Post written by Sundeep Lakhtakia, MD, DM, from the Asian Institute of Gastroenterology, Hyderabad, India. An elderly male presented with obstructive jaundice due to malignant distal biliary obstruction related to pancreatic head mass. There was associated portal vein thrombosis causing portal cavernoma and large esophago-gastric varices along with ascites. Repeated attempts to drain the obstructed …
Continue reading Crossing the minefield: EUS-guided transesophageal biliary rendezvous
Post written by Harry R. Aslanian, MD, from the Section of Digestive Disease, Yale New Haven Medical Center, School of Medicine, New Haven, Connecticut, USA. We present a series of cases highlighting the EUS features of cystic pancreatic neuroendocrine tumors. Pancreas neuroendocrine tumors are rare and are less commonly cystic. The recognition and targeting of wall …
Continue reading EUS diagnosis of cystic pancreatic neuroendocrine tumors
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
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