Endoscopic Ultrasound最新文献

{"title":"Pancreatic duct imaging during aging.","authors":"Kathleen Möller,&nbsp;Christian Jenssen,&nbsp;André Ignee,&nbsp;Michael Hocke,&nbsp;Siegbert Faiss,&nbsp;Julio Iglesias-Garcia,&nbsp;Siyu Sun,&nbsp;Yi Dong,&nbsp;Christoph F Dietrich","doi":"10.4103/EUS-D-22-00119","DOIUrl":"10.4103/EUS-D-22-00119","url":null,"abstract":"<p><p>As part of the aging process, fibrotic changes, fatty infiltration, and parenchymal atrophy develop in the pancreas. The pancreatic duct also becomes wider with age. This article provides an overview of the diameter of the pancreatic duct in different age groups and different examination methods. Knowledge of these data is useful to avoid misinterpretations regarding the differential diagnosis of chronic pancreatitis, obstructive tumors, and intraductal papillary mucinous neoplasia (IPMN).</p>","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"200-212"},"PeriodicalIF":4.5,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e6/c3/EUS-12-200.PMC10237600.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9575493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EUS in the diagnosis of peripancreatic Castleman disease: A case report (with video).","authors":"Ziying Han,&nbsp;Xianlin Han,&nbsp;Yuan Li,&nbsp;Yunlu Feng,&nbsp;Shengyu Zhang,&nbsp;Aiming Yang","doi":"10.4103/EUS-D-22-00057","DOIUrl":"https://doi.org/10.4103/EUS-D-22-00057","url":null,"abstract":"","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"281-283"},"PeriodicalIF":4.5,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e1/1d/EUS-12-281.PMC10237606.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9623343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pancreatic changes with lifestyle and age: What is normal and what is concerning?","authors":"Kathleen Möller,&nbsp;Christian Jenssen,&nbsp;Barbara Braden,&nbsp;Michael Hocke,&nbsp;Stephan Hollerbach,&nbsp;André Ignee,&nbsp;Siegbert Faiss,&nbsp;Julio Iglesias-Garcia,&nbsp;Siyu Sun,&nbsp;Yi Dong,&nbsp;Siliva Carrara,&nbsp;Christoph F Dietrich","doi":"10.4103/EUS-D-22-00162","DOIUrl":"10.4103/EUS-D-22-00162","url":null,"abstract":"<p><p>During the aging process, typical morphological changes occur in the pancreas, which leads to a specific \"patchy lobular fibrosis in the elderly.\" The aging process in the pancreas is associated with changes in volume, dimensions, contour, and increasing intrapancreatic fat deposition. Typical changes are seen in ultrasonography, computed tomography, endosonography, and magnetic resonance imaging. Typical age-related changes must be distinguished from lifestyle-related changes. Obesity, high body mass index, and metabolic syndrome also lead to fatty infiltration of the pancreas. In the present article, age-related changes in morphology and imaging are discussed. Particular attention is given to the sonographic verification of fatty infiltration of the pancreas. Ultrasonography is a widely used screening examination method. It is important to acknowledge the features of the normal aging processes and not to interpret them as pathological findings. Reference is made to the uneven fatty infiltration of the pancreas. The differential diagnostic and the differentiation from other processes and diseases leading to fatty infiltration of the pancreas are discussed.</p>","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"213-227"},"PeriodicalIF":4.5,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c4/85/EUS-12-213.PMC10237602.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9575489","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"EUS-guided transluminal drainage for a huge perihepatic biloma covering the right hepatic lobe (with video).","authors":"Keisuke Yonamine,&nbsp;Shinsuke Koshita,&nbsp;Yoshiide Kanno,&nbsp;Takahisa Ogawa,&nbsp;Kei Ito","doi":"10.4103/EUS-D-22-00061","DOIUrl":"https://doi.org/10.4103/EUS-D-22-00061","url":null,"abstract":"","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"284-285"},"PeriodicalIF":4.5,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5e/65/EUS-12-284.PMC10237607.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9557159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Objective evaluation of the resistance forces of 22-gauge EUS-FNA and fine-needle biopsy needles.","authors":"Yukitoshi Matsunami,&nbsp;Takao Itoi,&nbsp;Takayoshi Tsuchiya,&nbsp;Kentaro Ishii,&nbsp;Reina Tanaka,&nbsp;Ryosuke Tonozuka,&nbsp;Shuntaro Mukai,&nbsp;Kazumasa Nagai,&nbsp;Kenjiro Yamamoto,&nbsp;Yasutsugu Asai,&nbsp;Takashi Kurosawa,&nbsp;Hiroyuki Kojima,&nbsp;Hirohito Minami,&nbsp;Toshihiro Homma,&nbsp;Eri Joyama,&nbsp;Atsushi Sofuni","doi":"10.4103/EUS-D-22-00059","DOIUrl":"10.4103/EUS-D-22-00059","url":null,"abstract":"<p><strong>Background and objectives: </strong>EUS-guided tissue acquisition is routinely performed for the diagnosis of gastrointestinal tract and adjacent organ lesions. Recently, various types of needles have been developed. However, how the shape of the needle tip and echoendoscope tip angle affect puncturability, has not been clarified. The aim of this experimental study was to compare the puncturability of several 22-gauge EUS-FNA and EUS-guided fine-needle biopsy (EUS-FNB) needles, and to evaluate the effects of the needle tip shape and echoendoscope tip angle on tissue puncturability.</p><p><strong>Materials and methods: </strong>The following six major FNA and FNB needles were evaluated: SonoTip^® ProControl, EZ Shot 3 Plus, Expect^™ Standard Handle, SonoTip^® TopGain, Acquire^™, and SharkCore^™. The mean maximum resistance force against needle advancement was evaluated and compared under several conditions using an echoendoscope.</p><p><strong>Results: </strong>The mean maximum resistance force of the needle alone was higher for the FNB needles than for the FNA needles. The mean maximum resistance force of the needle in the echoendoscope with free angle demonstrated that the resistance forces were between 2.10 and 2.34 Newton (N). The mean maximum resistance force increased upon increases in angle of the tip of echoendoscope, particularly in the FNA needles. Among the FNB needles, SharkCore^™ had the lowest resistance force (2.23 N). The mean maximum resistance force of the needle alone, the needle in the echoendoscope with free angle, and the needle in the echoendoscope with full-up angle for SonoTip^® TopGain were all similar to that of Acquire^™.</p><p><strong>Conclusion: </strong>SonoTip^® TopGain had similar puncturability to Acquire^™ in all tested situations. Regarding the puncturability, SharkCore^™ is most suitable for insertion into target lesions, when tight echoendoscope tip angle is necessary.</p>","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"251-258"},"PeriodicalIF":4.5,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9a/83/EUS-12-251.PMC10237597.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9558093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Diagnostic value of EUS-guided SF6 pancreatography for pancreatic cystic lesions on cyst communication with the pancreatic duct.","authors":"Huikai Li,&nbsp;Xiuxue Feng,&nbsp;Fei Gao,&nbsp;Qianqian Chen,&nbsp;Enqiang Linghu","doi":"10.4103/EUS-D-22-00064","DOIUrl":"10.4103/EUS-D-22-00064","url":null,"abstract":"<p><strong>Background and objectives: </strong>ERCP remains the reliable method to determine whether pancreatic cystic lesions (PCLs) and pancreatic duct communicate when other modalities (computed tomography, magnetic resonance imaging, and EUS) fail. However, complications after ERCP are still a risk that should not be ignored. In this study, we evaluated the value of EUS-guided SF6 pancreatography (ESP) for the diagnosis of PCLs focusing on pancreatic cyst communication with the pancreatic duct.</p><p><strong>Patients and methods: </strong>We reviewed the database of medical records to retrieve the clinicopathological data of the patients with PCLs who had undergone ESP, and analyzed the diagnostic value of ESP to determine communication between the cyst and the pancreatic duct. The inclusion criteria were as follows: (1) PCLs were pathologically diagnosed by postsurgery specimen or through-the-needle biopsy and (2) ESP was performed to determine communication between the pancreatic cyst and the pancreatic duct.</p><p><strong>Results: </strong>Pathological diagnosis confirmed communication with the pancreatic duct in all eight patients with positive pancreatography, among whom seven were branch-duct-intraductal papillary mucinous neoplasm (BD-IPMN) and one was the main duct-IPMN. Pathological diagnosis confirmed noncommunication with the pancreatic duct in 20 of the 21 patients with negative pancreatography, among whom 11 were mucinous cystic neoplasm, 7 were serous cystic neoplasm, 1 was solid pseudopapillary neoplasm, 1 was pancreatic pseudocyst, and 1 was BD-IPMN. The accuracy, sensitivity, specificity, positive predictive value, and negative predictive value of ESP to determine communication between the pancreatic cyst and the pancreatic duct were 96.6% (28/29), 88.9% (8/9), 100% (20/20), 100% (8/8), and 95.2% (20/21), respectively.</p><p><strong>Conclusions: </strong>ESP achieved high accuracy to determine communication between the pancreatic cyst and the pancreatic duct.</p>","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"245-250"},"PeriodicalIF":4.5,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/88/82/EUS-12-245.PMC10237612.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9558094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Efficacy and safety of EUS-guided biliary drainage for benign biliary obstruction - A systematic review and meta-analysis.","authors":"Faisal Kamal,&nbsp;Muhammad Ali Khan,&nbsp;Wade Lee-Smith,&nbsp;Sachit Sharma,&nbsp;Ashu Acharya,&nbsp;Umer Farooq,&nbsp;Zahid Ijaz Tarar,&nbsp;Alec E Faggen,&nbsp;Muhammad Aziz,&nbsp;Saurabh Chandan,&nbsp;Zohaib Ahmed,&nbsp;Abdul Kouanda,&nbsp;Sun-Chuan Dai,&nbsp;Craig A Munroe,&nbsp;Douglas G Adler","doi":"10.4103/EUS-D-22-00077","DOIUrl":"10.4103/EUS-D-22-00077","url":null,"abstract":"<p><strong>Background and objectives: </strong>ERCP is the first line of treatment for benign and malignant biliary obstruction and EUS-guided biliary drainage (EUS-BD) is usually used for patients who have failed ERCP. Recently, several studies have evaluated the role of EUS-BD in the management of benign biliary obstruction. This meta-analysis evaluates the efficacy and safety of EUS-BD in the management of benign biliary obstruction.</p><p><strong>Methods: </strong>We reviewed several databases from inception to July 8, 2022, to identify studies evaluating the efficacy and safety of EUS-BD in the management of benign biliary obstruction. Our outcomes of interest were technical success, clinical success, and adverse events. Pooled rates with 95% confidence intervals (CIs) for all outcomes were calculated using a random effects model. Subgroup analyses were performed including patients with normal anatomy versus surgically altered anatomy (SAA). Heterogeneity was assessed by I² statistic.</p><p><strong>Results: </strong>We included 14 studies with 329 patients. The pooled rate (95% CI) of technical success was 88% (83%, 92%). The pooled rate (95% CI) of technical success for patients with SAA and normal anatomy was 92% (85%, 96%) and 83% (75%, 89%), respectively. The pooled rates (95% CI) of clinical success and adverse events were 89% (83%, 93%) and 19% (13%, 26%), respectively. We found low heterogeneity in most of the analyses.</p><p><strong>Conclusions: </strong>EUS-BD is an effective and safe option in patients with benign biliary obstruction and should be considered after a failed attempt at ERCP or when ERCP is not technically possible.</p>","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"228-236"},"PeriodicalIF":4.5,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6a/21/EUS-12-228.PMC10237615.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9561761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A rare case of intra-pancreatic cystic lesion (with video).","authors":"Jun Li,&nbsp;Ming Shen,&nbsp;Feng Liu","doi":"10.4103/EUS-D-21-00277","DOIUrl":"https://doi.org/10.4103/EUS-D-21-00277","url":null,"abstract":"","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"294-295"},"PeriodicalIF":4.5,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/96/47/EUS-12-294.PMC10237603.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9563846","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Secondary sclerosing cholangitis and IgG4-sclerosing cholangitis - A review of cholangiographic and ultrasound imaging.","authors":"Kathleen Möller,&nbsp;Barbara Braden,&nbsp;Emma L Culver,&nbsp;Christian Jenssen,&nbsp;Ehsan Safai Zadeh,&nbsp;Amjad Alhyari,&nbsp;Christian Görg,&nbsp;André Ignee,&nbsp;Michael Hocke,&nbsp;Yi Dong,&nbsp;Siyu Sun,&nbsp;Siegbert Faiss,&nbsp;Christoph F Dietrich","doi":"10.4103/EUS-D-22-00208","DOIUrl":"10.4103/EUS-D-22-00208","url":null,"abstract":"<p><p>Sclerosing cholangitis (SC) represents a spectrum of chronic progressive cholestatic diseases of the intrahepatic and/or extrahepatic biliary system characterized by patchy inflammation, fibrosis, and stricturing. Primary and secondary SC must be distinguished given the different treatment modalities, risks of malignancy, and progression to portal hypertension, cirrhosis, and hepatic failure. This review focuses on secondary SC and the pathogenic mechanisms, risk factors, clinical presentation, and novel imaging modalities that help to distinguish between these conditions. We explore the detailed use of cholangiography and ultrasound imaging techniques.</p>","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"181-199"},"PeriodicalIF":4.5,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4b/f0/EUS-12-181.PMC10237613.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9570170","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Very late distant retroperitoneal metastasis of breast cancer diagnosed using EUS-guided tissue acquisition.","authors":"Hisakazu Matsumoto,&nbsp;Kosuke Minaga,&nbsp;Shogo Nakano,&nbsp;Yoshito Uenoyama","doi":"10.4103/EUS-D-22-00050","DOIUrl":"https://doi.org/10.4103/EUS-D-22-00050","url":null,"abstract":"A 65‑year‑old female presented with flank and back pain over a 2‑month period. She had a mastectomy for left breast invasive lobular carcinoma (T2N1M0)","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"279-280"},"PeriodicalIF":4.5,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/01/4b/EUS-12-279.PMC10237609.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9557156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}