Post written by Dennis Yang, MD, from the Division of Gastroenterology and Hepatology, University of Florida, Gainesville, Florida. A 59-year-old man with newly diagnosed metastatic pancreatic cancer was referred for endoscopic treatment of concomitant gastric outlet obstruction and malignant biliary obstruction. Endoscopy revealed a severe type I stricture. ERCP was performed with successful placement of …
Continue reading The use of a LAMS for a short malignant duodenal stricture
Post written by Ryan Law, DO, from the Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan. We present a case of a 59-year-old man with stage IV colorectal cancer with extensive metastatic disease to his liver who underwent EUS-guided internalization of his percutaneous transhepatic biliary drainage (PTBD) catheter utilizing an EUS-guided hepaticogastrostomy …
Post written by Armin Küllmer, MD, from the Department of Medicine I, Klinikum Ludwigsburg, Ludwigsburg, Germany. We proudly present our video of an endoscopic jejunojejunostomy in order to bypass an obstructed efferent loop after subtotal gastrectomy with Roux-en-Y reconstruction. The endoscopic anastomosis was made using a lumen-apposing stent. The patient suffered from daily vomiting and …
Continue reading Endoscopic jejunojejunostomy by use of a lumen-apposing self-expandable metal stent
Post written by Lady Katherine Mejia Perez, MD, and Victoria Gomez, MD, from the Department of Gastroenterology and Hepatology, Mayo Clinic, Jacksonville, Florida. We report an interesting case of a 75-year-old woman with decompensated cirrhosis with recurrent calculous cholecystitis who was being managed with an indwelling percutaneous cholecystostomy tube (PCT) due to poor surgical candidacy. …
Post written by Malay Sharma, MD, DM, from the Jaswant Rai Specialty Hospital, Meerut, Uttar Pradesh, India. A 20-year-old man presented with right-upper quadrant abdominal pain for 2 months. He had undergone Ultrasound (US)-guided aspiration of a liver abscess 2 months previous. US of the abdomen showed a hepatic artery aneurysm. CT angiography (abdomen) confirmed …
Continue reading EUS-guided coiling of hepatic artery pseudoaneurysm in 2 stages
Post written by Malay Sharma, MD, DM, from the Jaswant Rai Specialty Hospital, Meerut, Uttar Pradesh, India. A 35-year-old man presented with recurrent urinary tract infection requiring multiple courses of antibiotics for the past 15 years. He had undergone surgery for an imperforate anus at birth, and an anal stricture developed, which required repeated bougienage …
Continue reading EUS-guided cyanoacrylate glue injection for treatment of anourethral fistula
Post written by Malay Sharma, MD, DM, from the Jaswant Rai Specialty Hospital, Meerut, Uttar Pradesh, India. A 28-year-old Indian man presented with acute cholangitis. Transabdominal ultrasonography showed a right-lobe liver cyst and dilated common bile duct (CBD). EUS was performed with a linear echoendoscope before ERCP to ascertain the cause of cholangitis. Linear EUS …
Post written by Toshio Kuwai, MD, PhD, from the Department of Gastroenterology, National Hospital Organization, Kure Medical Center and Chugoku Cancer Center, Kure, Japan. In this study, we describe 2 cases of duodenal endoscopic submucosal dissection (ESD) using a scissors-type knife, Stag Beetle (SB) Knife Junior (Jr) (Sumitomo Bakelite Co., Tokyo, Japan). Our first case …
Post written by Prabhleen Chahal, MD, from the Cleveland Clinic, Cleveland, Ohio, USA. This novel video is a compilation of linear EUS examinations clearly demonstrating 3 different variant pancreatic ductal anatomies encountered during clinical practice. Accompanying this EUS video is corroborating motion animation demonstrating the anatomical landmarks and scope position for delineation of variant anatomy. …
Post written by Prapimphan Aumpansub, MD, from the Division of Gastroenterology, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross, Bangkok, Thailand. A 67-year-old woman presented with progressive jaundice and passage of melena for 2 months. She had a history of malignant melanoma of the left flank which was completely resected 2 years …
Continue reading Metastatic melanoma presenting as malignant biliary obstruction of the CBD
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