Post written by Radhika Chavan, MD, DNB, from the Department of Gastroenterology and Endoscopy, Ansh Clinic, Ahmedabad, India. Esophageal duplication cysts are rare congenital anomalies usually managed by surgery. We present cases of 3 patients with symptomatic cysts, each managed using a tailored endoscopic approach. In the first case, a small mid-esophageal cyst was treated using submucosal …
Tag: EUS
Pancreas cystic lesion with surprise findings on confocal laser endomicroscopy
Post written by Samer El-Dika, MD, FASGE, from Stanford University, Stanford, California, USA. This video case involves a 74-year-old woman with a pancreatic tail cyst identified incidentally. Initial imaging and fluid analysis suggested a nonmucinous cyst, but amylase levels hinted at possible duct communication. To better characterize the lesion, we used EUS-guided needle-based confocal laser endomicroscopy (EUS-nCLE). …
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Eversion of an inverted papilla via EUS-guided rendezvous
Post written by Rishad Khan, MD, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, Thomas M. Runge, MD, MPH, from the Division of Gastroenterology, Central Ohio VA, Columbus, Ohio, and Samuel Han, MD, MS, the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. A 45-year-old patient with cholecystitis and choledocholithiasis with a prohibitively high surgical risk …
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Endosonography-guided suture device for gastrointestinal lumen-to-lumen apposition in a porcine model
Post written by Andrew Storm, MD, from Mayo Clinic, Rochester, Minnesota, USA. With the growth of novel transmural endoscopic ultrasound (EUS)—directed therapies in the gastrointestinal tract, awareness of the need for innovations to make these procedures safer and more reproducible is increasing. Such improvements are necessary to assure widespread access for patients who will benefit …
Quality indicators for EUS
Post written by Girish Mishra, MD, MS, FASGE, from the Wake Forest University School of Medicine/Atrium Health, Winston-Salem, North Carolina, USA. The prior version of “Quality indicators for EUS” was published 10 years ago. Interventional EUS (iEUS) was only a concept back then; therapeutic interventions were limited. We highlighted the expanding indications for EUS and …
A convolutional neural network–based system for identifying neuroendocrine neoplasms and multiple types of lesions in the pancreas using EUS (with videos)
Post written by Zhen Li, MD, from the Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, China. The focus of our study was to develop a convolutional neural network—based artificial intelligence (AI) system named iEUS to assist in diagnosing pancreatic neuroendocrine neoplasms (pNENs) and multiple types of pancreatic lesions (including pancreatic adenocarcinoma, autoimmune pancreatitis, and pancreatic …
EUS-directed transduodenal ERCP in concomitant gastric outlet and biliary obstruction
Post written by William F. Abel, MD, from Carilion Clinic, Virginia Tech, Roanoke, Virginia, USA. Concomitant gastric outlet and biliary obstruction presents a unique challenge, as severe underlying illness often limits surgical treatment options. Our study details an observational experience to both relieve the gastric outlet obstruction and allow for biliary stenting as well as anticipated future …
Feasibility and safety of EUS-guided biliary drainage in inexperienced centers: a multicenter study in southwest Japan
Post written by Yusuke Ishida, MD, PhD, and Takehiko Koga, MD, PhD, from the Department of Gastroenterology and Medicine, Fukuoka University Faculty of Medicine, Fukuoka, Japan. This study aimed to evaluate the feasibility and safety of EUS-guided biliary drainage (EUS-BD) in inexperienced centers. Although EUS-BD has shown high success rates in high-volume centers, its outcomes in newly adopting centers …
EUS-guided intervention in surgically altered anatomy to remove large biliary stone
Post written by Azimudin Haja, MD, DM, Aniruddha Pratap Singh, DM, and Sundeep Lakhtakia, MD, DM, from AIG Hospitals, Hyderabad, India. Our case highlights the challenges faced in managing a patient with complex clinical problems several years after major surgery. The index patient who underwent curative pancreatoduodenectomy surgery 13 years ago for periampullary cancer presented with cholangitis because of a large …
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Practical steps to green your endoscopy unit: appropriate management of endoscopic waste
Post written by Rabia de Latour, MD, from NYU Grossman School of Medicine, Bellevue Hospital Center, New York, New York, USA. Endoscopy practice generates a large amount of waste and is a major contributor to healthcare’s carbon footprint. The goal of our society document was to provide readers with practical, impactful, and scalable action items to attempt …
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