scholarly journals Current status of endoscopic ultrasound‐guided antegrade stone removal for patients with a surgically altered anatomy

2021 ◽  
Author(s):  
Hideyuki Shiomi
Keyword(s):  
Endoscopic Ultrasound ◽  
Current Status ◽  
Ultrasound Guided ◽  
Stone Removal ◽  
Surgically Altered Anatomy

scholarly journals Antegrade Therapy for Management of Choledocholithiasis through Endoscopic Ultrasound-Guided Hepaticogastrostomy in a Patient with Surgically Altered Gastrointestinal Anatomy

2020 ◽  
Vol 2020 ◽  
pp. 1-5
Author(s):  
Robert Dorrell ◽  
Katelyn Madigan ◽  
Swati Pawa ◽  
Rishi Pawa
Keyword(s):  
Endoscopic Ultrasound ◽  
Biliary Drainage ◽  
Partial Gastrectomy ◽  
Biliary Tree ◽  
Ultrasound Guided ◽  
Electrohydraulic Lithotripsy ◽  
Surgically Altered Anatomy ◽  
History Of ◽  
Intraductal Therapy ◽  
Transhepatic Biliary Drainage

Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HG) is a technique used to access the biliary tree in patients with surgically altered anatomy. Additionally, development of EUS-HG fistula permits intraductal therapy, thereby preventing patients from requiring surgery or percutaneous transhepatic biliary drainage (PTBD), thus decreasing morbidity. This clinical vignette describes an 83-year-old man with a history of gangrenous cholecystitis requiring cholecystectomy, partial gastrectomy, and Roux-en-Y gastrojejunostomy who presented to an outside hospital with abdominal pain and fever and found to have cholangitis and choledocholithiasis. He underwent two endoscopic retrograde cholangiopancreatography (ERCP) procedures at an outside hospital which were unsuccessful due to an inaccessible major papilla in the setting of the patient’s surgically altered anatomy. On arrival to Wake Forest, the patient underwent EUS-HG with successful biliary drainage and resolution of cholangitis. He returned for ERCP three months later with balloon sphincteroplasty, cholangioscopy, and electrohydraulic lithotripsy (EHL) performed through the existing metal stent (hepaticogastrostomy), resulting in stone fragmentation and antegrade removal with balloon sweeps. Repeat cholangioscopy post-EHL and balloon sweeps showed complete duct clearance with no residual stones. The hepaticogastrostomy stent was subsequently removed, and the patient recovered without any complications.

scholarly journals Endoscopic ultrasound-guided biliary drainage-current status and future perspectives

2021 ◽  
Vol 13 (12) ◽  
pp. 607-618
Author(s):  
Petko Ivanov Karagyozov ◽  
Ivan Tishkov ◽  
Irina Boeva ◽  
Kiril Draganov
Keyword(s):  
Endoscopic Ultrasound ◽  
Biliary Drainage ◽  
Current Status ◽  
Future Perspectives ◽  
Ultrasound Guided ◽  
Drainage Current

Endoscopic ultrasound-guided antegrade stone removal in a patient with pancreatic stones and anastomotic stricture after end-to-side pancreaticojejunostomy

Pancreatology ◽  
2013 ◽  
Vol 13 (4) ◽  
pp. 452-454 ◽  
Author(s):  
Takeshi Hisa ◽  
Tamaki Momoi ◽  
Takehiro Shimizu ◽  
Masayuki Furutake ◽  
Masato Takamatsu ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Anastomotic Stricture ◽  
Ultrasound Guided ◽  
Pancreatic Stones ◽  
Stone Removal

scholarly journals Current Status of Needles in the Optimization of Endoscopic Ultrasound-Guided Procedures

Diagnostics ◽  
2020 ◽  
Vol 10 (7) ◽  
pp. 463
Author(s):  
Akashi Fujita ◽  
Shomei Ryozawa ◽  
Yuki Tanisaka ◽  
Tomoya Ogawa ◽  
Masahiro Suzuki ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Fine Needle Biopsy ◽  
Needle Aspiration ◽  
Vital Role ◽  
Current Status ◽  
Ultrasound Guided ◽  
Genetic Sequencing ◽  
Fine Needle ◽  
Interventional Eus ◽  
Tissue Acquisition

Endoscopic ultrasound (EUS) is among the most important tools for the evaluation of gastrointestinal tumors and affected areas around the gastrointestinal tract. It enables the acquisition of material from abnormal lesions via the gastrointestinal wall for tissue confirmation via endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). EUS-FNA has played a vital role in oncological care and has become the standard method for tissue sampling. The choice of needle type is an important factor determining tissue acquisition and has been evaluated by many researchers. New needles are introduced into the market almost every year, and opinions vary regarding proper needle selection. While there are diverse opinions but no definitive recommendations about the use of one particular device, fine-needle biopsy needles may provide detailed information on a tissue’s architecture based on greater sample yields. This permits additional analyses, including genetic sequencing and phenotyping, thereby enabling the provision of more personalized treatment plans. Furthermore, other EUS-guided procedures have been developed, including interventional EUS and through-the-needle devices. Given the continued attempts to improve the diagnostic ability and therapeutic techniques, we review in detail the available types of puncture needles to provide guidance on the selection of the appropriate needle types.

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