Post written by Anne Kimberly Lim-Fernandez, MD, from the Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore. Candy cane syndrome is an uncommon but clinically significant adverse event after gastric bypass or total gastrectomy. It arises when the long blind pouch at the anastomosis preferentially fills with ingested food. This can lead to symptoms …
Tag: EUS
Superiority of linear-array EUS over MRCP in diagnosing pancreas divisum: evidence from a multicenter retrospective study in Oriental cohorts (with video)
Post written by Jianbo Ni, MD, Yuqing Mao, MD, and Baiwen Li, MD, PhD, from the Department of Gastroenterology, Shanghai General Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China. Our multicenter study demonstrates that linear-array EUS (L-EUS) outperformed MRCP in diagnosing pancreas divisum (PD), particularly in symptomatic patients. With a sensitivity of 90.8% and an area under the receiver operating …
Beyond the scope: endoscopic ultrasound—assisted appendicoscopy by use of a single-use cholangioscope for endoscopic appendicitis therapy: a case report
Post written by Yang-Bor Lu, MD, from the Department of Digestive Diseases, Digestive Endoscopy Center, Xiamen Chang Gung Hospital, Xiamen, China. We performed single-operator endoscopic direct appendiceal therapy (EDAT) by first using a slim endoscopic ultrasound (EUS) miniprobe (Olympus UM-2R, Tokyo, Japan) to map the appendiceal axis then steering a disposable cholangioscope (VedVision, TY-ISS-L31; Vedkang, …
Single-session endoscopic retrograde cholangiopancreatography and endoscopic ultrasound—guided gallbladder drainage for management of biliary obstruction and gallbladder disease
Post written by Christina Gainey, MD, from the University of North Carolina, Chapel Hill, North Carolina, USA. We wanted to study the feasibility, safety, and effectiveness of performing endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS)—guided gallbladder drainage (EUS-GBD) in a single session to provide definitive management of biliary obstruction and prevent future biliary adverse events without …
Endoscopic ultrasound–guided drainage of intra-abdominal abscess using 15-mm versus 10-mm lumen-apposing metal stents: an international case-matched study
Post written by Yervant Ichkhanian, MD, from the Department of Internal Medicine, Henry Ford Hospital, Detroit, Michigan, and Division of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, Indiana, USA, and Tobias Zuchelli, MD, from Division of Gastroenterology and Hepatology, Henry Ford Hospital. This multicenter study evaluates whether 15-mm lumen-apposing metal stents (LAMSs) outperform 10-mm LAMSs for EUS-guided drainage …
Diagnosing high-grade pancreatic intraepithelial neoplasia in surgically altered anatomy using pancreatic juice cytology
Post written by Soma Fukuda, MD, from the Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Tokyo, Japan. This case features the use of balloon-assisted enteroscopy and serial pancreatic juice aspiration cytologic examination (SPACE) via an endoscopic nasopancreatic drainage (ENPD) tube to diagnose high-grade pancreatic intraepithelial neoplasia (HG-PanIN) in a patient with altered anatomy after …
Advanced endoscopic techniques for esophageal duplication cyst treatment: beyond surgery
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 …
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). …
Continue reading Pancreas cystic lesion with surprise findings on confocal laser endomicroscopy
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 …
Continue reading Eversion of an inverted papilla via EUS-guided rendezvous
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 …
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