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 …

Continue reading 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

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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Best practices for endoscopic ultrasound–guided gastroenterostomy: technical recommendations from an international modified Delphi process

Post written by Giuseppe Vanella, MD, PhD, from IRCCS San Raffaele Scientific Institute and Vita-Salute San Raffaele University, Milan, Italy, Michiel Bronswijk, MD, from University Hospitals Gasthuisberg, University of Leuven, Leuven, and Imelda General Hospital, Bonheiden, Belgium, and Roy L.J. van Wanrooij, MD, PhD, from Amsterdam UMC, Vrije University, Amsterdam, The Netherlands. EUS-guided gastroenterostomy (EUS-GE) is one of the major breakthroughs in …

Continue reading Best practices for endoscopic ultrasound–guided gastroenterostomy: technical recommendations from an international modified Delphi process

Application of a novel endoscopic ultrasound–guided motorized fine needle for liver and pancreatic lesion biopsy

Post written by Carlos Robles-Medranda, MD, FASGE, AGAF, from Instituto Ecuatoriano de Enfermedades Digestivas, Guayaquil, Ecuador. This video presents 2 clinical cases demonstrating the use of a second-generation motorized fine-needle biopsy (mFNB) device (Precision-GI; Limaca Medical, Ein Ha Emeq, Israel) for EUS-guided tissue acquisition in hepatic and pancreatic lesions. The first case involves a 56-year-old woman with …

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Optimal number of needle passes in endoscopic ultrasound–guided tissue sampling for genomic profiling: a randomized, noncomparative trial

Post written by Hirotoshi Ishiwatari, MD, PhD, from the Department of Pancreatobiliary Medicine, Shizuoka Cancer Center, Shizuoka, Japan. The study aimed to investigate the optimal techniques for EUS-guided tissue acquisition (EUS-TA) to achieve successful comprehensive genomic profiling (CGP) testing using commercially available assays. Matched therapy based on commercially available CGP tests plays a crucial role in improving …

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Endoscopic ultrasound—guided duodenojejunostomy for a duodenal duplication cyst presenting with duodenal obstruction

Post written by Shanshan Shen, MD, PhD, from the Department of Gastroenterology, Affiliated Drum Tower Hospital, Medical School of Nanjing University, Nanjing, China. A 50-year-old woman with refractory vomiting and severe electrolyte imbalance was diagnosed with a cystic-communicating duodenal duplication causing duodenal obstruction. As the patient declined surgical intervention, we performed EUS-guided duodenojejunostomy (EUS-DJ). Under the guidance …

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Endoscopic freehand full-thickness resection of a gastric leiomyosarcoma initially diagnosed as gastric leiomyoma on endoscopic ultrasound—guided fine-needle biopsy

Post written by Michael Yulong Wu, BMedSt, MD, MSurg, from Port Macquarie Private Hospital, Port Macquarie, and Port Macquarie Gastroenterology, Thrumster, and Stuart Kostalas, MBBS (Hons 1), MM (Clin Epi), MSc (Oxon), MBiostatistics, FRACP, from Port Macquarie Private Hospital, Port Macquarie, Port Macquarie Gastroenterology, Thrumster, and UNSW Rural Clinical Campus, University of New South Wales, Port Macquarie, Australia. This …

Continue reading Endoscopic freehand full-thickness resection of a gastric leiomyosarcoma initially diagnosed as gastric leiomyoma on endoscopic ultrasound—guided fine-needle biopsy

The best of EUS in 2025

Post written by GIE Senior Associate Editor David L. Diehl, MD, MASGE, AGAF, from the Department of Gastroenterology and Hepatology, Geisinger Medical Center, Danville, Pennsylvania, USA. I sat down to write an Endoscopedia post on my recently published article, “The best of EUS in 2025.”  I got about 500 words in, then decided to scrap that approach. …

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A station-wise approach to liver anatomy for linear EUS

Post written by Dario Ligresti, MD, from the Digestive Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS-ISMETT, Palermo, Italy, and Radhika Chavan, MD, DNB, FISG, FASGE, from the Department of Gastroenterology and Endoscopy, Bharati Vidyapeeth Medical College, Pune, India. Our video demonstrates a structured, station-wise approach for identifying liver anatomy during linear EUS. Liver segments are described from …

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Predicting the need for step-up after EUS-guided drainage of peripancreatic fluid collections, including Quadrant-Necrosis-Infection score validation: a prospective cohort study

Post written by Giuseppe Vanella, MD, PhD, from San Raffaele Hospital, Vita-Salute San Raffaele University, Milan, Italy. When dealing with symptomatic or infected peripancreatic fluid collections (PFCs), EUS-guided drainage has become the standard of care. In about one-half of cases, drainage alone will be enough to solve the issue. Yet, a fraction of patients will require further …

Continue reading Predicting the need for step-up after EUS-guided drainage of peripancreatic fluid collections, including Quadrant-Necrosis-Infection score validation: a prospective cohort study