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
Ferga C. Gleeson, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, in Rochester, Minnesota, USA discusses this Original Article, "Frequency of mitogen-activated protein kinase and phosphoinositide 3-kinase signaling pathway pathogenic alterations in EUS-FNA sampled malignant lymph nodes in rectal cancer with theranostic potential." We have previously characterized EUS FNA cytology specimens by targeted …
Continue reading Pathogenic alteration frequency by EUS FNA in malignant lymph node
Junko Umeda, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan discusses this New Methods article "A newly designed plastic stent for EUS-guided hepaticogastrostomy: a prospective preliminary feasibility study (with videos)." EUS-guided hepaticogastrostomy (EUS-HGS) for the creation of a fistula between the stomach and the left intrahepatic bile duct is an …
Continue reading Newly designed plastic stent for EUS-guided hepaticogastrostomy
Nobuhito Ikeuchi, MD, Department of Gastroenterology and Hepatology at Tokyo Medical University in Tokyo, Japan presents this video case “One-step EUS-guided gastrojejunostomy with use of lumen-apposing metal stent for afferent loop syndrome treatment.” Afferent loop syndrome is an adverse event of several types of gastric surgery and often causes patient suffering. However, retrograde endoscopic decompression …
Rajeev Attam, MD, from the Southern California Permanente Group, Kaiser Permanente, in Downey, California, USA discusses this Original Article "'Wet suction technique (WEST)': a novel way to enhance the quality of EUS-FNA aspirate. Results of a prospective, single-blind, randomized, controlled trial using a 22-gauge needle for EUS-FNA of solid lesions." Wet suction technique involves replacement …
Rajeev Attam, MD, from Kaiser Permanente, Downey, in Los Angeles, California, USA presents this video case "EUS-guided pancreatic duct access and wire placement to facilitate dorsal duct cannulation after failed ERCP." A 62-year-old woman was referred to us for management of recurrent pancreatitis in a setting of pancreatic divisum. Imaging confirmed pancreatic divisum and revealed mildly …
Continue reading EUS-guided pancreatic duct access and wire placement
Takeshi Ogura, MD, PhD from the Second Department of Internal Medicine, Osaka Medical College in Osaka, Japan shares this VideoGIE case "Antegrade biopsy by using a trans-catheter technique through EUS-guided hepaticojejunostomy." In our video, we described technical tips of antegrade biopsy and blushing cytology through endoscopic ultrasound-guided hepaticojejunostomy. First, we punctured the intrahepatic bile duct …
Continue reading Antegrade biopsy by using a trans-catheter technique
Takeshi Ogura, MD, PhD and Kazuhide Higuchi, MD, PhD from the 2nd Department of Internal Medicine at Osaka Medical College in Osaka, Japan present this video case "EUS-guided hepaticojejunostomy combined with antegrade stent placement." In our video, we described technical tips of endoscopic ultrasound-guided hepaticojejunostomy (EUS-HJS) combined with EUS-guided antegrade stenting. This patient was admitted …
Joan B. Gornals, MD, PhD at the Endoscopy Unit, Department of Digestive Diseases at the Hospital Universitari de Bellvitge-IDIBELL in Barcelona, Spain presents this VideoGIE case, "EUS-guided transesophageal drainage of a mediastinal abscess using a diabolo-shaped lumen-apposing metal stent." In this video, we demonstrate the successful use of a self-expanding metal stent specifically designed for …
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