EUS-guided rescue of lumen-apposing stent

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 …

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Editor’s Choice: Linear-array EUS improves detection of pancreatic lesions

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 …

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Endoscopic resection of giant esophageal lipoma

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 …

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Pathogenic alteration frequency by EUS FNA in malignant lymph node

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 …

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Newly designed plastic stent for EUS-guided hepaticogastrostomy

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 …

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One-step EUS-guided gastrojejunostomy

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 …

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Wet suction technique

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 …

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