Post written by Anthony Yuen Bun Teoh, FRCSEd, from the Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China. Acupuncture has been used as part of traditional Chinese medicine (TCM) for thousands of years. However, the role of electroacupuncture (EA) in reducing sedative and analgesic requirements …
Continue reading Electroacupuncture-reduced sedative and analgesic requirements for diagnostic EUS
Post written by Muhammad Nadeem Yousaf, MD, and Harry R. Aslanian, MD, from the Department of Internal Medicine, Section of Digestive Diseases, Yale University School of Medicine, New Haven, Connecticut, USA. In our video case series, we present endoscopic ultrasound (EUS) imaging of common benign and malignant liver lesions. The cases presented include: liver cyst …
Post written by Malay Sharma, MD, DM, from the Department of Gastroenterology, Jaswant Rai Speciality Hospital, Saket, Uttar Pradesh, India. A 4-year-old Indian boy presented with recurrent biliary colic and jaundice for 2 weeks. Laboratory investigations revealed obstructive jaundice. Abdominal ultrasonography (USG) revealed a normal gallbladder, intrahepatic biliary radicles dilation, and a dilated common bile …
Post written by Yusuke Hashimoto, MD, from the Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital East, Kashiwa, Japan. This case describes a 76-year-old woman with unresectable pancreatic head cancer who presented with hematemesis that was complicated by multinodular duodenal varices originating from a posterior lower pancreatic vein viewed on CT scan. Banding …
Post written by Ryan Law, DO, from the Division of Gastroenterology and Hepatology, University of Michigan, Ann Arbor, Michigan. We present a case of a 59-year-old man with stage IV colorectal cancer with extensive metastatic disease to his liver who underwent EUS-guided internalization of his percutaneous transhepatic biliary drainage (PTBD) catheter utilizing an EUS-guided hepaticogastrostomy …
Post written by Prabhleen Chahal, MD, from the Cleveland Clinic, Cleveland, Ohio, USA. This novel video is a compilation of linear EUS examinations clearly demonstrating 3 different variant pancreatic ductal anatomies encountered during clinical practice. Accompanying this EUS video is corroborating motion animation demonstrating the anatomical landmarks and scope position for delineation of variant anatomy. …
Post written by Mehul Choksi, MD, DM, from S. L. Raheja Hospital in Mumbai, India. This video describes a patient who presented with primary bile duct stone formation 10 years after laparoscopic cholecystectomy. EUS showed presence of migrated surgical clips within the body of the bile duct stone. The migrated surgical clips actually act as a nidus …
Continue reading Migrated surgical clips in bile duct stone suspected on EUS and verified on ERCP
Post written by Jaihwan Kim, MD, from the Seoul National University College of Medicine, Seoul National University Bundang Hospital. We want to introduce the feasibility, safety, long-term patency, and economic issue of EUS-GBD in patients with malignant cystic duct obstruction. In real practice, physicians meet some patients who need a long indwelling PTGBD which seriously …
Continue reading Percutaneous transhepatic versus EUS-guided gallbladder drainage
Post written by Matheus C. Franco, MD, from the Cleveland Clinic Foundation, in Cleveland, Ohio, USA. A 61-year-old female presented with poor appetite, weight loss, and diarrhea. CT scan from outside hospital showed no significant abnormalities. Further investigation with MRI revealed a 1.4 cm cystic lesion in the body of pancreas with wall thickness and enhancing …
Continue reading Pancreatic pseudoaneurysm mimicking cystic neoplasm with worrisome features
Dr. Roy J Mukkada, MD, DNB, from the Department of Gastroenterology & Hepatology, VPS Lakeshore Hospital, Kochi, Kerala, India, presents this video case. A 65-year-old man (an alcoholic and a smoker) presented with recurrent abdominal pain, weight loss, and loss of appetite. He was known to have had chronic calcific pancreatitis since 2014. CT of …
Continue reading EUS-guided coiling for bleeding duodenal collateral vessel
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