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 …

Continue reading A case of endoscopic minor duodenal papillectomy after pancreatic stent placement using an endoscopic ultrasonography-guided rendezvous method

A novel and effective EUS training program that enables visualization of the learning curve: Educational Program of Kindai system (EPOK)

Post written by Mamoru Takenaka, MD, PhD, and Shunsuke Omoto, MD, PhD, both from the Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka-sayama, Japan. This video shows a novel and effective EUS training program that enables the visualization of the learning curve of a trainee in every training session through the evaluation …

Continue reading A novel and effective EUS training program that enables visualization of the learning curve: Educational Program of Kindai system (EPOK)

Top tips regarding EUS-guided liver biopsy

Post written by David L. Diehl, MD, FACP, FASGE, from the Department of Gastroenterology and Nutrition, Geisinger Medical Center, Danville, Pennsylvania, USA. The editors of GIE wanted a Top Tips section in the Journal in 2022, and I feel very honored to be asked to craft an article for this series on “Top tips regarding …

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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. …

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