Tag: Endoscopy

Top tips for EUS-guided pancreatic cyst chemoablation (with video)

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Post written by Matthew T. Moyer, MD, MS, FASGE, from Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA. EUS-guided pancreatic cyst chemoablation is a rapidly developing, minimally invasive approach for treating appropriately selected mucinous pancreatic cysts. This article reviews best practices for this procedure including patient selection, setup, procedure performance, team structure, radiographic …

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Editor’s Choice: Comparing a 19-gauge fine-needle biopsy needle with a 22-gauge fine-needle biopsy needle for EUS-guided liver biopsy sampling: a prospective randomized study

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GIE Senior Associate Editor Mohamed O. Othman, MD, highlights this article from the June issue: “Comparing a 19-gauge fine-needle biopsy needle with a 22-gauge fine-needle biopsy needle for EUS-guided liver biopsy sampling: a prospective randomized study” by David L. Diehl, MD, FASGE, AGAF, et al. EUS-guided liver biopsy is gaining traction and is frequently requested by referring …

Continue reading Editor’s Choice: Comparing a 19-gauge fine-needle biopsy needle with a 22-gauge fine-needle biopsy needle for EUS-guided liver biopsy sampling: a prospective randomized study

Safety and efficacy of direct percutaneous endoscopic jejunostomy tube placement compared with surgical jejunostomy: a tertiary care analysis

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Post written by Shajan Peter, MD, from the Division of Gastroenterology and Hepatology, Basil Hirschowitz Center of Advanced Endoscopy, University of Alabama at Birmingham, Birmingham, Alabama, USA. We examined cases over 5 years of enteral tube feeding placement. We further divided the patients into cohorts for the traditional open laparotomy approach, laparoscopic jejunostomy, and direct percutaneous endoscopic …

Continue reading Safety and efficacy of direct percutaneous endoscopic jejunostomy tube placement compared with surgical jejunostomy: a tertiary care analysis

Successful EUS-guided pancreatic cyst chemoablation safely allows reduction in the frequency of radiographic surveillance: long-term follow-up of randomized prospective data

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Post written by J. Westley Heinle, MPH, from the the Division of Gastroenterology and Hepatology, Penn State College of Medicine and Penn State Hershey Medical Center, Hershey, Pennsylvania, USA. The 2 randomized prospective Chemotherapy for Ablation and Resolution of Mucinous Pancreatic Cysts (ChARM) clinical trials investigate and develop alcohol-free EUS-guided pancreatic cyst chemoablation. The current investigation …

Continue reading Successful EUS-guided pancreatic cyst chemoablation safely allows reduction in the frequency of radiographic surveillance: long-term follow-up of randomized prospective data

Adverse events of the single-operator cholangioscopy system: a Manufacturer and User Facility Device Experience database analysis

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Post written by Saurabh Chandan, MD, from the Creighton University School of Medicine, Omaha, Nebraska, USA, and the Center for Interventional Endoscopy, Advent Health, Orlando, Florida, USA. The primary aim of our study was to assess and report all adverse events (AEs), including those device- and patient-related, associated with the single-operator cholangioscopy (SOC) system (SpyGlass; Boston …

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Endoscopic removal of 2 types of eroded gastric bands using endoscopic scissors

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Post written by Mark Hanscom, MD, from Weill Cornell Medicine, New York, New York, USA. With this video case, we present the endoscopic removal of 2 types of eroded gastric bands. In the first case, a patient presented following adjustable laparoscopic gastric band (Lap-Band) placement with weight regain. Initial testing with an upper GI series identified …

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Peroral endoscopic myotomy for spastic esophageal dysmotility among opioid users: a multicenter propensity score matching study

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Post written by Baha Fawwaz, MD, from Gastroenterology and Hepatology, AdventHealth, Orlando, Florida, USA. Opioids have become one of the most widely prescribed medications in the United States. Chronic opioid use has been associated with esophageal dysmotility. The focus of our study was to evaluate and compare the clinical outcomes of peroral endoscopic myotomy (POEM) for …

Continue reading Peroral endoscopic myotomy for spastic esophageal dysmotility among opioid users: a multicenter propensity score matching study

Safety of EUS latex balloon use in patients with a latex allergy

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Post written by Eric J. Vargas, MD, MS, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. The focus of our study was to explore and report on our experience with EUS latex balloon use in patients with a self-reported latex allergy. The use of a fluid-filled balloon improves acoustic coupling and visualization …

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A novel method of bilateral biliary decompression by EUS-guided hepaticogastrostomy with bridging stenting using the partial stent-in-stent method for reintervention of multiple metal stent failure

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Post written by Hidenobu Hara, MD, from the Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Tokyo, Japan. EUS-guided hepaticogastrostomy (EUS-HGS) has become an effective method for biliary drainage, particularly in cases of hilar bile duct obstruction. This report presents the case of an 84-year-old woman with unresectable perihilar cholangiocarcinoma of bismuth type IV. …

Continue reading A novel method of bilateral biliary decompression by EUS-guided hepaticogastrostomy with bridging stenting using the partial stent-in-stent method for reintervention of multiple metal stent failure

Deconstructing the steps of pull-type PEG tube insertion

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Post written by Carlos Paolo D. Francisco, MD, FPCP, DPSG, DPSDE, from Singapore General Hospital, Singapore, and St. Luke’s Medical Center, Global City, Philippines. PEG is the preferred feeding route for patients requiring long-term enteral nutrition. The procedure involves percutaneously placing a tube into the stomach with the assistance of endoscopy, as described by Gauderer et …

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