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Randomized comparison of precut papillotomy and endosonography guided rendezvous procedure for difficult biliary access in Malignant distal biliary obstruction.
Endoscopy
January 2025
Institute of Gastrosciences, Sir HN Reliance Foundation Hospital and Research Centre, Mumbai, India.
Background And Aims: Difficult biliary cannulation (DBC) is a marker for prolonged procedure time and increased adverse event rate (AER) during endoscopic retrograde cholangiopancreatography (ERCP). We previously showed that EUS-guided rendezvous procedure (EUS-RV) had a higher single session success rate than precut papillotomy (PcP) in DBC patients. The present randomized study aims at comparing the technical success and AER between the two approaches.
View Article and Find Full Text PDFThe Role of Endoscopic Ultrasound in Assessing Portal Hypertension: A State-of-the-Art Literature Review and Evolving Perspectives.
Liver Int
November 2024
Department of Medical and Surgical Sciences, Fondazione Policlinico Universitario Agostino Gemelli IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy.
Article Synopsis
- - Portal hypertension (PH) is a serious complication in liver disease, and endoscopic ultrasound (EUS) is being highlighted as an effective diagnostic tool for its assessment due to its high-resolution imaging capabilities
- - The review found that EUS not only improves PH evaluation but also includes advanced methods like contrast enhancement and shear-wave elastography to assess liver stiffness, making it less invasive compared to traditional techniques
- - Despite its advantages, EUS has limitations such as procedural invasiveness and variability in results, necessitating further research and standardization to enhance its clinical application in managing PH
Single-Session Endoscopic Ultrasound-Directed Transgastric Endoscopic Retrograde Cholangiopancreatography and Simultaneous Endoscopic Ultrasound-Guided Transmural Gallbladder Drainage in Choledocholithiasis and Acute Cholecystitis After Unsuccessful Laparoscopic Cholecystectomy.
ACG Case Rep J
August 2024
Division of Gastroenterology, State University of New York Upstate Medical University, Syracuse, NY.
In patients considered high risk of laparoscopic cholecystectomy, percutaneous gallbladder drainage is traditionally considered first-line treatment option. Recent evidence supports endoscopic gallbladder drainage as a safe and feasible alternate option. We describe a case of Roux-en-Y gastric bypass surgery patient with acute cholecystitis and choledocholithiasis with unsuccessful laparoscopic cholecystectomy because of difficult operative field, underwent successful single-session endoscopic ultrasound-directed transgastric endoscopic retrograde cholangiopancreatography and endoscopic ultrasound-guided transmural gallbladder drainage at our institution.
View Article and Find Full Text PDFEndoscopic Ultrasonography In Diagnostic Endohepatology: The Hepatologist's Swiss Army Knife.
Eurasian J Med
December 2023
Department of Gastroenterology, Atatürk University Faculty of Medicine, Erzurum, Turkey.
In recent years, significant advances have been made in endoscopic ultrasonography (EUS) processors, transducers, and the instruments used. In parallel with these developments, the importance of EUS in the diagnosis, treatment, and management of chronic liver diseases has increased considerably. One of the most important advantages of EUS is that the ultrasound probe can examine the liver area under examination from a very close distance.
View Article and Find Full Text PDFSimplified single-session EUS-guided transhepatic antegrade stone removal for management of choledocholithiasis in patients with surgically altered anatomy.
Gastroenterol Rep (Oxf)
June 2024
The Second Hospital of Hebei Medical University, Shijiazhuang, Hebei, P. R. China.
Background: Endoscopic ultrasound (EUS)-guided transhepatic antegrade stone removal (TASR) has been reserved for choledocholithiasis after failed endoscopic retrograde cholangiopancreatography (ERCP) in recent years. The aim of this study was to evaluate the techniques, feasibility, and safety of simplified single-session EUS-TASR for choledocholithiasis in patients with surgically altered anatomy (SAA).
Methods: A retrospective database of patients with SAA and choledocholithiasis from the Second Hospital of Hebei Medical University (Shijiazhuang, China) between August 2020 and February 2023 was performed.
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