Post written by Michael Lajin, MD, from Sharp HealthCare, San Diego, California, USA. A 64-year-old woman with a history of perforated goblet cell carcinoid tumor of the appendix underwent extensive cytoreductive surgery with heated intraperitoneal chemotherapy 5 years prior. She had a recent small-bowel obstruction requiring exploratory laparotomy with extensive lysis of adhesions and resection of …
Continue reading Retrograde EUS-guided ileocolostomy for malignant small-bowel obstruction
Post written by Umar Hayat, MD, MPH, from Geisinger Wyoming Valley Medical Center, Wilkes-Barre, Pennsylvania, USA. EUS-guided gallbladder drainage using lumen-apposing metal stents (EUS-GBD-LAMSs) and percutaneous cholecystostomy for gallbladder drainage (PTGBD) are the alternative treatment modalities in high-risk surgical patients with acute cholecystitis (AC). This study aimed to compare the safety of these procedures for …
Post written by Pradev Inavolu, MD, DM, Wladyslaw Januszewicz, MD, PhD, and Sundeep Lakhtakia, MD, DM, from AIG Hospitals and Asian Institute of Gastroenterology, Hyderabad, Telangana, India. We encountered a case of maldeployment of a lumen-apposing mental stent (LAMS) into the pseudocyst cavity with loss of access. Typically, such an adverse event necessitates a surgical intervention …
Post written by Yen-I Chen, MD, MSc, and Ali Bessissow, MD, from McGill University Health Centre, Montreal, Quebec, Canada. Our video illustrates the use of a novel through-the-scope exchangeable dual-balloon catheter (DUBX, Naja; Chess Medical, Montreal, Quebec, Canada) to assist EUS-guided gastroenterostomy (EUS-GE) in malignant gastric outlet obstruction. Our case shows the streamline through-the-scope insertion of …
Post written by Joan B. Gornals, MD, PhD, from the Hospital Universitari de Bellvitge, Barcelona, Spain. This is a case of a patient with a recurrent biliary obstruction caused by sump syndrome with dysfunctional endoscopic biliary drainage who underwent EUS-guided choledochoduodenostomy (8- x 8-mm lumen-apposing metal stent [LAMS] + coaxial 7F x 5-cm pigtail) in a …
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 …
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 …
Post written by Mauro Manno, MD, from the Gastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, Carpi, Italy. EUS-guided gallbladder drainage with a lumen-apposing metal stent (LAMS) is a viable treatment option for acute cholecystitis and an alternative to cholecystectomy in patients at high risk for surgery. However, recurrent acute cholecystitis with stone impaction in the LAMS can …
Post written by Rishi Pawa, MD, from the Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA. A 31-year-old woman presented with right-upper-quadrant pain and imaging findings of acute cholecystitis. She underwent an open subtotal cholecystectomy because of extensive adhesive disease involving the gallbladder. Initially, the patient did well postoperatively but started having recurrent symptoms …
Post written by Kambiz S. Kadkhodayan, MD, from the Center for Interventional Endoscopy, AdventHealth, Orlando, Florida, USA. We describe the use of a helix tack system to anchor the proximal flange of a lumen-apposing metal stent (LAMS) to the gastric pouch during a single-session EUS-directed transgastric ERCP (SS-EDGE). This video case also describes a reverse …
endoscopedia.com 