Post written by Radhika Chavan, MD, DNB, FASGE, FISG, from Ansh Clinic, Ahmedabad, Gujarat, India. In our article, we demonstrate the techniques of EUS-guided embolization of various vascular lesions, including gastric varices, ectopic varices, and pseudoaneurysms. We discuss 2 methods of EUS-guided embolization for gastric varices: (1) direct puncture of the varices and (2) feeder vessel …
Continue reading Technical tips for EUS-guided embolization of varices and pseudoaneurysms
Post written by Mingyan Cai, MD, PhD, FASGE, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China. In this study, we developed and validated an automatically optimized radiomics modeling system (AORMS) based on EUS images to diagnose small GI stromal tumors (GISTs) (<2 cm) from non-GISTs and predict those with high …
Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, USA. A 64-year-old woman with a history of perforated goblet cell carcinoid tumor of the appendix underwent extensive cytoreductive surgery with heated intraperitoneal chemotherapy 5 years prior. She had a recent small-bowel obstruction requiring exploratory laparotomy with extensive lysis of adhesions and resection of …
Continue reading Retrograde EUS-guided ileocolostomy for malignant small-bowel obstruction
Post written by Kambiz Kadkhodayan, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. Main duct—type intraductal pancreatic mucinous neoplasms (IPMNs) present a diagnostic and management challenge, requiring careful evaluation to accurately determine the extent of the disease and guide treatment decisions. Preoperative or intraoperative pancreatoscopy proves to be invaluable when assessing the extent …
Post written by Biswa Ranjan Patra, MD, DM, from Seth GS Medical College and KEM Hospital, Mumbai, India. Refractory tracheoesophageal fistulas (TEFs) are difficult to treat, even with various surgical or endoscopic modalities. This case involves a 5-year-old child with a congenital TEF that recurred after 2 surgical corrections and endoscopic attempts at closure. We describe …
Post written by Wataru Yoshioka, MD, from Kameda Medical Center, Kamogawa, Japan. A new double soft-tipped guidewire (GW) that has 2 angulated tips with hydrophilic coating on both ends (RevoWave DualMaster, 0.025 inches, 450 cm long; Piolax Medical Devices, Inc, Yokohama, Japan) has been recently developed. This GW enables simultaneous cannulation of the pancreatic and bile …
Post written by Deepak Madhu, MD, MRCP, DM, from NTT Medical Center Tokyo, Tokyo, Japan. An 83-year-old man with severe comorbidities underwent endoscopic submucosal dissection for early gastric cancer. Histologic analysis of the resected specimen showed that vertical margins were positive, and the tumor had deep submucosal invasion. In light of severe comorbidities, a multidisciplinary decision …
Post written by Guiqi Wang, MD, from the Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. This study retrospectively reviewed data from patients who underwent closure of rectal defects using endoscopic hand-suturing (EHS) with clips (EHS-Clips) at the Cancer Hospital …
Post written by Takaoki Hayakawa, MD, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan. Endoscopic transpapillary gallbladder drainage is an effective treatment for acute cholecystitis in patients who cannot undergo surgery because of adverse events or bleeding tendencies. This video describes the use of a new …
Post written by Enqiang Linghu, MD, from the Department of Gastroenterology, The First Medical Center of Chinese PLA General Hospital, Beijing, China. This investigation comprehensively assesses the long-term outcomes of patients experiencing post-ERCP pneumobilia and identifies the risk factors associated with post-ERCP pneumobilia. Post-ERCP pneumobilia is not uncommon, and its occurrence often indicates disruption of the …
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