tbuckley/cabot-search huggingface dataset:
Evaluation of AI for the diagnosis of pancreatic cancer in linear EUS : Preliminary results of a SFED multicentre study
Authors: A. Laquière, A. Sportes, C. Jean-Baptiste, R. Jerome, F. Maire, J. Boulant, V. Valantin, C. Boustiere, D. Karsenti, M. Djamal
Journal: Endoscopy (2024)

Aims EUS is the gold standard to diagnose pancreatic cancer. However, the sensitivity and specificity of EUS is not optimal due to variable echogenicity from one patient to another. On the other hand, some infiltrative forms without hypoechoic mass are difficult to visualize. What's more, the operator can be taken for a ride due to a lack of experience. Finally, fatigue can sometimes lead to poor diagnosis of pancreatic tumors. The aim of our study was to evaluate the performance of AI for the diagnosis of pancreatic cancer in linear EUS.
Characterization of colorectal cancer in patients with primary sclerosing cholangitis &amp; inflammatory bowel disease
Authors: G. Calderon Manrique, N. Coelho-Prabhu
Journal: Endoscopy (2024)

Aims Patients with inflammatory bowel disease (IBD) are at increased risk of developing colorectal cancer (CRC), particularly if presence of primary sclerosing cholangitis (PSC). We aim to characterize CRC in patients with PSC-IBD, including location and preceding endoscopic and histologic findings.
Artificial intelligence improves neoplasia detection in inflammatory bowel disease patients: a pilot study evaluating the added value of a novel dedicated CADe-IBD algorithm for expert and non-expert endoscopists
Authors: K. Siggens, H. Htet, N. Maeda, S. Namiki, B. Giles, M. Shan, P. Starbuck, S. P. Aslam, W. Siu, A. Alkandari, P. Bhandari
Journal: Endoscopy (2024)

Aims Dysplasia detection in patients with Inflammatory Bowel Disease (IBD) can be challenging due to the flat and subtle nature of these lesions and background inflammatory / regenerative changes. The miss rate of neoplasia in IBD colon is not truly known. We are entering an artificial intelligence (AI) era and Computer Aided Detection (CADe) may prove its worth in IBD patients. The aim of this study was to evaluate the impact of a novel CADe-IBD algorithm on endoscopists performance
A Novel Switching-Multimodal Artificial Intelligence To Simultaneously Convert Different Endoscopic Enhancement Modalities For Accurate Assessment Of Inflammation And Healing In Ulcerative Colitis
Authors: M. Iacucci, G. Santacroce, I. Zammarchi, U. Chaudhari, K. Bisi Bode, R. Del Amor, P. Meseguer, V. Naranjo, A. Buda, R. Bisschops, S. Ghosh, E. Grisan
Journal: Endoscopy (2024)

Aims Virtual Chromoendoscopy (VCE) has proven effective in predicting disease activity in Ulcerative Colitis (UC), although challenges persist regarding local availability and expertise. Artificial intelligence (AI) models applied to VCE have demonstrated a remarkable ability to rapidly, objectively, and accurately predict inflammation. Nonetheless, training machine algorithms across different enhancement modalities remains challenging. Hence, this study pioneers a novel machine model designed to simultaneously detect different VCE enhancement modalities and facilitate the transition between images to improve and standardise AI-based assessment of inflammation in UC.
Automatic differentiation of solid pancreatic lesions in Endoscopic Ultrasound using – a multicentre study
Authors: T. Ribeiro, M. Mascarenhas, J. P. Afonso, M. Martins, M. Francisco, C. Pedro, J. Ferreira, B. Agudo, M. González-Haba Ruiz, F. Vilas-Boas, M. Guilherme
Journal: Endoscopy (2024)

Aims Solid pancreatic lesions present a diagnostic challenge, often requiring multiple exams in the typical diagnostic workup. Pancreatic adenocarcinoma is the most common solid lesion, associated with a poor prognosis due to late-stage diagnosis. Endoscopic ultrasound (EUS) is typically involved in the diagnostic workup of these lesions. However, the diagnostic yield of this modality remains suboptimal, and it is often difficult to differentiate adenocarcinoma from other solid lesions. Our group aimed to develop a deep learning model for the automatic differentiation of solid pancreatic lesions, focusing on the identification of the most common pancreatic neoplasms: pancreatic ductal adenocarcinoma (PDAC) and pancreatic neuroendocrine tumors (pNETs).
Impact of annual case volume on colorectal endoscopic submucosal dissection procedural outcomes and safety in a large multicentric prospective cohort study
Authors: L. Alfarone, M. Schaefer, T. Wallenhorst, V. Lepilliez, T. Degand, Y. Le Baleur, P. Leclercq, A. Berger, E. Chabrun, B. Brieau, M. Barret, G. Rahmi, R. Legros, J. Rivory, S. Leblanc, V. Geoffroy, J. B. Zeevaert, J. Albouys, G. Perrod, C. Yzet, L. Hugo, A. Belle, S. Chaussade, R. Florian, D. Martin, A. Lupu, J. B. Chevaux, M. Pioche, J. Jacques
Journal: Endoscopy (2024)

Aims The adoption of endoscopic submucosal dissection (ESD) as the main treatment for large colorectal lesions is still limited in the West. A recent high-quality study showed colorectal ESD has been proved equally safe and more effective than piecemeal endoscopic mucosal resection (EMR). Reproducibility outside experts centers has been questioned. Therefore, we evaluated results according to volume case load per year in a large multicentric prospective cohort of colorectal ESDs.
Gastric non-penetrating defects following endoscopic full-thickness resection (EFTR): to suture or not?
Authors: D. Liu, L. Quan, B. Liu
Journal: Endoscopy (2024)

Aims Complete closure following endoscopic full-thickness resection (EFTR) is indispensable to prevent perforation. However, defects located at lesser curvature of stomach were found to be non-penetrating due to coverage of adjacent connective tissue and omentum. This study aimed at evaluating the safety and feasibility of not suturing these non-penetrating defects.
The utility of endoscopic pressure study integrated system (EPSIS) as an adjunctive metric for GERD Diagnosis: A Japanese multicenter prospective study
Authors: Y. Shimamura, H. Inoue, D. Azuma, M. Ominami, Y. Iwaya, S. Izawa, H. Shiwaku, M. Tanabe, H. Okada, Y. Nishikawa, I. Tanaka, K. Yamamoto, Y. Ikebuchi
Journal: Endoscopy (2024)

Aims Functional endoscopy, integrating motor function assessments into routine endoscopic examinations, significantly advances gastrointestinal diagnostics. The novel functional testing tool, the Endoscopic Pressure Study Integrated System (EPSIS), offers a unique approach to evaluating the anti-reflux barrier. It achieves this by monitoring and recording intragastric pressure (IGP) during gastric insufflation in upper endoscopy, functioning as a stress test to assess the lower esophageal sphincter's (LES) functionality. This study explored the association between IGP and pH-impedance monitoring, specifically focusing on characterizing the IGP waveform.
Clinical efficacy and safety of endoscopic dilatation with EsoFLIP in benign esophageal strictures: preliminary results of a prospective study
Authors: G. Pellegatta, R. Maselli, A. Fugazza, M. Colombo, M. Spadaccini, G. franchellucci, C. Hassan, A. Repici
Journal: Endoscopy (2024)

Aims The aim of our prospective study is to evaluate clinical and technical success and safety of endoscopic dilation with EsoFLIP in patients affected by benign esophageal strictures. NCT05725473. EsoFLIP is a novel dilation balloon that utilizes high-resolution impedance planimetry to provide real-time, objective visualization and monitoring of dilation.
Colorectal endoscopic submucosal dissection using a novel device
Authors: V. Busto, G. Hijos, A. Bojorquez, M. Eizaguirre, A. Gordo, M. Balerdi, M. Gómez, F. Estremera, J. J. Vila, E. Albéniz
Journal: Endoscopy (2024)

Abstract Text A 62-year-old woman presented with a mixed granular lateral spreading lesion in the rectum (70x40 mm, NICE 2/JNET 2A). We performed an endoscopic submucosal dissection using Flexlifter for traction. Flexlifter consists of a transparent plastic cap with a forceps that is placed on the tip of the endoscope. The forceps has two movements: open/close and forward/backward, so that it can be pushed beyond the tip of the endoscope to grasp the mucosa and pull it. It lifts the mucosal flap and keeps the submucosal space exposed, which makes it easier to identify the dissection plane and the vessels and, ultimately, allows for more comfortable and safe dissection. We obtained a 12x10 cm specimen (tubular adenoma with foci of adenocarcinoma), with a total procedure time of 2h30min. In our case Flexlifter proved to be effective and safe, but more clinical studies will be necessary to confirm this result.
Outcomes Of Lumen Apposing Metal Stent Placement In Patients With Surgically Altered Anatomy: A Multicenter International Experience
Authors: B. Mangiavillano, D. Ramai, C. Gentile, J. Samanta, J. Dahr, M. Bronswijk, S. Van der Merwe, A. Kouanda, J. Hyun, D. Sun-Chuan, P. Deprez, V. M. Jorge, E. Forti, M. Mutignani, G. Vanella, R. Leone, P. Arcidiacono, C. Robles-Medranda, J. Alcivar-Vasquez, M. Arevalo-Mora, A. Fugazza, C. Ko, A. Lisotti, A. Larghi, G. Rizzatti, D. Galasso, F. M. Di Matteo, S. Stigliano, K.D. C. Pham, P. Fusaroli, R. Di Mitri, M. Amata, S. F. Crinò, A. Ofosu, C. Binda, C. Fabbri, J. D. Morris, F. Auriemma, D. Paduano, F. Calabrese, C. Hassan, A. Repici, A. Facciorusso
Journal: Endoscopy (2024)

Aims Lumen apposing metal stents (LAMS) have been increasingly used to manage patients with surgically altered anatomy (SAA), who would have otherwise required percutaneous or surgical interventions. Via the creation of de-novo anastomoses, LAMS provides a conduit to access distal parts of the gastrointestinal tract to perform various interventions.
The antrum mucosal patterns on chromoendoscopy associated with Helicobacter pylori infection: a real-life preliminary single-center study
Authors: E. Dilaghi, I. Ligato, G. Cozza, E. Lahner, G. Esposito, B. Annibale
Journal: Endoscopy (2024)

Aims Defining Helicobacter pylori(Hp) infection status is the first step for eradication therapy and evaluation of risk for gastric cancer. Virtual chromoendoscopy(CE), namely Narrow Band Imaging and Blue Light Imaging, is a worthwhile tool able to not only detect gastric preneoplastic conditions but also to predict Hp infection. Most of the evidence comes from the Eastern experience. The evaluation of antrum mucosal patterns(MPs) on CE has not been assessed so far in Western Countries. This study aimed to investigate the association of antrum MPs on CE with Hp infection and to explore the diagnostic performance of CE in defining the antrum MPs related to the infection.
Functional Endoscopic Luminal Imaging Probe in Peroral Esophageal Myotomy
Authors: J. Arroyo Martín, N. Bellido Bellido, M. Mestre Rodriguez, E. Fernandez Marín, M. García García
Journal: Endoscopy (2024)

Aims Achalasia occurs when the lower esophageal sphincter doesn't function properly, making it difficult for food to pass into the stomach. It is diagnosed using various methods such as gastroscopy, impedance manometry, and barium swallow studies.
Impact of periampullary diverticulum on ERCP outcomes, per procedure indication: A 10-year retrospective study
Authors: I. Braimakis, F. Leventaki, O. Sidiropoulos, I. Kouimtsidis, C. Chachopoulos, P. S. Zantza, I. Stasinos, C. Kalantzis, P. Tsibouris, P. Apostolopoulos
Journal: Endoscopy (2024)

Aims There is conflicting data regarding the effect of periampullary diverticulum (PAD) on endoscopic retrograde cholangiopancreatography (ERCP) cannulation rates as well as on post-ERCP (PE) adverse events. While PAD seems to negatively affect these outcomes in some studies, this is not the case when only post-2000 studies are taken into consideration [1]. However, there is a paucity of studies regarding this matter, while a point in question is whether the indication affects ERCP (with or without PAD) outcomes. The aim of this retrospective study is to compare the cannulation rates and the ERCP-related adverse events between patients with and without PAD and evaluate the impact of the procedure's indication, whether benign or malignant.
Underwater endoscopic unroofing and enucleation as treatment for a large ulcerated colonic lipoma causing intussusception
Authors: M. Sierra Morales, A. Santos Rodríguez, P. García Centeno, M. Villafruela Cives, S. Redondo Evangelista, I. Bartolomé Oterino, S. Tabernero Da Veiga
Journal: Endoscopy (2024)

Abstract Text We present the case of a 59 year old male who underwent a colonoscopy for screening of CRC. A large, ulcerated subepithelial lesion was observed in the transverse colon. A CT scan showed a 70 mm lipoma that caused intussusception. We performed the unroofing of the lesion with a 20 mm polypectomy snare via an underwater technique, and then proceeded to the enucleation of the remaining lipomatous tissue with the same snare. Endoscopic unroofing is known to be a safe procedure for the treatment of subepithelial lipomas, but it is often insufficient for its complete resolution. Two step methods via a subsequent EMR, or the loop and go technique have been described. We found this technique to be a safe, one-step approach for the treatment of these lesions, which also allowed to obtain a histological sample to confirm that the lesion was benign and no other treatment was needed [1] [2] [3] [4] [5].
Risk factors for post-ERCP infection and indications for single-use duodenoscopes in a large cohort of patients in academic and non-academic centers
Authors: M. Lucion, V. Putzeys, H. Piessevaux, P. Deprez
Journal: Endoscopy (2024)

Aims The aim of our study was to determine the risk factors for post-ERCP infection and indications for Single-Use Duodenoscopes, in a large cohort of patients undergoing ERCP with reusable duodenoscope in an academic and a non-academic center.
Evaluation of Esophageal Motility in Patients with Achalasia Treated by PerOral Endoscopic Myotomy (POEM)
Authors: H. Uchima, A. Calm, R. Muñoz-González, N. Caballero, I. Iborra, V. Moreno De Vega, I. Marin
Journal: Endoscopy (2024)

Aims Achalasia is characterized by impaired relaxation of the lower esophageal sphincter (LES) and absent esophageal peristalsis. Following treatment, some recovery of esophageal motility has been observed (5-48%) without identifying factors related to this recovery.
Factors associated with the severity of ERCP-related complications: large retrospective monocentric study
Authors: K. Goubert, P. Hindryckx, M. Khalenkow
Journal: Endoscopy (2024)

Aims Prospective studies have identified a number of patient- and procedure-related risk factors for post-ERCP complications. Many of these complications are mild and self-limiting. The aim of this study is to identify the patients at risk for severe post-ERCP complications.
Results of endoscopic treatment of hemorroids
Authors: H. Cherkaoui, A. El Ghmari, E. M. Amine, N. Lahmidani, D. A. Benajah, E. Y. Mounia, S. A. Ibrahimi, M. El Abkari, H. Abid
Journal: Endoscopy (2024)

Aims The ongoing discourse on the optimal treatment for hemorrhoids persists, with varying options demonstrating differential effectiveness and associated levels of discomfort. Within the scope of this investigation, a comparative analysis is undertaken between sclerosis and elastic ligation concerning their efficacy and potential complications.
Endoscopic resection of an extraluminal subepithelial tumor located on the anastomosis of a previous laparoscopic fundectomy
Authors: T. Thomaidis, G. Kallimanis, O. Lyros, D. Kalos, M. T. Koutroumpi, P. H. Zhou
Journal: Endoscopy (2024)

Abstract Text A 58 years old patient presented with a 3 cm subepithelial lesion located at the antastomotic line in the fundus. The patient has undegone a laparoscopic fundus resection of a 5 cm gastrointestinal tumor (GIST) four years ago. The tumor was located extraluminally and wasn't visible in endoscopy. We marked the location of the tumor and formed a submucosal tunnel proximal in the esophagus till we reached the anatostomosis. We removed through the tunnel dozens of surgical staplers before we could localize the tumor. The tumor was then detached and succesfully removed. It proved out, it was a recurrence of the previous GIST. To our knowledge this is the first case of a complete endoscopic removal of a GIST recurrence on the surgical site at the gastric fundus [1].
Technical performance of double-balloon enteroscopy (DBE) in patients with surgically altered anatomy– a 5-year tertiary referral centre experience
Authors: L. Lucaciu, A. Rimondi, R. Chacchi-Cahuin, N. Lazaridis, A. Murino, E. Despott
Journal: Endoscopy (2024)

Aims Double-balloon enteroscopy (DBE) is the gold standard for minimally invasive investigation and management of a vast array of small bowel (SB) pathology [1]. However, surgically altered gastro-intestinal anatomy may hinder deep enteroscopy, due to adhesions forming sharp angulations which are often difficult to navigate, possibly affecting the technical success rate and patient outcomes. We therefore aimed to comparatively assess the technical performance of DBE in patients with and without a history of abdominal surgical interventions, in an expert referral centre.
Comparative Analysis of ERCP Success and Complications Among Age Groups
Authors: S. Malipatil, K. Khalaf, E. Hazan, C. Na, A. Mokhtar, A. Zarrin, D. Tham, S. Abal, W. Mhalawi, D. Chopra, S. Gupta, S. Jugnundan, M.R. A. Fujiyoshi, Y. Fujiyoshi, K. M. Pawlak, N. Calo, J. Mosko, C. Teshima, G. May, S. Grover
Journal: Endoscopy (2024)

Aims Endoscopic Retrograde Cholangiopancreatography (ERCP) is a vital procedure forhepatobiliary disease management. Though it boasts high overall success rates,the impact of patient age on outcomes remains uncertain, especially amongstelderly patients. With an aging population, it is crucial to determine the efficacyand safety of ERCP in different age groups. This study assesses ERCP success andcomplication rates across age groups. Our objective is to investigate whetherERCP remains a reliable and safe procedure for patients of all ages, particularly theelderly
The T-piece pull technique: A simple and effective method for treating buried bumper syndrome
Authors: A. Vella Baldacchino, K. Mushtaq, P. Boger, P. Patel, A. Mcculloch, T. Hollingworth, I. Rahman
Journal: Endoscopy (2024)

Aims Percutaneous endoscopic gastrostomy (PEG) is an established route for enteral nutrition. Although rare, buried bumper syndrome (BBS) remains an important and challenging complication to manage. Gastric mucosal overgrowth over the internal bumper results in obstruction of the internal stoma and impedes delivery of nutritional feeds via the PEG tube. Many different techniques for treating BBS have been described, but these have largely been limited to case reports or small case series. This study aimed to determine the efficacy and safety of the T-piece pull technique
Combined single session EUS+/- ERCP for biliary stone disease. Experience from a large tertiary UK centre
Authors: N. Pantzaris, S. Everett, M. Huggett, B. Paranandi, O. Aaron
Journal: Endoscopy (2024)

Aims Single session EUS/ERCP for biliary stone disease has the advantages of obtaining immediate, real-time information from EUS, administering only one sedation for both diagnosing and treating biliary stones, and potentially avoiding an unnecessary ERCP in the event of a spontaneous passage of CBD stones. The objective of this study was to review the combined EUS-ERCP procedures for biliary stone disease and how it alters the proportion of patients undergoing subsequent ERCP. A secondary objective was to assess the imaging modalities that led to the ERCP request and any correlation between the EUS findings, liver function tests (LFTs), abdominal ultrasound (USS)/CT/MRCP findings and scan-to-ERCP time.
Understanding Patients’ Current Acceptability of Artificial Intelligence During Colonoscopy for Polyp Detection: A Single Center Study
Authors: K. Schmidt, S. Sood, S. Dilmaghani, M. Goyal, B. Barry, X. Zhu, N. Coelho-Prabhu
Journal: Endoscopy (2024)

Aims Detection and accurate classification of neoplastic and non-neoplastic polyps are critical for appropriate management for patients undergoing colonoscopy. [1] Endoscopist expertise is variable and may be augmented by artificial intelligence (AI), including computer-aided detection (CADe) and diagnosis (CADx). [2] However, there are reservations about AI implementation into medical care due to concerns about performance (particularly for polyp subtypes), liability, trust, and bias. [3] [4] Data is lacking regarding patients' perspectives. Our aim was to understand patients' familiarity and acceptability of AI during colonoscopies.
Patients Safety: Labeling Syringes in an Endoscopy Clinic
Authors: E. Palma
Journal: Endoscopy (2024)

Aims In endoscopy clinics, syringes are widely used for injectable medications that are necessary to proper patient care, i.e., to sedate and anesthetize. When drugs are aspirated directly from vials or ampoules into a syringe, the information about the drug name and dose is lost. A mislabeled syringe may have dire consequences for those who are injected with the wrong substance or dose.
Interest of pancreatoscopy in the endoscopic management of chronic pancreatitis: results of a prospective study
Authors: A. Laquière, C. Boustiere
Journal: Endoscopy (2024)

Aims In chronic pancreatitis (CP), stones and strictures of the main pancreatic duct (MPD) can cause chronic abdominal pain and recurrent acute pancreatitis. In some cases, endoscopic treatment may be indicated with uncertain efficacy due to the high risk of recurrence. This risk is correlated with residual calculi and stenosis in the CP. The aim of this study was to compare the performance of pancreatoscopy versus pancreatography in diagnosing residual calculi and strictures in the MPD at the end of endoscopic treatment.
ERCP in children. 15 years experience in a tertiary hospital in Spain
Authors: E. Martin-Arranz, R. Fernandez Martos, C. Suarez-Ferrer, R. Rey Sanz, P. Mora Sanz, M. D. Martin-Arranz
Journal: Endoscopy (2024)

Aims Indications for ERCP in children are relatively rare. The aim of our study is to describe the procedures performed in children at our institution.
A new capsule for long term monitoring in suspected upper GI-bleeding – first in human use of the HemoPill monitor
Authors: M. Brand, A. Meining
Journal: Endoscopy (2024)

Aims Since 2020, a photometric capsule endoscopy (HemoPill acute) has been available for non-invasive diagnosis of acute bleeding in the upper gastrointestinal tract. For long-term monitoring of a potential source of bleeding, a new version with a fixation option is available.
Diagnosis of intrabiliary metastasis of colorectal cancer by cholangioscopy
Authors: C. Amor Costa, E. Martin-Arranz, C. Amiama Roig, I. Gonzalez Diaz, R. Fernandez Martos, M. D. Martin-Arranz
Journal: Endoscopy (2024)

Abstract Text Two cases of intrabiliary metastasis of colorectal cancer (CRC) diagnosed with endoscopic retrograde cholangiopancreatography (ERCP) and cholangioscopy using the SpyGlass DSII system. In case 1, ERCP showed a long asymmetric stricture of the common bile duct and dilatation of intrahepatic ducts. Cholangioscopy visualized a mass arising from the choledochal wall, with villous pattern and irregular vessels. In case 2, the cholangiography showed stenosis of the common hepatic duct and retrograde dilatation. Cholangioscopy visualized a non transversable stenosis, with erythematous mucosa and neovessels. Biopsies confirmed metastases of colorectal adenocarcinoma in both cases. Intraductal biliary growthis an exceptional localization of CRC metastases and differentiating it from cholangiocarcinoma is a diagnostic challenge in which cholangioscopy is a very valuable tool. [1] [2] [3]
Freehand suturing during ESD for applying traction
Authors: J. Weigt, C. Göring, V. Keitel-Anselmino
Journal: Endoscopy (2024)

Aims Recently the technique of freehand suturing in GI endoscopy evolved by developments such as knotless barbed wire sutures and needle manipulators. Beside closing of mucosal or complete wall defects of the GI tract one of our first thoughts was the use of the suture string to apply tension to the mucosa while doing ESD or other submucosal preparation. In the following we present the technique of freehand suture traction during ESD in an ex vivo porcine model.