Improving diagnostic accuracy and appropriate indications for surgery in pancreatic cystic neoplasms: the role of EUS

Post written by Stefano Crippa, MD, PhD, from the Division of Pancreatic Surgery, IRCCS San Raffaele Scientific Institute, and Vita Salute San Raffaele University, Milan, Italy, Fabio Giannone, MD, from the Division of Pancreatic Surgery, IRCCS San Raffaele Scientific Institute, and the Department of General, Digestive and Endocrine Surgery, University Hospital of Strasbourg, Strasbourg, France, and …

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Successful minimally invasive management of adverse events following EUS-guided gallbladder drainage in a suboptimal surgical patient

Post written by Bianca L. Di Cocco, MD, from the Division of Internal Medicine, New York Presbyterian Hospital/Weill Cornell Medical Center, New York, New York, USA. In this video case report, we show how endoscopic techniques can be used to treat adverse events during EUS-guided gallbladder drainage (EUS-GB). The patient was a 44-year-old woman with cholelithiasis …

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EUS-guided biopsy of an intraventricular mass in a patient with ventricular tachycardia

Post written by Neal Mehta, MD, from the Department of Gastroenterology, Cleveland Clinic Foundation, Cleveland, Ohio, USA. This video describes EUS-guided fine-needle biopsy (EUS-FNB) of an intraventricular mass in a 23-year-old woman. The patient presented with unstable ventricular tachycardia requiring cardioversion and initiation of antiarrhythmic therapy. Cardiac MRI demonstrated a 7- x 7- x 3-cm mass, with …

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EUS-guided embolization of refractory splenic pseudoaneurysm

Post written by Edward Villa, MD, from the Division of Gastroenterology and Hepatology, University of Illinois at Chicago Health, Chicago, Illinois, USA. We present a case of a patient with recurrent GI bleeding with a previously treated splenic arterial pseudoaneurysm with residual pseudoaneurysm. Using an EUS-guided embolization with thrombin and cyanoacrylate glue without coils, we …

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A case of cystic paraduodenal pancreatitis with gastric outlet obstruction: technical pitfalls in EUS-guided gastroenteroanastomosis

Post written by Cecilia Binda, MD, from the Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena Hospitals, AUSL Romagna, Forlì-Cesena, Italy. Our video focuses on some of the technical aspects of EUS-guided gastroenteroanastomosis (EUS-GEA). We report on the case of an 84-year-old man with symptoms of gastric outlet obstruction. A diagnosis of cystic paraduodenal pancreatitis was made …

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A case of endoscopic minor duodenal papillectomy after pancreatic stent placement using an endoscopic ultrasonography-guided rendezvous method

Post written by Sho Takahashi, MD, from the Department of Gastroenterology, Graduate School of Medicine, Juntendo University, Tokyo, Japan. We report a case of the inside pancreatic stenting papillectomy method for the minor duodenal papilla using the EUS-guided rendezvous method. Endoscopic papillectomy is a minimally invasive procedure for duodenal papillary tumors. However, it is often …

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A novel and effective EUS training program that enables visualization of the learning curve: Educational Program of Kindai system (EPOK)

Post written by Mamoru Takenaka, MD, PhD, and Shunsuke Omoto, MD, PhD, both from the Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka-sayama, Japan. This video shows a novel and effective EUS training program that enables the visualization of the learning curve of a trainee in every training session through the evaluation …

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Top tips regarding EUS-guided liver biopsy

Post written by David L. Diehl, MD, FACP, FASGE, from the Department of Gastroenterology and Nutrition, Geisinger Medical Center, Danville, Pennsylvania, USA. The editors of GIE wanted a Top Tips section in the Journal in 2022, and I feel very honored to be asked to craft an article for this series on “Top tips regarding …

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Endoscopic ultrasound-guided pancreaticoduodenostomy with a forward-viewing echoendoscope

Post written by Shigenobu Yoshimura, MD, from the Department of Gastroenterology, Kameda Medical Center, Chiba, Japan. This video case shows an endoscopic ultrasound-guided pancreatic duct drainage (EUS-PD) using transduodenal puncture sites performed for malignant pancreatic duct obstruction. We performed EUS-PD from the long position with a forward-viewing (FV) echoendoscope. EUS-PD has emerged as a feasible …

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Endoscopic ultrasound–guided liver biopsy: needle types and suction methods

Post written by Catherine Vozzo, DO, from the Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, Ohio. Endoscopic ultrasound-guided liver biopsy is gaining traction amongst the advanced endoscopy and hepatology community. It is safe and effective at delivering adequate liver biopsy specimens. In this tools and techniques article, we describe the variety of needles and …

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