Post written by Ishaan Vohra, MD, from the Division of Gastroenterology, Hepatology and Nutrition, University of Illinois College of Medicine at Peoria, Peoria, Illinois, USA. This study is a systematic review and meta-analysis to determine the number of procedures required to achieve proficiency in EUS-guided biliary drainage (EUS-BD). In addition, we assessed the clinical and technical …
Tag: EUS
Editor’s Choice: EUS-guided hepaticogastrostomy versus EUS-guided hepaticogastrostomy with antegrade stent placement in patients with unresectable malignant distal biliary obstruction: a propensity score–matched case-control study
GIE Associate Editor Amy Tyberg, MD, FASGE, highlights this article from the July issue: “EUS-guided hepaticogastrostomy versus EUS-guided hepaticogastrostomy with antegrade stent placement in patients with unresectable malignant distal biliary obstruction: a propensity score–matched case-control study” by Hirotoshi Ishiwatari, MD, PhD, et al. The advanced endoscopist plays a key role in the palliation of patients with unresectable …
Top tips for EUS-guided pancreatic cyst chemoablation (with video)
Post written by Matthew T. Moyer, MD, MS, FASGE, from Penn State Health Milton S. Hershey Medical Center, Hershey, Pennsylvania, USA. EUS-guided pancreatic cyst chemoablation is a rapidly developing, minimally invasive approach for treating appropriately selected mucinous pancreatic cysts. This article reviews best practices for this procedure including patient selection, setup, procedure performance, team structure, radiographic …
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Editor’s Choice: Comparing a 19-gauge fine-needle biopsy needle with a 22-gauge fine-needle biopsy needle for EUS-guided liver biopsy sampling: a prospective randomized study
GIE Senior Associate Editor Mohamed O. Othman, MD, highlights this article from the June issue: “Comparing a 19-gauge fine-needle biopsy needle with a 22-gauge fine-needle biopsy needle for EUS-guided liver biopsy sampling: a prospective randomized study” by David L. Diehl, MD, FASGE, AGAF, et al. EUS-guided liver biopsy is gaining traction and is frequently requested by referring …
Successful EUS-guided pancreatic cyst chemoablation safely allows reduction in the frequency of radiographic surveillance: long-term follow-up of randomized prospective data
Post written by J. Westley Heinle, MPH, from the the Division of Gastroenterology and Hepatology, Penn State College of Medicine and Penn State Hershey Medical Center, Hershey, Pennsylvania, USA. The 2 randomized prospective Chemotherapy for Ablation and Resolution of Mucinous Pancreatic Cysts (ChARM) clinical trials investigate and develop alcohol-free EUS-guided pancreatic cyst chemoablation. The current investigation …
Safety of EUS latex balloon use in patients with a latex allergy
Post written by Eric J. Vargas, MD, MS, from the Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA. The focus of our study was to explore and report on our experience with EUS latex balloon use in patients with a self-reported latex allergy. The use of a fluid-filled balloon improves acoustic coupling and visualization …
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A novel method of bilateral biliary decompression by EUS-guided hepaticogastrostomy with bridging stenting using the partial stent-in-stent method for reintervention of multiple metal stent failure
Post written by Hidenobu Hara, MD, from the Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Tokyo, Japan. EUS-guided hepaticogastrostomy (EUS-HGS) has become an effective method for biliary drainage, particularly in cases of hilar bile duct obstruction. This report presents the case of an 84-year-old woman with unresectable perihilar cholangiocarcinoma of bismuth type IV. …
Technical tips for EUS-guided embolization of varices and pseudoaneurysms
Post written by Radhika Chavan, MD, DNB, FASGE, FISG, from Ansh Clinic, Ahmedabad, Gujarat, India. In our article, we demonstrate the techniques of EUS-guided embolization of various vascular lesions, including gastric varices, ectopic varices, and pseudoaneurysms. We discuss 2 methods of EUS-guided embolization for gastric varices: (1) direct puncture of the varices and (2) feeder vessel …
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Automatically optimized radiomics modeling system for small gastric submucosal tumor (<2 cm) discrimination based on EUS images
Post written by Mingyan Cai, MD, PhD, FASGE, from the Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan University, Shanghai, China. In this study, we developed and validated an automatically optimized radiomics modeling system (AORMS) based on EUS images to diagnose small GI stromal tumors (GISTs) (<2 cm) from non-GISTs and predict those with high …
Retrograde EUS-guided ileocolostomy for malignant small-bowel obstruction
Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, USA. A 64-year-old woman with a history of perforated goblet cell carcinoid tumor of the appendix underwent extensive cytoreductive surgery with heated intraperitoneal chemotherapy 5 years prior. She had a recent small-bowel obstruction requiring exploratory laparotomy with extensive lysis of adhesions and resection of …
Continue reading Retrograde EUS-guided ileocolostomy for malignant small-bowel obstruction
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