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 …

Continue reading New US capsule endoscopy for superficial and submucosal imaging of the esophagus: the first-in-human study

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 …

Continue reading Editor’s Choice: EUS-guided gastroenterostomy for management of malignant gastric outlet obstruction: a prospective cohort study with matched comparison with enteral stenting

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 …

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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 …

Continue reading Comparing per-pass performance of 2 types of needles for EUS-guided fine-needle biopsy sampling of pancreatobiliary masses in a randomized trial

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 …

Continue reading 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

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 …

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Double-balloon enteroscopy with EUS-guided rendezvous for failed cannulation in patients with history of Roux-en-Y gastric bypass

Post written by Kambiz S. Kadkhodayan, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We describe 2 patients with Roux-en-Y gastric bypass (RYGB) who underwent double-balloon enteroscopy—assisted ERCP (DBE-ERCP) for the management of pancreatolithiasis and choledocholithiasis. After reaching the ampulla, deep cannulation of the bile duct could not be achieved using the enteroscope. …

Continue reading Double-balloon enteroscopy with EUS-guided rendezvous for failed cannulation in patients with history of Roux-en-Y gastric bypass

Primary leiomyosarcoma of the pancreas with metastasis to the spleen

Post written by Philippe Willems, MD, from the Center for Advanced Endoscopy, Research & Education, Orlando Health Digestive Health Institute, Orlando, Florida, USA. A 46-year-old woman was evaluated in the endoscopy unit for intermittent epigastric pain. On EUS examination, a large, hypoechoic, and irregular mass was found in the pancreas, and a similar 6-cm lesion was …

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EUS-guided choledochoantrostomy as an alternative for biliary decompression in malignant distal biliary obstruction with duodenal invasion

Post written by Ahmed Altonbary, MD, FRCP, from Mansoura Specialized Medical Hospital, Mansoura University, Mansoura, Egypt. We describe a case of unresectable pancreatic cancer with extrahepatic biliary obstruction and duodenal invasion that was successfully treated with a variant of EUS-guided biliary drainage by performing EUS-guided choledochoantrostomy (EUS-CAS). EUS-guided choledochoduodenostomy (EUS-CDS) is commonly performed for biliary decompression …

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EUS-guided fine-needle biopsy sampling of solid pancreatic tumors with 3 versus 12 to-and-fro movements: a multicenter prospective randomized controlled study

Post written by Kosuke Takahashi, MD, PhD, from the Department of Gastroenterology and Hepatology, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan, and Ichiro Yasuda, MD, PhD, from the Third Department of Internal Medicine, University of Toyama, Toyama, Japan. In this study, a novel EUS-guided fine-needle biopsy sampling (EUS-FNB) needle enabled physicians to obtain sufficient …

Continue reading EUS-guided fine-needle biopsy sampling of solid pancreatic tumors with 3 versus 12 to-and-fro movements: a multicenter prospective randomized controlled study