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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Usefulness of a newly designed laser-cut metal stent with an anchoring hook and thin delivery system for EUS-guided hepaticogastrostomy in experimental settings

Post written by Masayuki Kitano, MD, PhD, from the Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan. We developed a partially covered self-expandable metal stent with a thin delivery system (7.2 Fr) that has 2 advantages for EUS-guided hepaticogastrostomy (EUS-HGS). First, using a thin delivery system with a tapered tip, the stent can …

Continue reading Usefulness of a newly designed laser-cut metal stent with an anchoring hook and thin delivery system for EUS-guided hepaticogastrostomy in experimental settings

EUS-guided blood patch delivery during liver biopsy: nature’s gel foam

Post written by Kenneth J. Chang, MD, from the Digestive Health Institute, Chao Family Comprehensive Digestive Disease Center, University of California, Irvine. These are 2 cases of EUS-guided liver biopsy where there was active blood flow within the needle tract prior to needle withdrawal. After waiting 2-3 minutes, we saw persistent flow, raising concerns that …

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Extracorporeal rendezvous technique combining endoscopic retrograde pancreatography with endoscopic ultrasound for main pancreatic duct disconnection arising from acute necrotizing pancreatitis

Post written by Toshiyasu Shiratori, MD, from the Department of Gastroenterology, Kameda Medical Center, Kamogawa City, Japan. This video shows an endoscopic pancreatic duct drainage technique combining ERCP with EUS using a percutaneous drainage route for main pancreatic duct disconnection that was difficult to traverse through the disconnected segment using either ERCP- or EUS-guided approaches. …

Continue reading Extracorporeal rendezvous technique combining endoscopic retrograde pancreatography with endoscopic ultrasound for main pancreatic duct disconnection arising from acute necrotizing pancreatitis

EUS-guided ethanol ablation of metastatic functional insulinoma

Post written by Ahmed Altonbary, MD, FRCP, from the Department of Gastroenterology and Hepatology, Mansoura Specialized Medical Hospital, Mansoura University, Mansoura, Egypt. We describe a case of EUS-guided ethanol ablation (EA) of metastatic functional insulinoma in a young male with recurrent attacks of hypoglycemia requiring intravenous glucose infusion.    Management of functioning pancreatic NETs is challenging; …

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Single-pass 1-needle actuation versus single-pass 3-needle actuation technique for EUS-guided liver biopsy sampling

Post written by David L. Diehl, MD, FACP, FASGE, from the Department of Gastroenterology and Nutrition, Geisinger Medical Center, Danville, Pennsylvania, USA. The focus of this study is to further refine the optimal method for EUS-guided liver biopsy. Some reports in the literature utilize a single pass, single-needle throw for obtaining a liver biopsy specimen. …

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Editor’s Choice: Laparoscopic versus EUS-guided gastroenterostomy for gastric outlet obstruction

GIE Associate Editor, Dr. Fauze Maluf-Filho, highlights this article from the September issue “Laparoscopic versus EUS-guided gastroenterostomy for gastric outlet obstruction: an international multicenter propensity score–matched comparison” by Michiel Bronswijk, MD, et al. In this observational, multicenter study, the authors compared the outcomes of EUS-guided gastroenterostomy versus the gold standard intervention, laparoscopic gastroenterostomy, for the treatment …

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EUS-guided gallbladder drainage: Where will we go next?

Post written by Mihai Rimbaş, MD, PhD, and Alberto Larghi, MD, PhD, from the Gastroenterology Department, Colentina Clinical Hospital; the Department of Internal Medicine, Carol Davila University of Medicine, Bucharest, Romania; the Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS; and the Center for Endoscopic Research Therapeutics and Training, Catholic University, Rome, Italy. We …

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Magnetic compression anastomosis via EUS-guided hepaticogastrostomy for recanalization of complete common hepatic bile duct transection

Post written by Yingluk Sritunyarat, MD, from the Gastrointestinal Endoscopy Excellence Center, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok, Thailand. Traditionally, the treatment for bile duct transection is surgical-created bilio-enteric bypass. With recent advanced techniques to avoid the need for surgery, the magnetic-compression technique …

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