Post written by Rizwan Ahamed, MD, DM, Sasidharan Rajesh, MD, PDCC, and Cyriac Abby Philips, DM, from the Division of Gastroenterology and Division of Hepatobiliary Interventional Radiology, Center of Excellence in GI Sciences, Rajagiri Hospital, Kochi, India. A 41-year-old man with alcohol-related Child-Pugh B cirrhosis was referred to us after failed endoscopic glue injection for bleeding fundal varices. CT showed a …
Tag: EUS
Endoscopic ultrasound–guided fine-needle aspiration of an adrenal mass consistent with pheochromocytoma: a case report
Post written by Theodore W. James, MD, MSc, from St. Joseph Healthcare, University of New England, Bangor, Maine, USA. This is a unique case regarding a patient with a suspected pheochromocytoma who underwent endoscopic ultrasound (EUS) with fine-needle aspiration (FNA) for diagnosis. These cases are challenging to manage, as the dogma has always been that needle puncture …
An interview with “one of the giants of endoscopy”
Post written by GIE Senior Associate Editor David L. Diehl, MD. Dr Michael V. Sivak Jr is one of the giants of endoscopy, not just in the United States, but across the world. He was “in the room where it happened” for many important developments in gastroenterology and endoscopy that have since become routine practice. Dr …
Continue reading An interview with “one of the giants of endoscopy”
Endoscopic ultrasound—assisted rendezvous technique followed by dual-duct drainage using a double-lumen papillotome: a salvage strategy for postendoscopic papillectomy stricture
Post written by Go Endo, MD, and Naminatsu Takahara, MD, PhD, from the Department of Gastroenterology in Organ Pathophysiology Program, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. A 70-year-old woman developed acute cholangitis and pancreatitis 3 months after hybrid endoscopic papillectomy (EP) of a 25-mm ampullary adenoma. The papillary orifice was completely obstructed by a fibrotic post-EP …
Long-term outcomes of endoscopic ultrasound–guided gastroenterostomy: a prospective cohort study tracking symptom recurrence, reintervention timelines, and stent modifications over time
Post written by Giuseppe Vanella, MD, PhD, from the Pancreatobiliary Endoscopy and Endosonography Division, IRCCS San Raffaele Scientific Institute, and Vita-Salute San Raffaele University, Milan, Italy. EUS-guided gastroenterostomy (EUS-GE) is to date a well-established option for malignant gastric outlet obstruction, and the short-term data are strongly supported by recent randomized evidence. What is usually missing is the long …
Therapeutic endoscopic ultrasound with a novel adaptable endoscopic ultrasound probe and vision system
Post written by Carlos Robles-Medranda, MD, FASGE, AGAF, from the Instituto Ecuatoriano de Enfermedades Digestivas and Endoscopy Net, Guayaquil, Ecuador. This video presents our early clinical experience with the EndoSound Vision System (Portland, Ore, USA), a compact, portable, disposable EUS probe that clips onto a flexible upper GI endoscope while preserving the working channel. We demonstrate device …
Real-world outcomes of endoscopic ultrasound–guided tissue acquisition for actionable diagnosis in suspected primary or recurrent lymphoma
Post written by Ho Seung Lee, MD, Gunn Huh, MD, and Do Hyun Park, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, and the Department of Internal Medicine, Korea University Anam Hospital, Seoul, South Korea. This study evaluated the real-world clinical impact of EUS-guided tissue acquisition in patients with suspected …
Endoscopic ultrasound—guided ethanol lavage as a novel therapeutic modality for symptomatic simple renal cysts
Post written by Yoonchan Lee, MD, Tae Jun Song, MD, PhD, and Dong-Wan Seo, MD, PhD, from the Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. Simple renal cysts are among the most common incidental findings on abdominal imaging, present in roughly one-half of individuals older than 50 years. Although the vast majority of these …
Precipitation-based versus filtration-based liquid-based cytology in endoscopic ultrasound—guided fine-needle biopsy specimens of solid pancreatic masses: a prospective, randomized trial (with video)
Post written by Jae Hee Cho, MD, PhD, and Sung Ill Jang, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, and See Young Lee, MD, from the Division of Gastroenterology, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South …
Endoscopic management of a complex gastrocolojejunal fistula following endoscopic ultrasound–guided gastrojejunostomy
Post written by Mayank Goyal, MBBS, from the University of Missouri-Kansas City, Kansas City, Missouri, and Mayo Clinic, Rochester, and Manik Aggarwal, MBBS, and Ryan Law, DO, from the Mayo Clinic, Rochester, Minnesota, USA. This video demonstrates endoscopic management of a complex gastrocolojejunal fistula that developed following EUS-guided gastrojejunostomy (EUS-GJ) in a patient with gastric outlet obstruction secondary to necrotizing pancreatitis. Severe inflammation …
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