Pancreatic pseudoaneurysm mimicking cystic neoplasm with worrisome features

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 …

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Cystgastrostomy with EUS-directed jejunogastric LAMS

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 …

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Evaluation of EUS-PD with FCSEMS

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 …

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EUS-guided radiofrequency ablation of unresectable pancreatic cancer

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 …

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EUS-guided liver biopsy

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 …

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EUS-RFA for pancreatic insulinoma with a novel needle electrode

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 …

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Transgastric biliary brushing

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 …

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