Post written by Matheus C. Franco, MD, from the Cleveland Clinic Foundation, in Cleveland, Ohio, USA. A 61-year-old female presented with poor appetite, weight loss, and diarrhea. CT scan from outside hospital showed no significant abnormalities. Further investigation with MRI revealed a 1.4 cm cystic lesion in the body of pancreas with wall thickness and enhancing …
Continue reading Pancreatic pseudoaneurysm mimicking cystic neoplasm with worrisome features
Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology, Weil Cornell Medical College, Cornell University, in New York, New York, USA shares this video case "EUS-directed jejunogastric lumen-apposing metal stent to facilitate cystgastrostomy in a patient with Roux-en-Y anatomy." This case describes a 54-year-old man with Roux-en-Y anatomy who presented with a symptomatic pancreatic …
Continue reading Cystgastrostomy with EUS-directed jejunogastric LAMS
Do Hyun Park, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, in Seoul, Korea shares this Original Article "Feasibility and safety of a fully covered self-expandable metal stent with antimigration properties for EUS-guided pancreatic duct drainage: early and midterm outcomes (with video)." The …
Tae Jun Song, MD, PhD, and Dong Wan Seo, MD, PhD, from the Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center in Seoul, South Korea presents this New Methods article, "Initial experience of EUS-guided radiofrequency ablation of unresectable pancreatic cancer." We investigated the feasibility and safety of endoscopic ultrasound (EUS)-guided …
Continue reading EUS-guided radiofrequency ablation of unresectable pancreatic cancer
David L. Diehl, MD, FACP, FASGE, from the Department of Gastroenterology and Nutrition, Geisinger Medical Center, in Danville, Pennsylvania, USA discusses this article, "EUS-guided liver biopsy provides diagnostic samples comparable with those via the percutaneous or transjugular route." Endoscopic ultrasound guided liver biopsy (EUSA-LB) is an emerging technique for performing liver biopsy. In patients who …
Sundeep Lakhtakia, DM, from the Asian Institute of Gastroenterology in Hyderabad, India discusses this New Methods article "EUS-guided radiofrequency ablation for management of pancreatic insulinoma by using a novel needle electrode (with videos)." Insulinomas are one of the most common functional pancreatic neuroendocrine tumors. Surgical removal is the standard of care. However, patients who are …
Continue reading EUS-RFA for pancreatic insulinoma with a novel needle electrode
Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology at Weil Cornell Medical College, Cornell University in New York, New York, USA shares this VideoGIE case “Transgastric biliary brushing: a novel endoscopic technique.” This video describes a case of a patient with a history of pancreatic cancer status-post whipple procedure who presented with obstructive …
Saowanee Ngamruengphong, MD, from the Department of Medicine and Division of Gastroenterology and Hepatology at the Johns Hopkins Medical Institutions in Baltimore, Maryland, USA presents this VideoGIE case "EUS-guided rescue of early dislodgement of a lumen-apposing stent." A 74-year-old man presented with cholelithiasis and choledocholithiasis. The patient underwent an ERCP with biliary sphincterotomy and placement …
Associate Editor, Prasad G. Iyer, MD, MD, MSc, FASGE, recommends this article from the November issue: "Linear-array EUS improves detection of pancreatic lesions in high-risk individuals: a randomized tandem study." This randomized study reveals intriguing information in the relative yield and miss rates of tandem radial and linear EUS examinations in high risk individuals undergoing …
Continue reading Editor’s Choice: Linear-array EUS improves detection of pancreatic lesions
Danny Cheriyan, MD, from the Division of Gastroenterology at Duke University Medical Center in Durham, North Carolina, USA shares this VideoGIE case, "Giant esophageal lipoma: endoscopic resection." We describe a rare case of a large esophageal lipoma that caused significant dysphagia in a 72-year-old male patient. These lesions are typically small, and are incidentally noted …
Continue reading Endoscopic resection of giant esophageal lipoma
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