Post written by Antonio Facciorusso, MD, PhD, from the Gastroenterology Unit, Department of Surgical and Medical Sciences, University of Foggia, Foggia, Italy. In the last decade, several EUS fine-needle biopsy (FNB) sampling needles have been developed, and newer end-cutting FNB needles, which feature alterations of the cutting tip, have been found to outperform other needles in …
Tag: EUS
Auxiliary diagnosis of subepithelial lesions by impedance measurement during EUS-guided fine-needle biopsy
Post written by Yosuke Minoda, MD, PhD, from the Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, and the Department of Endoscopic Diagnostics and Therapeutics, Kyushu University Hospital, Fukuoka, Japan. This study presents a new method to differentiate a GI stromal tumor (GIST) from a non-GIST in gastric subepithelial lesions (SELs) …
Comparison of EUS-guided ablation and surgical resection for nonfunctioning small pancreatic neuroendocrine tumors: a propensity score–matching study
Post written by Hoonsub So, MD, from the Department of Internal Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, South Korea, Sung Woo Ko, MD, PhD, from the Department of Internal Medicine, Eunpyeong St. Mary’s Hospital, The Catholic University of Korea, Seoul, Korea, and Do Hyun Park, MD, PhD, from the Department of …
Prophylactic EUS-guided gallbladder drainage prevents acute cholecystitis in patients with malignant biliary obstruction and cystic duct orifice involvement: a randomized trial (with video)
Post written by Carlos Robles-Medranda, MD, from the Instituto Ecuatoriano de Enfermedades Digestivas, Guyaquil, Ecuador. This study focuses on the benefits of prophylactic EUS-guided gallbladder drainage (EUS-GBD) in patients with unresectable malignant biliary obstruction (MBO) and occlusion of the orifice of the cystic duct (OCD). Although acute cholecystitis (AC) will not always develop in patients with …
Fluorescence confocal microscopy for rapid evaluation of EUS fine-needle biopsy in pancreatic solid lesions
Post written by Serena Stigliano, MD, PhD, from the Therapeutic Endoscopy Department, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy. Fluorescence confocal laser microscopy (FCM) allows imaging of tissues in the fresh state, with minimal preparation and without any damage, distortion, or loss of tissue. We recently investigated its use in the evaluation of samples obtained with …
EUS of a submucosal lesion at the appendiceal orifice using a double-balloon endoluminal intervention platform
Post written by Sardar Momin Shah-Khan, MD, from the Section of Gastroenterology and Hepatology, West Virginia University, Morgantown, West Virginia, USA. We present the case of a patient referred for EUS evaluation of a submucosal lesion at the appendiceal orifice. We used a double-balloon endoluminal intervention platform to perform both radial and linear EUS with fine-needle …
EUS-guided liver biopsy using a novel hydrostatic stylet technique
Post written by Patrick T. Magahis, BA, from the Joan & Sanford I. Weill Medical College of Cornell University, and SriHari Mahadev, MD, MS, from the Division of Gastroenterology and Hepatology, New York-Presbyterian Hospital/Weill Cornell Medicine, New York, New York, USA. We present a novel EUS-guided liver biopsy (EUS-LB) approach, the hydrostatic stylet technique, resulting in …
Continue reading EUS-guided liver biopsy using a novel hydrostatic stylet technique
Endoscopic pyloric exclusion—EUS-guided gastrojejunostomy combined with endoscopic suturing and closure of the pylorus: a novel approach to failed surgical repair of a perforated duodenal ulcer
Post written by Kambiz Kadkhodayan, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We describe a novel endoscopic procedure that results in complete diversion of the gastric stream away from the duodenum and into the proximal jejunum. Duodenal bypass was achieved using a 2-step approach. Step 1 involved diverting the gastric stream into …
Safety and efficacy of EUS-guided celiac plexus block in the evaluation of patients with median arcuate ligament syndrome anatomy for possible surgery
Post written by Elisa Karhu, MD, from the Department of Internal Medicine, Stanford University, Palo Alto, California, USA. Median arcuate ligament syndrome (MALS) is often considered in the differential diagnosis of patients with intractable postprandial abdominal pain. However, diagnosis of this condition can be difficult. To aid in diagnosis, a symptomatic response to celiac plexus …
Improving diagnostic accuracy and appropriate indications for surgery in pancreatic cystic neoplasms: the role of EUS
Post written by Stefano Crippa, MD, PhD, from the Division of Pancreatic Surgery, IRCCS San Raffaele Scientific Institute, and Vita Salute San Raffaele University, Milan, Italy, Fabio Giannone, MD, from the Division of Pancreatic Surgery, IRCCS San Raffaele Scientific Institute, and the Department of General, Digestive and Endocrine Surgery, University Hospital of Strasbourg, Strasbourg, France, and …
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