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Introduction: An 80 yo male was referred for jaundice due to cancer of the pancreatic head resulting in obstruction of the distal common bile duct (CBD). An attempt at ERCP had already been undertaken but failed due to periampullary tumour invasion and ulceration. Informed consent for attempted EUS guided access to the biliary tree was given after [...]
Using a curved linear array echoendoscope, the gastric fundus can be imaged with the transducer positioned in the distal esophagus. Transesophageal access offers an alternative route to treat gastric fundal varices under EUS-guidance without entering the stomach. This anatomical cartoon illustrates transesohageal access to the gastric fundus [...]
This was a 30 year-old Caucasian-American male who had a past medical history that was significant for community acquired pneumonia and migraines. He presented to the clinic with a chief complaint of dysphagia for solids and weight loss. Chest x-rays both of the PA and lateral view were negative and without lymphadenopathy. A CT scan of the thorax [...]
This video aims to demonstrate the EUS-assisted access to a peripancreatic abscess and subsequent drainage into the stomach in addition to the use of hydrogen peroxide to facilitate removal of necrotic debris. A 26 year old female patient presented with LUQ abdominal pain of two months duration. Her past medical history was significant for obesi [...]
Experience with a prototype forward-viewing curvilinear array therapeutic echoendoscope for interventional EUS: a case series. Interventional EUS offers a minimally invasive alternative to traditional surgical and/or radiologic interventions for the treatment of pancreaticobiliary disorders. These procedures are typically performed with oblique [...]
EUS guided probe confocal laser endomicroscopy (abbreviated pCLE) is performed in a feasibility study of three pancreas lesions, including a neuroendocrine tumor, adenocarcinoma and a solid-pseudopapillary neoplasm. 2.5 ml of 10% fluorescein was given intravenously as a contrast agent for pCLE imaging. The confocal probe was passed through a 1 [...]
We report the case of an endoscopic submucosal dissection of a granular type adenoma spreading over eight tenths of the rectum, and sparing a healthy strip of the posterior rectal aspect, in a 75-year-old man, using an electrosurgical endo-knife with a water-jet function, the Flush-knife.. Here we can see through both a direct and retroflex view [...]
A 50 year old man has a past medical history of bilateral congenital glaucoma causing him to be legally blind and metastatic rectal cancer to the liver. The patient's cancer was diagnosed because he had developed rectal obstruction. As a result, he underwent a diverting transverse loop colostomy. The patient had difficulty managing his ostom [...]
Background/ Case: Magnets have previously been shown to be useful in endoscopic foreign body removal, EMR, and also in a NOTES surgical/navigation system. Endoscopic Methods: Thre endoscopic applications are presented that feature the novel use of rare-earth magnets. (1) NOTES magnetic retraction using and external magnet interacting with [...]
The treatment of pancreatic pseudocysts has historically been managed by surgeons; however, endoscopic drainage of pancreatic pseudocysts by expert endoscopists has become an accepted alternative to surgery when an intervention is indicated. Its advantage over percutaneous drainage is the ability to place multiple internal drains with minimal patie [...] |
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