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 …
Tag: EUS
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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The 25G EUS-FNA needle
Shyam Varadarajulu, MD from the Center for Interventional Endoscopy at Florida Hospital in Orlando, Florida, USA discusses his Original Article "The 25G EUS-FNA needle: Good for onsite but poor for offsite evaluation?" When rapid onsite cytology evaluation is not available, cell block is used as a technique for off-site interpretation of endoscopic ultrasound-fine needle aspiration …
New hybrid metal stent for EUS-guided biliary drainage
Tae Jun Song, MD, PhD and Sang Soo Lee, MD, PhD from University of Ulsan in Seoul, South Korea report on their New Methods article "Preliminary report on a new hybrid metal stent for EUS-guided biliary drainage (with videos)." We investigated the feasibility and safety of a newly developed self-expandable metal stent tailored for use …
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Tract dilation with stent retrieval device
Takao Itoi, MD, PhD, FASGE from the Tokyo Medical University in Tokyo, Japan shares his VideoGIE case "Tract dilation with a stent retrieval device in EUS-guided pancreatic duct stent placement." Endoscopic ultrasonography (EUS)-guided pancreatic duct (PD) stenting is always challenging. Apart from EUS-guided biliary drainage, it may be more difficult to dilate the needle tract …
Transgastric gallstone extraction
Takao Itoi, MD, PhD, FASGE from the Tokyo Medical University in Tokyo, Japan presents this video case "Transgastric large gallstone extraction in a patient with acute cholecystitis through a lumen-apposing metal stent (with video)" from the April issue. A Tokyo guideline in 2013 proposed that percutaneous transhepatic gallbladder drainage (PTGBD) is considered a safe alternative …
Celiac Artery Compression
Vishal Ghevariya, MD from the Icahn School of Medicine at Mount Sinai in Elmhurst, New York shares this video case "Celiac Artery Compression: EUS Evaluation" from the April issue. A 51-year-old man presented for evaluation of abdominal discomfort. The discomfort was epigastric, nonradiating, accompanied by heartburn, and without specific aggravating/alleviating factors. He denied nocturnal/postprandial association …
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