Post written by Eduardo Cerchi Barbosa from the Department of Medicine, Evangelical University of Goiás, Anápolis, Brazil, and Gilmara Coelho Meine, MD, MSc, from the Division of Gastroenterology, Department of Internal Medicine, Feevale University, Novo Hamburgo, Brazil. Periampullary cancers carry a poor prognosis and often result in malignant biliary obstruction (MBO). Despite technological advances, few cases are resectable at the …
Tag: EUS
Disrupted pancreatic duct with pancreaticocutaneous fistula after percutaneous pseudocyst drain: conversion to internal drainage with transgastric stents
Post written by Saeed Ali, MD, from AdventHealth Orlando, Orlando, Florida, USA, and Brian Boulay, MD, MPH, from the Division of Gastroenterology and Hepatology, Department of Medicine, University of Illinois Hospital and Health Sciences Center, Chicago, Illinois, USA. This is an interesting case of a 67-year-old man who developed acute necrotizing pancreatitis followed by a 19-cm pseudocyst with a …
Editor’s Choice: EUS-guided thrombin injection and coil implantation for gastric varices: feasibility, safety, and outcomes
GIE Senior Associate Editor David L. Diehl, MD, highlights this article from the September issue: “EUS-guided thrombin injection and coil implantation for gastric varices: feasibility, safety, and outcomes” by Joanne O’Rourke, MBChB, et al. One of the pillars of endohepatology is EUS-guided treatment of gastric varices. Although endoscopic glue injection with cyanoacrylate (CYA) has been a standard approach for …
Modified submucosal tunneling endoscopic resection for the management of a large leiomyoma in the gastric fundus
Post written by Yasi Xiao, MD, and Dennis Yang, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We present a video of a 61-year-old woman with a symptomatic large subepithelial lesion (SEL) in the gastric fundus. This SEL was biopsied on EUS and found to be a leiomyoma. After multidisciplinary discussion with thoracic …
Definitive endoscopic repair of transected bile ducts after cholecystectomy using EUS-guided hepaticogastrostomy and retrograde cholangioperitoneoscopy
Post written by Manuel Perez-Miranda, MD, PhD, from Hospital Universitario Rio Hortega, Valladolid, Spain. A patient with a transected bile duct after cholecystectomy presenting with high-output bile leakage was successfully treated with staged endoscopy. EUS-guided hepaticogastrostomy was used first to internalize externally diverted bile flow. At a follow-up endoscopy, a cholangioscope by ERCP grasped a …
Retrograde endosonography for diagnosing imaging-occult cancer at the head of the pancreas in a patient with distal gastrectomy and Roux-en-Y reconstruction
Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, USA. A 73-year-old man with a history of distal gastrectomy presented with jaundice and 20-pound weight loss. Abdominal CT with intravenous contrast showed cholelithiasis and a dilated biliary tree without evidence of choledocholithiasis or neoplasm. MRCP was not possible because of shrapnel. He …
Fixation of the proximal flange of a lumen-apposing metal stent using a through-the-scope endoscopic suturing system to prevent stent migration in single-session EUS-directed transgastric ERCP: a pilot study
Post written by Hafiz Muzaffar Akbar Khan, MD, from the Division of Gastroenterology and Azhar Hussain, MBBS, from the Division of Medicine, State University of New York Upstate Medical University, Syracuse, New York, USA. The aim of our study was to evaluate and describe safe and effective use of a through-the-scope endoscopic suturing system for anchoring …
Learning curve of EUS-guided biliary duct drainage: systematic review and meta-analysis
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 …
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 …
Continue reading Top tips for EUS-guided pancreatic cyst chemoablation (with video)
