Post written by Cecilia Binda, MD, from the Gastroenterology and Digestive Endoscopy Unit, Forlì-Cesena Hospitals, AUSL Romagna, Forlì-Cesena, Italy. Our study focused on EUS-guided gallbladder drainage (EUS-GBD) as an option for jaundice treatment that may be reserved for patients affected by distal malignant biliary obstruction (DMBO) after ERCP failure and EUS-guided biliary drainage (hepaticogastrostomy or choledochoduodenostomy) …
Tag: EUS
EUS-guided Braun-type enteroenterostomy for management of an afferent limb–type obstruction in a patient with prior surgical gastrojejunostomy
Post written by Kamal M. Hassan, MD, from Weill Cornell Medicine, New York, New York, USA. In this case, a 78-year-old patient with a history of numerous abdominal surgeries complicated by adhesions and small-bowel obstructions underwent an eventual surgical gastrojejunostomy. The patient developed progressive peroral intolerance, and imaging revealed an acquired afferent loop syndrome as a …
Comparison of outcomes of EUS-guided ablation and surveillance only for pancreatic cystic lesions: a propensity score–matching study (with videos)
Post written by Yun Je Song, MD, Gunn Huh, MD, and Do Hyun Park, MD, PhD, from the Division of Gastroenterology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, South Korea. The focus of our study was to compare the efficacy, safety, and oncologic outcomes of EUS-guided rapid ethanol lavage …
A challenging case of pancreaticogastric anastomotic stricture in a patient with surgically altered anatomy
Post written by Yervant Ichkhanian, MD, from Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, Indiana, and Internal Medicine, Henry Ford Hospital, Detroit, Michigan, USA. This was a case of a 64-year-old woman with a history of Roux-en-Y gastric bypass and a subsequent Whipple reconstruction with pancreatico-gastrostomy (PG) who presented to our center with a …
New US capsule endoscopy for superficial and submucosal imaging of the esophagus: the first-in-human study
Post written by Zhuan Liao, MD, from the National Clinical Research Center for Digestive Diseases, Department of Gastroenterology, Changhai Hospital, Naval Medical University, Shanghai, China. This study aimed to assess the feasibility and safety of the US capsule endoscopy (USCE) system. EUS is essential in diagnosing and staging esophageal subepithelial lesions and tumors. However, EUS is …
Editor’s Choice: EUS-guided gastroenterostomy for management of malignant gastric outlet obstruction: a prospective cohort study with matched comparison with enteral stenting
GIE Senior Associate Editor Jennifer Maranki, MD, MSc, FASGE, highlights this article from the September issue: “EUS-guided gastroenterostomy for management of malignant gastric outlet obstruction: a prospective cohort study with matched comparison with enteral stenting” by Giuseppe Vanella, MD, et al. This is a prospective registry study of patients undergoing EUS-guided gastroenterostomy (EUS-GE) for treatment of malignant …
A rare case of pedunculated ampulloma: EUS view and resection
Post written by Dario Ligresti, MD, from the Endoscopy Service, Department of Diagnostic and Therapeutic Services, Istituto Mediterraneo per i Trapianti e Terapie ad Alta Specializzazione - Istituto di Ricovero e Cura a Carattere Scientifico, and Giacomo Emanuele Maria Rizzo, MD, from the Department of Surgical and the Department of Surgical, Oncological and Oral Sciences, University …
Continue reading A rare case of pedunculated ampulloma: EUS view and resection
Comparing per-pass performance of 2 types of needles for EUS-guided fine-needle biopsy sampling of pancreatobiliary masses in a randomized trial
Post written by Mehdi Mohamadnejad, MD, from the Liver and Pancreatobilliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran. This randomized trial compared per-pass performance of 2 types of fine-needle biopsy (FNB) needles for the detection of malignancy in solid pancreatobiliary mass lesions. In these lesions, the optimal number of …
Complete intraperitoneal maldeployment of a lumen-apposing metal stent during EUS-guided gastroenteroanastomosis for malignant gastric outlet obstruction: rescue retrieval with peritoneoscopy through natural orifice transluminal endoscopic surgery
Post written by Ilaria Tarantino, MD, from the Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS–ISMETT, and Giacomo Emanuele Maria Rizzo, MD, from the Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS–ISMETT, and the Department of Surgical, Oncological and Oral Sciences (Di.Chir.On.S.), University of Palermo, Palermo, Italy. A 75-year-old woman with malignant gastric outlet …
EUS-guided drainage of a segment VI liver abscess using a lumen-apposing metal stent
Post written by Carlos Robles-Medranda, MD, from the Instituto Ecuatoriano de Enfermedades Digestivas (IECED), Guayaquil, Ecuador. We present a case study of an unilocular collection in the sixth segment of the liver that persisted after treatment with broad-spectrum antibiotic therapy. Because of comorbidities, full-dose anticoagulation, and high cardiovascular, surgical, and bleeding risks of percutaneous drainage, the …