Post written by Saurabh Chandan, MD, from Houston Methodist West Hospital, Houston, Texas, and Douglas G. Adler, MD, FACG, AGAF, FASGE, from the Center for Advanced Therapeutic Endoscopy, Porter Adventist Hospital, Denver, Colorado, USA. Interventional radiology techniques or EUS-guided biliary drainage are considered alternative therapeutic options for patients with malignant distal biliary obstruction (MDBO) who …
Tag: EUS
Endoscopic ultrasound–guided radiofrequency ablation for management of bleeding gastrointestinal tract malignancies: a report of 2 cases
Post written by Muhammad Ahmad Bashir, MD, and Shailendra Singh, MD, from West Virginia University, Morgantown, West Virginia, USA. Our video demonstrates the use of EUS-guided radiofrequency ablation (RFA) to control bleeding GI tract malignancies in 2 patients. Under real-time sonographic guidance, we advanced a RFA needle directly into the core of each malignant mass. …
Contrast-enhanced harmonic endoscopic ultrasound–guided pancreatic duct drainage: a practical troubleshooting for the obscured main pancreatic duct
Post written by Soma Fukuda, MD, from the Department of Gastroenterology, Institute of Medicine, University of Tsukuba, Ibaraki, Japan. We present a case of obstructive pancreatitis in a 70-year-old woman with pancreatic head cancer undergoing chemotherapy. Transpapillary pancreatic duct drainage failed because of complete ductal obstruction by the tumor. EUS-guided pancreatic duct drainage was therefore …
Endoscopic ultrasound–guided variceal therapy: tips, tricks, and pitfalls
Post written by Abdulrahman Qatomah, MBBS, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, Massachusetts, USA, and Department of Medicine, King Faisal Specialist Hospital and Research Center, Jeddah, Saudi Arabia, and Marvin Ryou, MD, from the Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard …
Continue reading Endoscopic ultrasound–guided variceal therapy: tips, tricks, and pitfalls
Editor’s Choice: Role of prophylactic antibiotics in patients undergoing endoscopic ultrasound–directed transgastric interventions in Roux-en-Y gastric bypass and endoscopic ultrasound gastroenterostomy
GIE Associate Editor Shivangi T. Kothari, MD, FACG, FASGE, highlights this article from the September issue: “Role of prophylactic antibiotics in patients undergoing endoscopic ultrasound–directed transgastric interventions in Roux-en-Y gastric bypass and endoscopic ultrasound gastroenterostomy” by Tina Boortalary, MD, et al. This is the first multicenter study to directly evaluate the role of prophylactic antibiotics …
The role of quantitative contrast-enhanced endoscopic ultrasound in the differential diagnosis of pancreatic solid neoplasms: a proof-of-concept prospective study shifting from subjective to objective
Post written by Matteo Tacelli, MD, PhD, from the Pancreato-Biliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, IRCCS San Raffaele Scientific Institute, Milan, Italy. Can we move contrast-enhanced endoscopic ultrasound (CE-EUS) from a subjective visual impression to an objective and reproducible diagnostic tool? Our study explored whether quantitative analysis of CE-EUS using dedicated perfusion software …
Endoscopic ultrasound–guided coil–assisted retrograde transgastric occlusion of shunt efferent for gastric variceal bleeding
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 …
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 …
