Dr. Roy J Mukkada, MD, DNB, from the Department of Gastroenterology & Hepatology, VPS Lakeshore Hospital, Kochi, Kerala, India, presents this video case. A 65-year-old man (an alcoholic and a smoker) presented with recurrent abdominal pain, weight loss, and loss of appetite. He was known to have had chronic calcific pancreatitis since 2014. CT of …
Continue reading EUS-guided coiling for bleeding duodenal collateral vessel
Gabriel D. Lang, MD, from the Division of Gastroenterology, Washington University, Saint Louis, Missouri, presents this video case. A 67-year-old female with locally advanced duodenal adenocarcinoma with previous metal biliary and enteral stents presented with jaundice. The cholangiogram demonstrated a complete obstruction at the proximal end of the stent. Multiple attempts to advance a variety …
Continue reading Completely obstructed bile duct? Let cholangioscopy guide the way
Post written by Pujan Kandel, MD, from the Division of Gastroenterology, Mayo Clinic, Jacksonville, Florida. This was a single center retrospective case control study. All the consecutive samples from EUS-FNB-SCs were matched in a 1:3 ratio by the lesion site (e.g. pancreatic head) and needle gauge (i.e. 19, 22, and 25 gauge) to recent random …
Continue reading EUS-guided fine needle biopsy sampling using a novel fork-tip needle
Saikiran Raghavapuram, MD, Mohit Girotra, MD, FACP, and Benjamin Tharian, MD, MRCP, FRACP, from the University of Arkansas for the Medical Sciences present this video case. We present a 63-year-old male with a history of orthotopic liver transplantation 3 years ago, who presented with cholestatic jaundice. Work up revealed severe stricture of proximal common bile …
Continue reading Successful management of ischemic cholangiopathy
Post written by Rohit Sinha, MBBS, MRCP, PgDip, from the Royal Infirmary and The University of Edinburgh, Edinburgh, United Kingdom. We wanted to evaluate the efficacy of Hemospray in conjunction with established hemostatic endo-therapy in a high-risk nonvariceal upper GI bleeding setting. There was no evidence about the efficacy and outcome of combination therapy (Hemospray …
Continue reading The use of hemostatic spray as an adjunct to conventional hemostatic measures
Ming-Yan Cai, MD, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China, presents this video case. During a regular EGD exam, using a magnifying scope with narrow-band imaging (NBI) function, we observed a very interesting pattern of Ancylostoma duodenale. A male worm was coiled around a female one and the …
Continue reading Mating Ancylostoma Duodenale under Magnifying Endoscopy
Post written by Ferga C. Gleeson, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota. In patients with either primary or metastatic sporadic GI stromal tumors, we sought to determine the frequency of KIT and PDGFRA pathogenic alterations within paired endoscopic ultrasound cytology smears and surgical pathology specimens, Imatinib sensitivity, and the …
Continue reading Molecular cytology genotyping of primary and metastatic GI stromal tumors
Post written by Farzan Bahin, MBBS (Hons), MPhil, FRACP, from the Department of Gastroenterology and Hepatology, Westmead Hospital, Sydney, Australia. This study evaluates the concept of reducing the rate of recurrence by extending the EMR to include a large normal mucosal margin beyond the visible extent of the lesion. Residual or recurrent adenoma (RRA) is …
Continue reading Extended EMR does not reduce recurrence compared with standard EMR
Dr. Mohit Girotra, MD, FACP, and Dr. Benjamin Tharian, MD, MRCP, FRACP, from the Stanford University School of Medicine, Stanford, California and the University of Arkansas for Medical Sciences, Little Rock, Arkansas present this video case. A 73-year-old woman with failed prior ERCP for choledocholithiasis underwent successful endoscopic retrograde cholangiopancreatography (ERCP) with extraction of a …
Continue reading Successful removal of deeply migrated pancreatic stent
Post written by Christoph Frank Dietrich, MD, PhD, from the Medical Department at Caritas Krankenhaus, Bad Mergentheim, Germany With the ever growing number of cross sectional imaging, the incidental detection of small solid pancreatic tumors also increases. Until now, the general rule for the management of such pancreatic tumors has been radical surgery if considered …
Continue reading Differential diagnosis of small solid pancreatic lesions
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