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 …
Tag: EUS
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 …
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 …
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 …
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 …
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 …
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