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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EUS-guided pancreatic duct access and wire placement

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 …

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Antegrade biopsy by using a trans-catheter technique

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 …

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EUS-guided hepaticojejunostomy

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 …

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EUS-guided transesophageal drainage

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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Single-step EUS-guided stent puncture and delivery

Anthony Yuen Bun Teoh, FRCSEd (Gen) from the Department of Surgery at the Prince of Wales Hospital at the Chinese University of Hong Kong in Hong Kong SAR, China shares this video case from the VideoGIE section "Single-step EUS-guided puncture and delivery of a lumen-apposing stent for gallbladder drainage using a novel cautery-tipped stent delivery system." …

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The 25G EUS-FNA needle

Shyam Varadarajulu, MD from the Center for Interventional Endoscopy at Florida Hospital in Orlando, Florida, USA discusses his Original Article "The 25G EUS-FNA needle: Good for onsite but poor for offsite evaluation?" When rapid onsite cytology evaluation is not available, cell block is used as a technique for off-site interpretation of endoscopic ultrasound-fine needle aspiration …

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