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 …
Tag: EUS
Ampullectomy of an unusual dysplastic lesion after deroofing of a type III choledochocele
Post written by Elena De Cristofaro, MD, PhD, from the Gastroenterology Unit, Department of Systems Medicine, University of Rome Tor Vergata, Rome, Italy, and Mathieu Pioche, MD, PhD, from the Gastroenterology and Endoscopy Unit, Edouard Herriot Hospital, Hospices Civils de Lyon, Lyon, France. We report a rare case of a type III choledochocele with a polypoid lesion suspicious for dysplasia. …
Top tips for diagnostic rectal EUS and assessment of rectal sphincters
Post written by Zubin Dev Sharma, MD, DNB, from Interventional Gastroenterology, Fortis Memorial Research Institute, Gurugram, India. This article provides best practice tips for using rectal EUS for diagnostic assessment in various conditions as well as assessment of anal sphincters. Rectal EUS, underutilized for assessment of rectal conditions, has emerged as a reliable tool. It can be …
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EUS for the evaluation of esophageal injury after catheter ablation for atrial fibrillation
Post written by Andrew Storm, MD, from Mayo Clinic, Rochester, Minnesota, USA. Every procedural specialty in medicine has procedure-related issues that might “keep them up at night.” In therapeutic EUS, for example, the short time after a particularly challenging novel anastomosis creation procedure between the gallbladder and duodenum, liver and stomach, or intestine and stomach can …
EUS-guided coiling plus glue injection compared with endoscopic glue injection alone in endoscopic treatment for gastric varices: a systematic review and meta-analysis
Post written by Cynthia Florencio de Mesquita from Federal University of Pernambuco, Recife, Brazil, and Stefano Baraldo, MD, from the Institute for Teaching and Research, Barretos Cancer Hospital, Barretos, Brazil. We aimed to compare 2 techniques for managing gastric varices: EUS-guided coiling plus glue versus endoscopic glue injection (EGI) through a systematic review and meta-analysis. Although widely used, EGI …
Lost ampullary opening post endoscopic submucosal dissection: EUS-guided rendezvous shows the path
Post written by Darshan Parekh, MS, from Mumbai Institute of Gastroenterology, Mumbai, India, and Ken Ohata, MD, PhD, from NTT Medical Center Tokyo, Tokyo, Japan. An 80-year-old man underwent resection of an approximately 30-mm ampullary tumor by endoscopic submucosal dissection (ESD). Post-ESD biliary and pancreatic diversion was attempted, but the ampullary opening could not be visualized in the post-ESD ulcer. Hence, …
EUS-guided pancreaticoduodenostomy using a lumen-apposing metal stent as a primary approach to treat difficult pancreatolithiasis: creating a side door to unlock the front door
Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, USA. A 55-year-old man with chronic calcific pancreatitis presented with abdominal pain and 12-pound weight loss. Abdominal CT and MRCP showed a large burden of calcified obstructive pancreatic duct (PD) stones above the papilla resulting in upstream PD dilatation measuring 19 mm. We discussed the …
EUS-guided radiofrequency ablation for pancreatic adenocarcinoma
Post written by Curtis J. Wray, MD, MS, from the Department of Surgery, Section of Surgical Oncology, and Nirav Thosani, MD, from the Department of Surgery, Section of Interventional Gastroenterology, University of Texas Health Science Center at Houston, Houston, Texas, USA. This manuscript details our initial institutional experience using EUS-guided radiofrequency ablation (EUS-RFA) combined with systemic chemotherapy for treatment …
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Peroral cholecystoscopy–guided interventions through a lumen-apposing metal stent after EUS-guided gallbladder drainage: proof-of-concept study in a swine model
Post written by Naminatsu Takahara, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. Diagnosing gallbladder neoplasms is challenging because of difficulties in direct visualization and tissue sampling of the tumor. As a result, cholecystectomy is sometimes performed as a diagnostic procedure, but it can result in unnecessary surgery, which …
Endoscope traction technique to facilitate over-the-wire biliary cannulation during EUS-guided rendezvous
Post written by Ahmed Altonbary, MD, FRCP, FESGE, from Mansoura Specialized Medical Hospital, Mansoura University, Mansoura, Egypt. We describe the "endoscope traction" technique to facilitate over-the-wire biliary cannulation during EUS-guided rendezvous, an effective salvage technique for failed biliary cannulation during ERCP. Technically challenging steps in this technique include biliary puncture, guidewire manipulation, and biliary cannulation using the …
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