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 …
Tag: EUS
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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Learning curve for EUS in gastric cancer T staging
Chan Hyuk Park, MD and Jun Chul Park, MD from the Division of Gastroenterology, Department of Internal Medicine, Severance Hospital, Institute of Gastroenterology, Yonsei University College of Medicine, in Seoul, Republic of Korea discuss this Original Article "Learning curve for EUS in gastric cancer T staging by using cumulative sum analysis." In our study, we …
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Antegrade biopsy by using a trans-catheter technique
Takeshi Ogura, MD, PhD from the Second Department of Internal Medicine, Osaka Medical College in Osaka, Japan shares this VideoGIE case "Antegrade biopsy by using a trans-catheter technique through EUS-guided hepaticojejunostomy." In our video, we described technical tips of antegrade biopsy and blushing cytology through endoscopic ultrasound-guided hepaticojejunostomy. First, we punctured the intrahepatic bile duct …
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Antegrade transpapillary placement of a metal biliary stent
Payal Saxena, MD from Johns Hopkins Hospital in Baltimore, Maryland, USA and the Chris O’Brien Lifehouse at RPA in Camperdown, New South Wales, Australia describes this VideoGIE case "EUS-guided biliary drainage with antegrade transpapillary placement of a metal biliary stent." EUS-guided biliary drainage with antegrade transpapillary metallic stent is demonstrated in 2cases of malignant, biliary obstruction. …
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EUS-guided hepaticojejunostomy
Takeshi Ogura, MD, PhD and Kazuhide Higuchi, MD, PhD from the 2nd Department of Internal Medicine at Osaka Medical College in Osaka, Japan present this video case "EUS-guided hepaticojejunostomy combined with antegrade stent placement." In our video, we described technical tips of endoscopic ultrasound-guided hepaticojejunostomy (EUS-HJS) combined with EUS-guided antegrade stenting. This patient was admitted …
Novel ex vivo model for EUS-guided biliary drainage training
Vinay Dhir, MD, Director at Baldota Institute of Digestive Sciences in Mumbai, India discusses this New Methods article, "Novel ex vivo model for hands-on teaching of and training in EUS-guided biliary drainage: creation of “Mumbai EUS” stereolithography/3D printing bile duct prototype (with videos)." We wanted to create a simple yet effective teaching and training prototype …
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Bypassing the bypass
Nikhil A. Kumta, MD from the Division of Gastroenterology and Hepatology at Weill Cornell Medical College in New York, New York, USA presents this video case, "Bypassing the bypass: EUS-directed transgastric ERCP for Roux-en-Y anatomy." Patients with altered anatomy from a Roux-en-Y gastric bypass pose distinct challenges to performing endoscopic retrograde cholangiopancreatography (ERCP). In this …
EUS-guided transesophageal drainage
Joan B. Gornals, MD, PhD at the Endoscopy Unit, Department of Digestive Diseases at the Hospital Universitari de Bellvitge-IDIBELL in Barcelona, Spain presents this VideoGIE case, "EUS-guided transesophageal drainage of a mediastinal abscess using a diabolo-shaped lumen-apposing metal stent." In this video, we demonstrate the successful use of a self-expanding metal stent specifically designed for …
Single-step EUS-guided stent puncture and delivery
Anthony Yuen Bun Teoh, FRCSEd (Gen) from the Department of Surgery at the Prince of Wales Hospital at the Chinese University of Hong Kong in Hong Kong SAR, China shares this video case from the VideoGIE section "Single-step EUS-guided puncture and delivery of a lumen-apposing stent for gallbladder drainage using a novel cautery-tipped stent delivery system." …
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