Comparative accuracy of needle sizes and designs for EUS tissue sampling of solid pancreatic masses

Post written by Antonio Facciorusso, MD, PhD, from the Endoscopy Unit, University of Foggia, Foggia, Italy. EUS-guided tissue acquisition (EUS-TA) for cytology through fine-needle aspiration (FNA) or fine-needle biopsy (FNB) using specialized core needles has become a central technique in the assessment of pancreatic masses. The most important pitfall associated with this procedure is a …

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Endoscopic unroofing drainage with a needle-knife for gastric wall abscess

Post written by Yusuke Hashimoto, MD, from the Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital East, Kashiwa, Japan. This case describes a 68-year-old diabetic woman was referred for evaluation of a pancreatic tail mass (maximum diameter, 3.2 cm). To obtain specimens for histologic examination before neoadjuvant chemotherapy, transgastric EUS-FNA was performed with …

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EUS-guided enterocolostomy for palliation of malignant distal small-bowel obstruction

Post written by Shelini Sooklal, MD, and Anand Kumar, MD, MPH, from the Division of Gastroenterology, Drexel University College of Medicine, Philadelphia, Pennsylvania, USA. Our video case describes the implementation of a therapeutic endoscopic ultrasound (EUS) technique to provide palliative relief of recurrent small bowel obstruction in a patient with metastatic adenocarcinoma of the colon …

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EUS-guided natural orifice transluminal endoscopic surgery for rescue of a fractured Jackson-Pratt drain

Post written by Theodore W. James, MD, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of North Carolina School of Medicine, Chapel Hill, North Carolina, USA. We describe our experience rescuing a Jackson-Pratt drain that was inadvertently severed using transduodenal puncture into the peritoneum followed by passage of a linear echoendoscope into …

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EUS-FNA of 2 right atrial masses

Post written by Rafael Romero-Castro, MD, PhD, from the Hospital Universitario Virgen Macarena, Seville, Spain. We report EUS-FNA in 2 patients with right atrial masses, 1 of them requiring 3 passes to obtain diagnostic cytologic material. I think these 2 cases deserve to be known by the community of endosonographers because of 2 main reasons. …

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Endoscopic removal of a migrated plastic stent from the peritoneal cavity after EUS-guided gallbladder drainage

Post written by Mayu Nishiyama, MD, Shigeto Ishii, MD, Toshio Fujisawa, MD, PhD, Hiroaki Saito, MD, PhD, and Hiroyuki Isayama, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan. This is a case of unresectable hilar cholangiocarcinoma in a 74-year-old man. He developed acute cholecystitis after biliary stent placement …

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EUS-guided drainage of a pelvic abscess

Post written by Ignacio Fernández-Urién, MD, PhD, from the Gastroenterology Department, Complejo Hospitalario de Navarra, Navarra, Spain. We presented the case of a 50-year-old woman with an 8-cm pelvic abscess secondary to an acute diverticulitis that was drained guided by EUS. First, we punctured the lesion with a 19-gauge needle, and 5 mL of purulent …

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