD measuring 6 mm and 9 mm respectively, an ampullary mass measuring 11 x 9 mm hypo echogenic classified uT1, cytopunction performed returned negative; Endoscopic resection carried out without complications with insertion of a 5FR/5cm pancreatic stent and preventive injection of adrenaline serum; histological examination of the specimen showed a mixed neuroendocrine and well-differentiated adenocarcinoma, with muscularis propria involvement; the patient was referred for Whipple surgery and died 5 days post-surgery consequentely to pancreatic fistula and infection.
CT/MRCP negative for pancreas divisum: Is it always reliable?. A retrospective analysis
Authors: P. Chintan, P. N. Desai, K. Mayank, M. Rajiv, S. Nandwani, P. Ritesh, N. Patel, M. Sethia, R. Kakadiya
Journal: Endoscopy (2024)

Aims To see the prevalence of pancreas divisum in CT/MRCP negative for divisum. Minor papilla cannulation attempt in such cases increases the technical success rate.
Endoscopic assessment of submucosal invasion depth and evaluation of endoscopic resection in T1 colorectal cancer≤20mm in size
Authors: S. Yamamoto, K. Matsushima, Y. Abe, S. Tanaka, N. Fukutake, H. Hasegawa, Y. Sakakibara, R. Sakamori, E. Mita
Journal: Endoscopy (2024)

Aims Endoscopic pretreatment evaluation for distinguishing between superficial submucosal cancer (T1a) and deep submucosal cancer (T1b) in colorectal cancers (CRC)≤20mm in size is challenging due to the low prevalence of submucosal invasion within this size. It is also not clear that an endoscopic resection (ER) could be an option as a total excision biopsy for these lesions. We analyzed a group of patients with T1 CRC particularly≤20mm in size to identify predictive endoscopic features associated with deep submucosal invasion, and evaluated the feasibility of ER in these patients.
Evaluation of next-generation sequencing (NGS) for the diagnosis of genomic abnormalities in pancreatic cyst fluid: preliminary results of a prospective, multicentre study
Authors: A. Laquière, D. Karsenti, C. Boustiere, R. Gincul, J. Privat, B. Napoleon, S. Olschwang
Journal: Endoscopy (2024)

Aims Next-generation sequencing (NGS) appears to be a useful adjunct for determining the type and risk of degeneration of pancreatic cysts. The aim of this study was to evaluate, prospectively in "real life», the feasibility and performance of NGS performed on pancreatic cyst fluid.
Durability and efficacy of a novel transparent silicon attachment, the Static Electricity Fastening Tape-hood: a prospective cohort study
Authors: S. Takayanagi, S. Banjoya, T. Iida, T. Kimura, K. Furuta, S. Nagae, Y. Ito, H. Yamazaki, N. Takeuchi, Y. Kano, Y. Kimoto, T. Sakuno, K. Ono, Y. Minato, K. Ohata
Journal: Endoscopy (2024)

Aims Distal attachment-assisted colonoscopy has been shown to enhance cecal intubation time and increase adenoma detection rate. For infection control purposes, the majority of distal attachments used are disposable. The cost, however, can be high given the need for multiple sizes for different endoscopes. Our center has developed a transparent silicon attachment called the SET (Static Electricity Fastening Tape) hood, which is adjustable in length and stiffness and can attach to any endoscope via electrostatic force. We aimed to evaluate the efficacy and durability of this innovative attachment.
Intrabiliary Migrated Coils as a cause for Biliary Stone Formation and Megacholedochus. A Rare Complication after embolization of a hepatic artery pseudoaneurysm
Authors: M. Ayoub, N. Abdellatif, H. Messmann, G. Braun
Journal: Endoscopy (2024)

Abstract Text Interventional radiologic coil embolization effectively manages severe bleeding, but post-endovascular coil migration is rare. We present a case of coil migration into the common bile duct following pseudoaneurysm coiling of a branch of the left hepatic artery in an 87-year-old woman with a history of hemobilia. Due to elevated cholestatic parameters and upper abdominal pain, an ERC was performed. Multiple large Stones and a Megacholedochus were observed. A subsequent ERC with Cholangioscopy identified metallic debris with wires. CT confirmed that the material in the bile duct was uncoiled coiling material, which is the cause for the formation of biliary Stones.In conclusion, foreign bodies (e.g., coils) can migrate into the biliary tract, where they may function as a nidus for the formation of CBD Stones. Both ERC and PTC have proven useful in addressing this challenging problem. [1] [2] [3] [4] [5]
Case Report: Removal of duodenal over-the-scope clip via duodenoscope
Authors: C. Triller
Journal: Endoscopy (2024)

Results Over-the-scope clips can be used for endoscopic closure of wall defects in the upper and lower GI tract, for stent fixation and primary hemostasis. In upper GI bleeding, the use of over-the-scope clip is superior to through-the scope (TTS) Clips [1].
Can we currently apply “Textbook Process” as a quality measure for colonoscopy outside structured screening programs?
Authors: A. V. Dragan, T. I. Amza, T. Voiosu, A. Bengus, R. B. Mateescu, A. M. Voiosu
Journal: Endoscopy (2024)

Aims Recently, the concept of "textbook process" (TP) has been proposed as a more comprehensive method of reporting the quality of colonoscopy [1]. We aimed to measure TP as a composite measure and by subcategories in our unit.
ERCP efficacy and safety in the very elderly: robust effectiveness with some concerns
Authors: F. Pigò, L. Pignata, H. Bertani, G. grande, S. Russo, S. Cocca, M. Lupo, M. Marocchi, R. Conigliaro
Journal: Endoscopy (2024)

Aims With increasing age, the incidence of biliary diseases rises [1] [2]. When performing an ERCP in an elderly patient, the anticipated benefits of endoscopy as well as the increased risks of adverse events (AEs) must be considered. This single-centre observational study aims to retrospectively evaluate the incidence of ERCP-related AEs in a cohort of patients≥80 years old, respect to a control cohort<80 years old.
Endoscopic treatment with electric scalpel incision and dilatation in esophageal stenosing membrane for Plummer-Vinson syndrome
Authors: R. Muñoz González, A. Pèlach, M. Vidal Delso, I. Iborra, J. Colan-Hernandez, E. Castillo-Regalado, E. Nuñez, I. Marin, V. Moreno De Vega, H. Uchima
Journal: Endoscopy (2024)

Abstract Text Plummer-Vinson Syndrome (PVS) is characterized by dysphagia, iron-deficiency anemia, and esophageal membranes on the anterior esophageal wall.
Predictive factor of Out-Of-Hour Endoscopic Intervention
Authors: M. Hussain, E. Ooi, S. Samani
Journal: Endoscopy (2024)

Aims It has been reported that a score of 7 Glasgow Blatchford Score (GBS) points or higher is useful as an index for endoscopic intervention in acute upper gastrointestinal bleed (AUGIB) [1]. We conducted a retrospective cohort review, assessing factors associated with endoscopic interventions in adults with AUGIB requiring out-of-hour (OOH) endoscopy.
First experiences of a novel large bore resection device (Endorotor 6.0) used in the endoscopic treatment of walled-off pancreatic necrosis
Authors: M. Staessens, E. Macken
Journal: Endoscopy (2024)

Aims To assess the efficacy, practicality and safety of the EndoRotor 6.0 device in the endoscopic treatment of WOPN (walled-off pancreatic necrosis).
Exploring gender differences in quality of bowel preparation for colonoscopy: post hoc analysis of a randomised clinical trial
Authors: M. Maida, R. Vassallo, A. Zullo, L. Venezia, A. Facciorusso
Journal: Endoscopy (2024)

Aims Adequate bowel cleansing is a key-element for a quality colonoscopy and may affect the lesion detection rate. Differences in exposure to risk and protective factors could contribute to the gender difference in efficacy of bowel preparation. This post-hoc analysis of a randomised phase-IV clinical trial aims to explore gender differences in predictive factors associated with cleansing success (CS) and adenoma detection rate (ADR).
Management of perforations which are secondary to ERCP and were detected intra-procedurally in our endoscopy unit. A descriptive study
Authors: J. Parra, I. Maestro, L. Lucendo, T. Gonzalez, L. Mejuto, C. Mateos, E. Quintanilla, J. L. Castro
Journal: Endoscopy (2024)

Aims Perforations are one of the most relevant complications of endoscopic retrograde cholangiography (ERCP) due to its high morbimortality.