Endoscopic Ultrasound最新文献

{"title":"EUS in hepatology: Yet to find appropriate indications and patients.","authors":"Aditya Kale, Akash Shukla","doi":"10.4103/EUS-D-22-00184","DOIUrl":"10.4103/EUS-D-22-00184","url":null,"abstract":"","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"307-308"},"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/ff/ee/EUS-12-307.PMC10237599.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9558100","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 penetrating foreign body mimicking pancreatic cancer (with videos).","authors":"Maria Cristina Conti Bellocchi, Antonio Amodio, Laura Bernardoni, Armando Gabbrielli, Stefano Francesco Crinò","doi":"10.4103/EUS-D-22-00070","DOIUrl":"https://doi.org/10.4103/EUS-D-22-00070","url":null,"abstract":"","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"286-287"},"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/18/b6/EUS-12-286.PMC10237593.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9557160","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-FNA of pancreatic cystic lesions: Should the endoscopic ultrasonographer learn to process the sample in the room?","authors":"María Teresa Álvarez-Nava Torrego, Jose Díaz Tasende, Ana Pérez Campos, Mercedes Pérez Carreras","doi":"10.4103/EUS-D-22-00100","DOIUrl":"10.4103/EUS-D-22-00100","url":null,"abstract":"","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"309-310"},"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/a5/c2/EUS-12-309.PMC10237594.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9558101","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":"Risk factors for stent dysfunction during long-term follow-up after EUS-guided biliary drainage using lumen-apposing metal stents: A prospective study.","authors":"Sophie Geyl,&nbsp;Benjamin Redelsperger,&nbsp;Clara Yzet,&nbsp;Bertrand Napoleon,&nbsp;Romain Legros,&nbsp;Martin Dahan,&nbsp;Hugo Lepetit,&nbsp;Claire Ginestet,&nbsp;Jérémie Jacques,&nbsp;Jérémie Albouys","doi":"10.4103/EUS-D-22-00120","DOIUrl":"10.4103/EUS-D-22-00120","url":null,"abstract":"<p><strong>Background: </strong>EUS-guided choledoco-duodenostomy using electrocautery-enhanced lumen-apposing metal stents (ECE-LAMS) is becoming the gold standard in case of endoscopic retrograde cholangio-pancreatography failure for distal malignant obstruction. Long-term data in larger samples are lacking.</p><p><strong>Methods: </strong>This was a prospective monocentric study including all patients who underwent EUS-guided choledochoduodenostomy (CDS) between September 2016 and December 2021. The primary endpoint was the rate of biliary obstruction during follow-up. Secondary endpoints were technical and clinical success rates, adverse event rates, and identification of risk factors for biliary obstruction.</p><p><strong>Results: </strong>One hundred and twenty-three EUS-guided CDS using ECE-LAMS were performed at Limoges University Hospital were performed during the study period and included in the study. The main cause of obstruction was pancreatic adenocarcinoma in 91 (74.5%) cases. The technical and clinical success rates were 97.5% and 91%, respectively. Twenty patients (16.3%) suffered from biliary obstructions during a mean follow-up of 242 days. The clinical success rate for endoscopic desobstruction was 80% (16/20). In uni- and multivariate analyses, only the presence of a duodenal stent (odds ratio [OR]: 3.6, 95% confidence interval [CI] 95%: 1.2-10.2; P = 0.018) and a bile duct thinner than 15 mm (OR: 3.9, CI 95%: 1.3-11.7; P = 0.015) were the significant risk factors for biliary obstruction during the follow-up.</p><p><strong>Conclusion: </strong>Obstruction of LAMS occurred in 16.3% of cases during follow-up and endoscopic desobstruction is efficacious in 80% of cases. The presence of duodenal stent and a bile duct thinner than 15 mm are the risk factors of obstruction. Except in these situation, EUS-CDS with ECE-LAMS could be proposed in the first intent in case of distal malignant obstruction.</p>","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"237-244"},"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/63/5f/EUS-12-237.PMC10237614.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9571445","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 pancreatic acinar cell carcinoma presenting a submucosal tumor.","authors":"Ryo Sugiura,&nbsp;Hidetoshi Kagaya,&nbsp;Hideaki Nakamura,&nbsp;Shoichi Horita,&nbsp;Takashi Meguro,&nbsp;Kiyotaka Sasaki,&nbsp;Tatsuya Yoshida,&nbsp;Hironori Aoki,&nbsp;Masaki Kuwatani,&nbsp;Masayuki Fukushima,&nbsp;Takayuki Morita,&nbsp;Miyoshi Fujita,&nbsp;Keisuke Okamura,&nbsp;Eiji Tamoto,&nbsp;Takashi Ueno,&nbsp;Akio Tsutaho,&nbsp;Ayano Inoue,&nbsp;Toshiyuki Takahashi","doi":"10.4103/EUS-D-22-00078","DOIUrl":"10.4103/EUS-D-22-00078","url":null,"abstract":"","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"300-302"},"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/57/a2/EUS-12-300.PMC10237617.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9558097","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 pancreatic ductal adenocarcinoma with ossification mimicking a pancreatic stone impaction.","authors":"Ryo Sugiura,&nbsp;Kiyotaka Sasaki,&nbsp;Hideaki Nakamura,&nbsp;Shoichi Horita,&nbsp;Takashi Meguro,&nbsp;Hidetoshi Kagaya,&nbsp;Tatsuya Yoshida,&nbsp;Hironori Aoki,&nbsp;Takayuki Morita,&nbsp;Miyoshi Fujita,&nbsp;Keisuke Okamura,&nbsp;Eiji Tamoto,&nbsp;Masayuki Fukushima,&nbsp;Takashi Ueno,&nbsp;Akio Tsutaho,&nbsp;Ayano Inoue,&nbsp;Toshiyuki Takahashi","doi":"10.4103/EUS-D-22-00008","DOIUrl":"https://doi.org/10.4103/EUS-D-22-00008","url":null,"abstract":"","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"290-291"},"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/0e/3d/EUS-12-290.PMC10237595.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9563848","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":"Elective symptomatic gallbladder stone treatment by EUS (with video).","authors":"Benedetto Mangiavillano,&nbsp;Francesco Auriemma,&nbsp;Danilo Paduano,&nbsp;Laura Lamonaca,&nbsp;Alessandro Repici","doi":"10.4103/EUS-D-22-00002","DOIUrl":"https://doi.org/10.4103/EUS-D-22-00002","url":null,"abstract":"An 83-year-old woman with Alzheimer’s disease and hypertension was addressed to our evaluation because of symptomatic GB stones. A computed tomography scan revealed the presence of multiple stones <1 cm into the GB in the absence of dilation and stones into the common bile duct. The case was discussed during our multidisciplinary meeting, and an EUS plus EC-LAMS with 2-month removal was proposed. We performed a freehand cholecystogastrostomy (CGS) under EUS guidance from the anterior wall of the gastric antrum with a 10 mm × 20 mm Hot-SpaxusTM (Taewoong Medical Figure 1. Proximal flange of the 10 mm × 20 mm EC‐LAMS opened inside the stomach. EC‐LAMS: Electrocautery‐enhanced lumen‐apposing metal stent Images and Videos","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"277-278"},"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/47/5b/EUS-12-277.PMC10237598.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9557155","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 <i>versus</i> percutaneous liver biopsy: A comprehensive review and meta-analysis of outcomes.","authors":"Saurabh Chandan,&nbsp;Smit Deliwala,&nbsp;Shahab R Khan,&nbsp;Babu P Mohan,&nbsp;Banreet S Dhindsa,&nbsp;Jay Bapaye,&nbsp;Hemant Goyal,&nbsp;Lena L Kassab,&nbsp;Faisal Kamal,&nbsp;Harlan R Sayles,&nbsp;Gursimran S Kochhar,&nbsp;Douglas G Adler","doi":"10.4103/EUS-D-21-00268","DOIUrl":"https://doi.org/10.4103/EUS-D-21-00268","url":null,"abstract":"<p><p>EUS-guided liver biopsy (EUS-LB) has gained momentum in recent years, especially with availability of newer needle designs. Given the emerging comparative data on EUS-LB with second-generation needles and percutaneous LB (PC-LB), we conducted a systematic review and meta-analysis to compare the safety and efficacy of the two techniques. We searched multiple databases from inception through November 2021 to identify studies comparing outcomes of EUS-LB and PC-LB. Pooled estimates were calculated using a random-effects model, and the results were expressed in terms of pooled proportions and odds ratio (OR) along with relevant 95% confidence intervals (CIs). Five studies with 748 patients were included in the final analysis. EUS-LB was performed in 276 patients and PC-LB in 472 patients. Across all studies, PC-LB had an overall higher diagnostic accuracy than EUS-LB, 98.6% confidence interval (CI: 94.7-99.7) versus 88.3% (49.6-98.3), OR: 1.65, P = 0.04. On assessing data from randomized controlled trials, there was no difference between the two. While pooled diagnostic adequacy and overall adverse events were not significantly different between PC-LB and EUS-LB, the former was superior in terms of the mean number of complete portal tracts (CPT) and total specimen length. PC-LB and EUS-LB produce similar results. PC-LB allows obtaining longer samples and more CPT. Further studies are needed to see if these trends hold up as more providers begin to perform EUS-LB.</p>","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"171-180"},"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/c2/55/EUS-12-171.PMC10237604.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10298075","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":"Gel immersion EUS-guided drainage for walled-off necrosis with poor visibility using a lumen-apposing metal stent (with video).","authors":"Takeshi Ogura,&nbsp;Atsushi Okuda,&nbsp;Nobu Nishioka,&nbsp;Masanori Yamada,&nbsp;Kazuhide Higuchi","doi":"10.4103/EUS-D-21-00255","DOIUrl":"https://doi.org/10.4103/EUS-D-21-00255","url":null,"abstract":"drainage is widely performed for walled‑off necrosis (WON). Currently, the lumen‑apposing metal stent (LAMS) plays an important role as an effective drainage device for this condition. [1] However, LAMS deployment may be challenging if the visibility of a pancreatic pseudocyst is poor on EUS imaging due to debris or necrotic tissue, because the distal flange of the LAMS may not be sufficiently open. To obtain technical success","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"296-297"},"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/b5/ff/EUS-12-296.PMC10237592.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9566190","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 pilot study of Spring Stopper Stents: Novel partially covered self-expandable metallic stents with anti-migration properties for EUS-guided hepaticogastrostomy.","authors":"Shigeto Ishii,&nbsp;Hiroyuki Isayama,&nbsp;Naoki Sasahira,&nbsp;Saburo Matsubara,&nbsp;Yousuke Nakai,&nbsp;Toshio Fujisawa,&nbsp;Ko Tomishima,&nbsp;Takashi Sasaki,&nbsp;Kazunaga Ishigaki,&nbsp;Hirofumi Kogure,&nbsp;Takeshi Okamoto,&nbsp;Takeshi Otsuka,&nbsp;Yusuke Takasaki,&nbsp;Akinori Suzuki","doi":"10.4103/EUS-D-22-00104","DOIUrl":"10.4103/EUS-D-22-00104","url":null,"abstract":"<p><strong>Background and objectives: </strong>EUS-guided hepaticogastrostomy (EUS-HGS) is an effective salvage procedure when conventional endoscopic transpapillary biliary drainage is difficult or fails. However, the risk of stent migration into the abdominal cavity has not been resolved completely. In this study, we evaluated a newly developed partially covered self-expandable metallic stent (PC-SEMS) that has a spring-like anchoring function on the gastric side.</p><p><strong>Methods: </strong>This retrospective pilot study took place at four referral centers in Japan between October 2019 and November 2020. We enrolled 37 cases consecutively who underwent EUS-HGS for unresectable malignant biliary obstruction.</p><p><strong>Results: </strong>The rates of technical and clinical success were 97.3% and 89.2%, respectively. Technical failures included one case in which the stent was dislocated during the removal of the delivery system, requiring additional EUS-HGS on another branch. Early adverse events (AEs) were observed in four patients (10.8%): two with mild peritonitis (5.4%) and one each (2.7%) with fever and bleeding. No late AEs were observed during the mean follow-up period of 5.1 months. All recurrent biliary obstructions (RBOs) were stent occlusions (29.7%). The median cumulative time to RBO was 7.1 months (95% confidence interval, 4.3 to not available). Although stent migration in which the stopper was in contact with the gastric wall on follow-up computed tomography was observed in six patients (16.2%), no migration was observed.</p><p><strong>Conclusions: </strong>The newly developed PC-SEMS is feasible and safe for the EUS-HGS procedure. The spring-like anchoring function on the gastric side is an effective anchor preventing migration.</p>","PeriodicalId":11577,"journal":{"name":"Endoscopic Ultrasound","volume":"12 2","pages":"266-272"},"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/0f/d5/EUS-12-266.PMC10237616.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9575492","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}