Post written by GIE Senior Associate Editor David L. Diehl, MD, MASGE, AGAF, from the Department of Gastroenterology and Hepatology, Geisinger Medical Center, Danville, Pennsylvania, USA. I sat down to write an Endoscopedia post on my recently published article, “The best of EUS in 2025.” I got about 500 words in, then decided to scrap that approach. …
Tag: Lumen-apposing metal stent
Endoscopic management of active arterial bleeding in walled-off necrosis collection
Post written by Matthew Eganhouse, MD, and Ajaypal Singh, MD, from the Division of Digestive Diseases, Rush University Medical Center, Chicago, Illinois, USA. In our recently published video case, we describe, to our knowledge, the first time endoscopic hemostasis was achieved from active arterial bleeding within a walled-off necrosis (WON) cavity. Our patient, a 45-year-old woman, initially underwent EUS-guided cystgastrostomy …
Continue reading Endoscopic management of active arterial bleeding in walled-off necrosis collection
Tack-only fixation of lumen-apposing metal stents: leave the suture at home
Post written by Andy Storm, MD, from Mayo Clinic, Rochester, Minnesota, USA. The availability of suture-based technologies is growing in flexible GI endoscopy, with one of the newcomers the X-Tack device (Boston Scientific, Marlborough, Mass, USA). This device, conceived with Dr Christopher Gostout and Apollo Endosurgery, uses steel “screws” or tacks that are drilled into …
Continue reading Tack-only fixation of lumen-apposing metal stents: leave the suture at home
Safety and efficacy of EUS-guided pelvic abscess drainage with lumen-apposing metal stents for complicated acute diverticulitis
Post written by Andrea Lisotti, MD, from the Gastroenterology Unit, Hospital of Imola, University of Bologna, Italy, and the Gastroenterology Unit, Hôpital Privé Jean Mermoz, Lyon, France. Our study evaluated the safety and efficacy of endoscopic ultrasound—guided pelvic abscess drainage (EUS-PAD) using lumen-apposing metal stents in patients with complicated acute diverticulitis. This minimally invasive approach …
Retrograde device-assisted lumen-apposing metal stent insertion for candy cane syndrome
Post written by Anne Kimberly Lim-Fernandez, MD, from the Department of Gastroenterology and Hepatology, Singapore General Hospital, Singapore. Candy cane syndrome is an uncommon but clinically significant adverse event after gastric bypass or total gastrectomy. It arises when the long blind pouch at the anastomosis preferentially fills with ingested food. This can lead to symptoms …
Endoscopic ultrasound–guided drainage of intra-abdominal abscess using 15-mm versus 10-mm lumen-apposing metal stents: an international case-matched study
Post written by Yervant Ichkhanian, MD, from the Department of Internal Medicine, Henry Ford Hospital, Detroit, Michigan, and Division of Gastroenterology and Hepatology, Indiana University School of Medicine, Indianapolis, Indiana, USA, and Tobias Zuchelli, MD, from Division of Gastroenterology and Hepatology, Henry Ford Hospital. This multicenter study evaluates whether 15-mm lumen-apposing metal stents (LAMSs) outperform 10-mm LAMSs for EUS-guided drainage …
Endosonography-guided suture device for gastrointestinal lumen-to-lumen apposition in a porcine model
Post written by Andrew Storm, MD, from Mayo Clinic, Rochester, Minnesota, USA. With the growth of novel transmural endoscopic ultrasound (EUS)—directed therapies in the gastrointestinal tract, awareness of the need for innovations to make these procedures safer and more reproducible is increasing. Such improvements are necessary to assure widespread access for patients who will benefit …
Optimizing EUS-guided choledochoduodenostomy with lumen-apposing metal stents for primary drainage of malignant distal biliary obstruction (SCORPION-IIp): a prospective pilot study
Post written by Roy van Wanrooij, MD, PhD, from the Department of Gastroenterology and Hepatology, Amsterdam UMC, Vrije Universiteit, Amsterdam, The Netherlands. EUS-guided choledochoduodenostomy (EUS-CDS) is increasingly used in management of malignant distal biliary obstruction, not only as a rescue strategy after failed ERCP, but also as the primary drainage strategy. Its growing adaptation is driven …
Endoscopic Braun enteroenterostomy for the management of severe bile acid reflux following Whipple surgery
Post written by Shailendra Singh, MD, and Ethan M. Cohen, MD, from the Department of Gastroenterology & Hepatology, West Virginia University, Morgantown, West Virginia, USA. We present a case of a 63-year-old woman who underwent a pancreaticoduodenectomy (Whipple procedure) for a rapidly expanding pancreatic head mass. Three years after the surgery, she developed severe persistent nausea and bilious emesis because …
Upside down in WONderland: EUS-guided upward insertion of a lumen-apposing metal stent via the third portion of the duodenum
Post written by Rintaro Fukuda, MD, from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan, Yousuke Nakai, MD, PhD, from the Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, and the Department of Endoscopy and Endoscopic Surgery, The University of Tokyo Hospital, Tokyo, Tomotaka Saito, MD, PhD, from the Department of Gastroenterology, Graduate …
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