Post written by Sardar Momin Shah-Khan, MD, from the Section of Gastroenterology and Hepatology, West Virginia University, Morgantown, West Virginia, USA. We present the case of a patient referred for EUS evaluation of a submucosal lesion at the appendiceal orifice. We used a double-balloon endoluminal intervention platform to perform both radial and linear EUS with fine-needle …
Tag: EUS
EUS-guided liver biopsy using a novel hydrostatic stylet technique
Post written by Patrick T. Magahis, BA, from the Joan & Sanford I. Weill Medical College of Cornell University, and SriHari Mahadev, MD, MS, from the Division of Gastroenterology and Hepatology, New York-Presbyterian Hospital/Weill Cornell Medicine, New York, New York, USA. We present a novel EUS-guided liver biopsy (EUS-LB) approach, the hydrostatic stylet technique, resulting in …
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Endoscopic pyloric exclusion—EUS-guided gastrojejunostomy combined with endoscopic suturing and closure of the pylorus: a novel approach to failed surgical repair of a perforated duodenal ulcer
Post written by Kambiz Kadkhodayan, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We describe a novel endoscopic procedure that results in complete diversion of the gastric stream away from the duodenum and into the proximal jejunum. Duodenal bypass was achieved using a 2-step approach. Step 1 involved diverting the gastric stream into …
Safety and efficacy of EUS-guided celiac plexus block in the evaluation of patients with median arcuate ligament syndrome anatomy for possible surgery
Post written by Elisa Karhu, MD, from the Department of Internal Medicine, Stanford University, Palo Alto, California, USA. Median arcuate ligament syndrome (MALS) is often considered in the differential diagnosis of patients with intractable postprandial abdominal pain. However, diagnosis of this condition can be difficult. To aid in diagnosis, a symptomatic response to celiac plexus …
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 …
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 …
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 …
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 …
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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