Post written by Kosuke Minaga, MD, PhD, and Masayuki Kitano, MD, PhD, from the Department of Gastroenterology and Hepatology, Kindai University Faculty of Medicine, Osaka-Sayama, and the Second Department of Internal Medicine, Wakayama Medical University School of Medicine, Wakayama, Japan. The focus of this study was to assess the usefulness of Kupffer-phase imaging in contrast-enhanced …
Tag: EUS
EUS-guided gastrojejunostomy and hepaticogastrostomy for malignant duodenal and biliary obstruction
Post written by Kevin D. Platt, MD, and Ryan J. Law, DO, from the Division of Gastroenterology, University of Michigan, Ann Arbor, Michigan, USA. Our case describes a 59-year-old woman with metastatic ovarian cancer who presented with nausea with vomiting and jaundice secondary to a large mesenteric mass that was causing both gastric outlet and …
EUS diagnosis of asymptomatic type III choledochal cyst
Post written by Mohannad Abou Saleh, MD, Catherine Vozzo, DO, and Prabhleen Chahal, MD, from the Department of Gastroenterology and Hepatology, Cleveland Clinic Foundation, Cleveland, Ohio. We describe the EUS diagnosis of a type IIIA choledochal cyst in an 81-year-old woman with a history of diabetes mellitus type II, hypertension, hyperlipidemia, GERD, and irritable bowel …
Continue reading EUS diagnosis of asymptomatic type III choledochal cyst
Single-step EUS-guided drainage of a pancreatic pseudocyst with a modified guidewire as a cystotome
Post written by Wei An, MD, Dan Wang, MD, and Liang-Hao Hu, MD, from the Department of Gastroenterology, ChangHai Hospital, The Second Military Medical University, Shanghai, China. A 69-year-old man with a history of chronic pancreatitis was referred to our hospital for severe abdominal distention and vomiting. Computed tomography revealed multiple pancreatic calcifications and a …
EUS diagnosis of rectal endometriosis
Post written by Bo Sun, MD, from the Department of Gastroenterology, Longhua Hospital, Shanghai University of Traditional Chinese Medicine, Shanghai, China. This case was a 40-year-old woman with a 2-month history of increased bowel movements and feelings of incomplete evacuation. Her colonoscopy detected a rectal submucosal elevation with unrevealing biopsy results. Pelvic MRI suggested a rectal …
EUS pancreatic function testing and dynamic pancreatic duct evaluation for the diagnosis of exocrine pancreatic insufficiency and chronic pancreatitis
Post written by John M. DeWitt, MD, from the Department of Gastroenterology and Hepatology, Indiana University Health Medical Center, Indianapolis, Indiana, USA. Chronic pancreatitis is easy to diagnose in the late stages due to characteristic imaging findings. Minimal change chronic pancreatitis (MCCP) is early disease with characteristic symptoms but little to no typical imaging features …
High-risk main-duct intraductal papillary mucinous neoplasm successfully treated with EUS-guided chemoablation
Post written by Kayla M. Hartz, DO, from the Penn State Hershey Medical Center, Hershey, Pennsylvania. This case is an example of a successful EUS-guided chemoablation of a patient with a high-risk, main-duct IPMN that was not a surgical candidate. This case highlights that certain high-risk features of pancreatic cysts that would have otherwise been …
Percutaneous- and EUS-guided gastroenterostomy for malignant afferent limb syndrome
Post written by Dayyan Adoor, MD, and Zachary L. Smith, DO, from the Department of Internal Medicine and the Division of Gastroenterology and Liver Disease, University Hospitals Cleveland Medical Center, Cleveland, Ohio. A 66-year-old woman with poorly-differentiated pancreatic adenocarcinoma underwent a Whipple that was complicated by a biliary leak requiring placement of an internal external …
Continue reading Percutaneous- and EUS-guided gastroenterostomy for malignant afferent limb syndrome
Endoscopic treatment of symptomatic insulinoma with a new EUS-guided radiofrequency ablation device
Post written by Mihir S. Wagh, MD, FACG, FASGE, from the Division of Gastroenterology, University of Colorado-Denver School of Medicine, Aurora, CO, USA. We report EUS-guided ablation of symptomatic insulinoma with the newly available EUSRA device. Our video highlights the EUSRA device, the technique used for ablation, and successful clinical, physiologic, and radiologic results after …
Lessons learned from a salvage procedure for LAMS misplacement during EUS-guided gastrojejunal bypass
Post written by Bruno Costa Martins, MD, PhD, from the Hospital Alemão Oswaldo Cruz, Endoscopy Unit, São Paulo, Brazil. We described a case of an 88-year-old patient with obstructive symptoms due to advanced head pancreatic neoplasm. EUS-guided gastrojejunal bypass (EUS-GJ) was chosen to palliate gastric outlet obstruction symptoms. EUS-GJ bypass was attempted with the aid …
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