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| http://dx.doi.org/10.4103/eus.eus_64_20 | DOI Listing |
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Endoscopic ultrasound-guided vascular interventions: A review (with videos).
Indian J Gastroenterol
October 2024
Department of Gastroenterology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, 226 014, India.
Article Synopsis
- Endoscopic ultrasound (EUS) has transitioned from being solely a diagnostic tool to an interventional method that allows for precise treatment options, particularly in vascular access and therapy related to liver diseases.* -
- EUS-guided procedures, like measuring portal pressure gradients and sampling portal venous blood, play a key role in diagnosing and managing various cancers and liver conditions, such as hepatocellular carcinoma and portal vein tumor thrombus.* -
- The application of EUS is expanding to include treatments for complications like pseudoaneurysms and gastrointestinal bleeding, highlighting its growing importance in modern medical practice for both current and future therapeutic interventions.*
Comparison of Franseen and novel tricore needles for endoscopic ultrasound-guided fine-needle biopsy in a porcine liver model.
Sci Rep
September 2024
Department of Gastroenterology, Asan Medical Center, University of Ulsan College of Medicine, 88 Olympic-ro 43-gil, Songpa-gu, Seoul, 05505, Republic of Korea.
Article Synopsis
- Endoscopic ultrasound-guided fine needle biopsy is a technique for obtaining tissue samples, but challenges like inadequate samples exist.
- A study compared a new Tricore needle to the traditional Franseen needle in porcine liver biopsies, showing that the Tricore needle had a 100% success rate with no adverse effects.
- The Tricore needle demonstrated significantly less resistance, better ultrasound visibility, faster specimen collection, larger sample size, fewer fragments, and more complete portal tracts compared to the Franseen needle, indicating it might be a superior option for this procedure.
Diagnostic Yield of Endoscopic Ultrasound-Guided Liver Biopsy in Comparison to Percutaneous Liver Biopsy: A Meta-Analysis of Randomized Controlled Trials and Trial Sequential Analysis.
Diagnostics (Basel)
June 2024
Gastroenterology Unit, Department of Medical and Surgical Sciences, University of Foggia, Via L Pinto 1, 71122 Foggia, Italy.
Article Synopsis
- The study compares the effectiveness of endoscopic ultrasound-guided liver biopsy (EUS-LB) and percutaneous liver biopsy (PC-LB) based on data from randomized controlled trials (RCTs).
- Both biopsy methods showed similar sample adequacy and diagnostic accuracy, but PC-LB resulted in longer, non-fragmented tissue specimens.
- Ultimately, while EUS-LB and PC-LB are comparable in diagnosis, PC-LB offers an advantage in specimen length according to the findings.
A novel method of bilateral biliary decompression by EUS-guided hepaticogastrostomy with bridging stenting using the partial stent-in-stent method for reintervention of multiple metal stent failure.
VideoGIE
June 2024
Department of Hepatobiliary and Pancreatic Oncology, National Cancer Center Hospital, Tokyo, Japan.
Video 1A novel method of bilateral biliary decompression by EUS-guided hepaticogastrostomy with bridging stenting using the partial stent-in-stent method for reintervention of multiple metal stent failure.We report a case in which anterior and posterior drainage was performed using the partial stent-in-stent method via the transpapillary approach. The patient had a bismuth type IV biliary obstruction, but only the right hepatic lobe was drained due to obstruction of the left portal vein.
View Article and Find Full Text PDFEndoscopic ultrasound for the diagnosis and treatment of primary hepatocellular carcinoma.
J Dig Dis
March 2024
Department of Gastroenterology, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Chronic liver disease has emerged as a significant global concern, with primary hepatocellular carcinoma (HCC) representing a critical consequence of this disease. However, early detection of HCC remains challenging in clinical practice. Recently, there has been a growing interest in applying endoscopic ultrasound (EUS) as a diagnostic tool for gastrointestinal diseases.
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