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 …

Continue reading Endoscopic ultrasound—assisted rendezvous technique followed by dual-duct drainage using a double-lumen papillotome: a salvage strategy for postendoscopic papillectomy stricture

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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Precipitation-based versus filtration-based liquid-based cytology in endoscopic ultrasound—guided fine-needle biopsy specimens of solid pancreatic masses: a prospective, randomized trial (with video)

Post written by Jae Hee Cho, MD, PhD, and Sung Ill Jang, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, and See Young Lee, MD, from the Division of Gastroenterology, Department of Internal Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, South …

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Endoscopic management of a complex gastrocolojejunal fistula following endoscopic ultrasound–guided gastrojejunostomy

Post written by Mayank Goyal, MBBS, from the University of Missouri-Kansas City, Kansas City, Missouri, and Mayo Clinic, Rochester, and Manik Aggarwal, MBBS, and Ryan Law, DO, from the Mayo Clinic, Rochester, Minnesota, USA. This video demonstrates endoscopic management of a complex gastrocolojejunal fistula that developed following EUS-guided gastrojejunostomy (EUS-GJ) in a patient with gastric outlet obstruction secondary to necrotizing pancreatitis. Severe inflammation …

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Contrast-enhanced endoscopic ultrasound versus conventional endoscopic ultrasound–guided fine-needle biopsy with macroscopic on-site evaluation for solid pancreatic lesions: a multicenter randomized trial

Post written by Charing C.N. Chong, MBChB, from the Department of Surgery, and Raymond S.Y. Tang, MD, from the Department of Medicine and Therapeutics, The Chinese University of Hong Kong, Hong Kong, China. In this multicenter randomized controlled study, we aimed to compare the diagnostic performance of contrast-enhanced EUS (CE-EUS) and conventional EUS-guided fine-needle biopsy (FNB) with macroscopic on-site evaluation …

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Management of parastomal variceal bleeding with endoscopic ultrasound–guided coiling and human thrombin/fibrinogen injection

Post written by Sanjeevani Tomar, MD, from the Division of Gastroenterology and Hepatology, AdventHealth, Abdullah Abbasi, MD, from the Division of Gastroenterology and Hepatology, University of Iowa, Iowa City, Iowa, and Center for Interventional Endoscopy, AdventHealth, Saurabh Chandan, MD, from Advanced Endoscopy, Houston Methodist West Hospital, Houston, Texas, and Center for Interventional Endoscopy, AdventHealth, and Mustafa A. Arain, MD, from the Center for Interventional …

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