Joan B. Gornals, MD, PhD, from the Endoscopy Unit, Department of Digestive Diseases, Hospital Universitari de Bellvitge-IDIBELL, in Barcelona, Spain discusses this New Methods article "EUS-guided methylene blue cholangiopancreatography for benign biliopancreatic diseases after failed ERCP." The goal of this study was to describe and provide a new technique associated with interventional endoscopic ultrasound in …
Tag: EUS
Cystgastrostomy with EUS-directed jejunogastric LAMS
Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology, Weil Cornell Medical College, Cornell University, in New York, New York, USA shares this video case "EUS-directed jejunogastric lumen-apposing metal stent to facilitate cystgastrostomy in a patient with Roux-en-Y anatomy." This case describes a 54-year-old man with Roux-en-Y anatomy who presented with a symptomatic pancreatic …
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EUS-guided radiofrequency ablation of unresectable pancreatic cancer
Tae Jun Song, MD, PhD, and Dong Wan Seo, MD, PhD, from the Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center in Seoul, South Korea presents this New Methods article, "Initial experience of EUS-guided radiofrequency ablation of unresectable pancreatic cancer." We investigated the feasibility and safety of endoscopic ultrasound (EUS)-guided …
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Transgastric biliary brushing
Amy Tyberg, MD, from the Division of Gastroenterology and Hepatology at Weil Cornell Medical College, Cornell University in New York, New York, USA shares this VideoGIE case “Transgastric biliary brushing: a novel endoscopic technique.” This video describes a case of a patient with a history of pancreatic cancer status-post whipple procedure who presented with obstructive …
Editor’s Choice: Linear-array EUS improves detection of pancreatic lesions
Associate Editor, Prasad G. Iyer, MD, MD, MSc, FASGE, recommends this article from the November issue: "Linear-array EUS improves detection of pancreatic lesions in high-risk individuals: a randomized tandem study." This randomized study reveals intriguing information in the relative yield and miss rates of tandem radial and linear EUS examinations in high risk individuals undergoing …
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EUS-guided transgastric drainage of peripancreatic collection
Juan J. Vila, MD, from the Biliary and Pancreatic Diseases Unit, Endoscopy Unit, Complejo Hospitalario de Navarra in Pamplona, Spain presents this VideoGIE case, "EUS-guided transgastric drainage of a peripancreatic collection containing an arterial bypass graft." This video case describes drainage of an infected pancreatic collection in a patient with previous abdominal vascular surgery because …
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Newly designed plastic stent for EUS-guided hepaticogastrostomy
Junko Umeda, MD, from the Department of Gastroenterology and Hepatology, Tokyo Medical University, Tokyo, Japan discusses this New Methods article "A newly designed plastic stent for EUS-guided hepaticogastrostomy: a prospective preliminary feasibility study (with videos)." EUS-guided hepaticogastrostomy (EUS-HGS) for the creation of a fistula between the stomach and the left intrahepatic bile duct is an …
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One-step EUS-guided gastrojejunostomy
Nobuhito Ikeuchi, MD, Department of Gastroenterology and Hepatology at Tokyo Medical University in Tokyo, Japan presents this video case “One-step EUS-guided gastrojejunostomy with use of lumen-apposing metal stent for afferent loop syndrome treatment.” Afferent loop syndrome is an adverse event of several types of gastric surgery and often causes patient suffering. However, retrograde endoscopic decompression …
Fluorescence cytology during EUS-FNA
Tsukasa Ikeura, MD, PhD, from the Third Department of Internal Medicine, Kansai Medical University, Osaka, Japan shares this New Methods article titled "Fluorescence cytology with 5-aminolevulinic acid in EUS-guided FNA as a method for differentiating between malignant and benign lesions (with video)." 5-aminolevulinic acid (ALA), a photosensitizer, is metabolized into protoporphyrin IX (PpIX) in the …
EUS-guided pancreatic duct access and wire placement
Rajeev Attam, MD, from Kaiser Permanente, Downey, in Los Angeles, California, USA presents this video case "EUS-guided pancreatic duct access and wire placement to facilitate dorsal duct cannulation after failed ERCP." A 62-year-old woman was referred to us for management of recurrent pancreatitis in a setting of pancreatic divisum. Imaging confirmed pancreatic divisum and revealed mildly …
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