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 …

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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 …

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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 …

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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 …

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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 …

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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 …

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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 …

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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 …

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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 …

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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 …

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