Post written by Rafael Romero-Castro, MD, PhD, from the Hospital Universitario Virgen Macarena, Seville, Spain. We report EUS-FNA in 2 patients with right atrial masses, 1 of them requiring 3 passes to obtain diagnostic cytologic material. I think these 2 cases deserve to be known by the community of endosonographers because of 2 main reasons. …
Category: VideoGIE
Management of afferent limb obstruction by EUS-guided jejunojejunostomy and placement of LAMS
Post written by Hassan Ghoz, MD, and Victoria Gómez, MD, from the Division of Gastroenterology and Hepatology, Section of Advanced Endoscopy, Mayo Clinic, Jacksonville, Florida, USA. We describe a case of a patient presenting with malignant afferent loop obstruction (ALO) which we managed using EUS-guided creation of a jejunojejunostomy with a lumen-apposing metal stent (LAMS). …
Endoscopic suturing for closure of ESD defects
Post written by Samuel Han, MD, from the Division of Gastroenterology and Hepatology, University of Colorado Anschutz Medical Center, Aurora, Colorado, USA. In this Tools and Techniques video, we describe a formalized technique to close defects created by ESD using endoscopic suturing. Essentially, we suggest proceeding from the site most distal to the scope insertion …
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GIE Reviewer Tips
Timo Rath, MD, from the Ludwig Demling Endoscopy Center of Excellence, University Hospital Erlangen, Erlangen, Germany offers advice to new reviewers after participating in GIE's Reviewer Mentorship Program. Reviewing is an important part of my clinical and scientific endoscopic activities that I would not want to miss. Reviewing cutting-edge papers definitely improves my daily endoscopy …
GIE Reviewer Tips
Georgios Mavrogenis, MD, from the Department of Gastroenterology, Mediterraneo Hospital, Athens, Greece, offers advice to new reviewers after participating in GIE's Reviewer Mentorship Program. Giving feedback to a mentee can be difficult. How do you inspire young reviewers to do a good job? I encourage them to detect the weaknesses and the strong points of …
The descending gastric fundus in endoscopic sleeve gastroplasty
Post written by Theodore W. James, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina. We demonstrated that not only does the gastric body shorten during endoscopic sleeve gastroplasty, but the gastric fundus descends as well. This often brings the fundus below the GE junction and increases the …
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Endoscopic closure of a large perforation during pneumatic dilation of a sleeve gastrectomy stricture
Post written by Allison R. Schulman, MD, MPH, from the Division of Gastroenterology and Hepatology, Department of Internal Medicine, University of Michigan, Ann Arbor, Michigan, USA. The case described here is a 71-year-old woman with a history of laparoscopic sleeve gastrectomy performed 1 year prior who presented with nausea, vomiting, reflux, and inability to tolerate …
Management of a windsock diverticulum by the use of novel submucosal dissection scissors
Post written by Ryan Law, DO, from the Department of Medicine, University of Michigan, Ann Arbor, Michigan, USA. A 41-year-old woman presented with a 2-year history of nausea, post-prandial pain, dysphagia to solid food, and intermittent regurgitation. During her evaluation, she was found to have a 4-cm long outpouching suggestive of an epiphrenic diverticulum as …
Endoscopic removal of a migrated plastic stent from the peritoneal cavity after EUS-guided gallbladder drainage
Post written by Mayu Nishiyama, MD, Shigeto Ishii, MD, Toshio Fujisawa, MD, PhD, Hiroaki Saito, MD, PhD, and Hiroyuki Isayama, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan. This is a case of unresectable hilar cholangiocarcinoma in a 74-year-old man. He developed acute cholecystitis after biliary stent placement …
EUS-guided drainage of a pelvic abscess
Post written by Ignacio Fernández-Urién, MD, PhD, from the Gastroenterology Department, Complejo Hospitalario de Navarra, Navarra, Spain. We presented the case of a 50-year-old woman with an 8-cm pelvic abscess secondary to an acute diverticulitis that was drained guided by EUS. First, we punctured the lesion with a 19-gauge needle, and 5 mL of purulent …
