EUS-guided gastroenteric anastomosis as a bridge to definitive treatment in benign gastric outlet obstruction

Post written by Theodore W. James, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA. We evaluated the use of EUS-guided gastroenteric anastomoses for patients with benign gastric outlet obstruction (GOO). We wanted to see if patients were able to successfully avoid surgery using this method. We …

Continue reading EUS-guided gastroenteric anastomosis as a bridge to definitive treatment in benign gastric outlet obstruction

EUS-guided duodenojejunostomy by use of a 2-cm LAMS to treat proximal jejunal stricture in a patient with chronic pancreatitis

Post written by Michael Lajin, MD, from the Sharp Grossmont Hospital, La Mesa, California, USA. A 26-year-old man presented with a 2-week history of nausea and vomiting. His medical history was significant for recurrent pancreatitis secondary to hypertriglyceridemia, infected walled-off necrosis requiring cystogastrostomy, splenic vein thrombosis resulting in severe portal hypertensive gastropathy, and large gastric …

Continue reading EUS-guided duodenojejunostomy by use of a 2-cm LAMS to treat proximal jejunal stricture in a patient with chronic pancreatitis

Initial clinical experience of a steerable access device for EUS-guided biliary drainage

Post written by Vivek Kumbhari, MD, from the Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, Baltimore, Maryland, USA. EUS-guided biliary drainage (EUS-BD) is an accepted method to treat biliary pathology in those that have failed ERCP. A recent consensus statement recommended that of the 4 major EUS-BD techniques, EUS-guided rendezvous should be the …

Continue reading Initial clinical experience of a steerable access device for EUS-guided biliary drainage

Comparison between fine-needle biopsy and fine-needle aspiration for EUS-guided sampling of subepithelial lesions

Post written by Antonio Facciorusso, MD, PhD, from the Gastroenterology Unit, University of Foggia, Foggia, Italy. Endoscopic ultrasound (EUS) fine-needle aspiration (FNA) did not prove to outperform bite-on-bite biopsy in patients with subepithelial lesions (SELs) showing a pooled diagnostic yield as high as 60%. Based on this evidence, current guidelines recommend EUS-guided sampling only in …

Continue reading Comparison between fine-needle biopsy and fine-needle aspiration for EUS-guided sampling of subepithelial lesions

Utility of EUS elastography in the diagnosis of gastric subepithelial tumors: a pilot study

Post written by In Kyung Yoo, MD, PhD, from the Department of Gastroenterology, Cha Bundang Medical Center, Cha University College of Medicine, Seongnam-si, Korea. EUS elastography is a real-time imaging technique that displays the tissue elasticity differences between diseased and normal tissues on the conventional B-mode ultrasound images. It analyzes the degree of tissue deformation …

Continue reading Utility of EUS elastography in the diagnosis of gastric subepithelial tumors: a pilot study

On-site stereomicroscope quality evaluations to estimate white core cutoff lengths using EUS-FNA biopsy sampling

Post written by Kosuke Okuwaki, MD, PhD, from the Department of Gastroenterology, Kitasato University School of Medicine, Kanagawa, Japan. The primary aim of this prospective exploratory study was to use stereomicroscopy to estimate the stereomicroscopically visible white core (SVWC) cutoff length required for the pathological diagnosis of samples obtained using 22-gauge needles. Rapid on-site cytologic …

Continue reading On-site stereomicroscope quality evaluations to estimate white core cutoff lengths using EUS-FNA biopsy sampling

Transpapillary nasocystic tube placement to allow gallbladder distention for EUS-guided cholecystoduodenostomy

Post written by Theodore W. James, MD, from the Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA. We describe a 39-year-old woman with a history of Crohn’s disease and multiple bowel resections who presented with 2.5 months of right upper-quadrant pain and found to have multiple gallstones and cystic …

Continue reading Transpapillary nasocystic tube placement to allow gallbladder distention for EUS-guided cholecystoduodenostomy