1,721,161 research outputs found
EUS-guided gallbladder drainage during a pandemic crisis - How the COVID-19 outbreak could impact interventional endoscopy
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Endoscopic ultrasonography (EUS) and EUS-fine-needle procedures: Fascinating technique but little clinical impact?
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Endo-hepatology: Why should we do endoscopic ultrasound-guided interventions to the liver that we could do through the skin?
Full text linkEndoscopic ultrasound (EUS)-guided interventions on the liver such as diffuse biopsy and portal pressure gradient measurement are emerging as potential alternatives to percutaneous procedures. The purpose of this editorial was to address all the indications that could potentially make an EUS-guided approach a possible alternative to the percutaneous procedures with respect to the procedures that could join the EUS examination such as upper endoscopy for gastroesophageal varices, pancreaticobiliary investigation with EUS, and other potential advantages in terms of patient safety. The issue of a holistic gastroenterologist approach was also discussed along with the potential for developing clinical research
Endoscopic Ultrasound Staging of Gastric Lymphoma
No full textAbstractThe choice of treatment in gastric lymphoma is stage dependent. Endoscopic ultrasound (EUS) is a very accurate technique to assess T- and N-staging of primary gastric lymphoma. Two cases of high-grade gastric non-Hodgkin's lymphoma are documented with videos of upper endoscopy and EUS. The technique for an appropriate staging of the disease with EUS is demonstrated. This article is part of an expert video encyclopedia
Eus and ercp in the same session for biliary stones: From risk stratification to treatment strategy in different clinical conditions
Full text linkEndoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy and stone extraction is the treatment of choice for choledocholithiasis, reaching a successful clearance of the common bile duct (CBD) in up to 90% of the cases. Endoscopic ultrasound (EUS) has the best diagnostic accuracy for CBD stones, its sensitivity and specificity range being 89–94% and 94–95%, respectively. Traditionally seen as two separate entities, the two worlds of EUS and ERCP have recently come together under the new discipline of bilio-pancreatic endoscopy. Nevertheless, the complexity of both EUS and ERCP led the European Society of Gastrointestinal Endoscopy to identify quality in endoscopy as a top priority in its recent EUS and ERCP curriculum recommendations. The clinical benefits of performing EUS and ERCP in the same session are several, such as benefiting from real-time information from EUS, having one single sedation for both the diagnosis and the treatment of biliary stones, reducing the risk of cholangitis/acute pancreatitis while waiting for ERCP after the EUS diagnosis, and ultimately shortening the hospital stay and costs while preserving patients’ outcomes. Potential candidates for the same session approach include patients at high risk for CBD stones, symptomatic individuals with status post-cholecystectomy, pregnant women, and those unfit for surgery. This narrative review discusses the main technical aspects and evidence from the literature about EUS and ERCP in the management of choledocholithiasis
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