Endoscopic ultrasound guided biliary drainage has become an effective drainage method for unresectable malignant obstructive jaundice, especially for patients after digestive tract reconstruction. We report a technique for assisting adequate guidewire biliary access during the drainage procedure.
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Intentional peeling of the guidewire during endoscopic ultrasound hepaticogastrostomy to access the common bile duct.
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Hepatobiliary Surgery , The Second Hospital of Hebei Medical University, .
Endoscopic ultrasound guided biliary drainage has become an effective drainage method for unresectable malignant obstructive jaundice, especially for patients after digestive tract reconstruction. We report a technique for assisting adequate guidewire biliary access during the drainage procedure.
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Gastroenterology, The First Affiliated Hospital. Zhejiang University School of Medicine, China.
Ménétrier's disease is a rare gastritis. Although there were some pathological features under gastroscopy, the depth of mucosal infiltration observed was not enough, and it was difficult to distinguish from other gastric mucosal lesions. A biopsy guided by gastroscopy is not deep enough and may lead to misdiagnosis due to incomplete sampling of the entire gastric mucosa.
View Article and Find Full Text PDFA rare intersection: choledochal cyst (Todani IC) and incomplete pancreas divisum in an adult female. Diagnostic and therapeutic insights.
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Gastroenterology , Hospital Universitario Dr. José Eleuterio González, México.
We report the case of a 59-year-old woman with a history of smoking, hypertension, and prior surgeries. She presented with acute right upper quadrant abdominal pain radiating to the back. Laboratory tests revealed elevated liver enzymes and imaging studies (CT and MRCP) showed a dilated common bile duct.
View Article and Find Full Text PDFCombined diagnosis of signet ring cell carcinoma of hilar cholangiocarcinoma by three endoscopes.
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Biliary and Pancreatic Endoscopic Surgery, The Second Hospital of Hebei Medical University, china.
Signet-ring cell carcinoma is a poorly differentiated adenocarcinoma with a high degree of malignancy, which rarely occurs in hilar bile duct. As far as I know, this is the third signet-ring cell carcinoma of hilar cholangiocarcinoma found so far. We used endoscopic ultrasound（EUS） and per-oral cholangioscopy（POCPS） to make a definite diagnosis.
View Article and Find Full Text PDFDiagnostic Value of Endobronchial Ultrasound-Guided Intranodal Forceps Biopsies Combined with Rapid On-Site Evaluation for Mediastinal/Hilar Lymph Node Disease.
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Department of Respiratory and Critical Care Medicine, Tianjin Medical University General Hospital, Tianjin, China.
Endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) is the standard method for sampling mediastinal/hilar lymph node disease. However, the smaller samples obtained via needle aspiration have a lower diagnostic rate for benign compared to malignant diseases. The low diagnostic rates have been reported to be improved through using endobronchial ultrasound-guided intranodal forceps biopsy (EBUS-IFB), but the implementation of IFB presents technical challenges, as described with variable results in certain studies.
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