Endoscopic ultrasound–guided luminal remodeling as a novel technique to restore gastroduodenal continuity

Pyloric exclusion is a method of treatment for duodenal injury. Surgery is usually needed to restore digestive continuity in due time, yet a new surgical procedure can be challenging due to fibrotic adhesion development. We present here a retrospective case series of three patients with pyloric exclusion who underwent endoscopic ultrasound–guided duodenal repermeabilization using metallic stents. All procedures were successful with no complication and allowed regular feeding. This case series shows that endoscopic ultrasound–guided recanalization is a feasible and safe procedure.

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Endoscopic Ultrasound-Guided Angiotherapy for Gastric Varices—A Small Retrospective Study

Journal of Digestive Endoscopy ◽

10.1055/s-0040-1717823 ◽

2020 ◽

Vol 11 (03) ◽

pp. 201-204

Author(s):

Kapil Sharma ◽

Mamta Sharma ◽

Sanchit Singh

Keyword(s):

Endoscopic Ultrasound ◽

Case Series ◽

Gastric Varices ◽

Secondary Prophylaxis ◽

Limited Data ◽

Technical Success ◽

Ultrasound Guided ◽

Retrospective Case ◽

Technical Success Rate ◽

Complete Obliteration

Abstract Introduction Conventional n-butyl-cyanoacrylate (CYA) recommended for secondary prophylaxis of gastric varices (GV) is associated with significant rebleeding and glue embolism. Limited data are available on more successful and less risky endoscopic ultrasound-guided coils and CYA (EUS-Coils-CYA) injection in GV. Methods We present a retrospective case series of 12 patients with GV bleeding managed successfully with EUS-Coils-CYA injection leading to variceal eradication in 11 patients. Results From January 2018 to June 2019, 12 cases of GV, which were either bleeding or bled recently, were included. Complete obliteration was achieved in 91.6% of patients with 100% technical success. Mean number of deployed coils and volume of injected CYA glue were 1.16 and 1.58 mL, respectively. Conclusions EUS-guided angiotherapy is an effective and safe intervention for managing GV bleeding with high technical success rate.

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Ultrasound Guided Alcohol Ablation of Morton's Neuroma

Foot & Ankle International ◽

10.3113/fai.2012.0196 ◽

2012 ◽

Vol 33 (3) ◽

pp. 196-201 ◽

Cited By ~ 27

Author(s):

Rachel E. Musson ◽

Jasdev S. Sawhney ◽

Leslie Lamb ◽

Antony Wilkinson ◽

Haron Obaid

Keyword(s):

Case Series ◽

Visual Analogue Score ◽

Safe Procedure ◽

Ultrasound Guided ◽

Morton’S Neuroma ◽

Retrospective Case ◽

Level Of Evidence ◽

Alcohol Injection ◽

Alcohol Ablation ◽

Morton's Neuroma

Background: Morton's neuroma is a common cause of metatarsalgia. This study evaluated the efficacy of ultrasound guided alcohol injection as a treatment for this condition. Method: Data from 87 treatment courses were included in this study with a mean follow of 14.3 months. Results: Technical success was 100%. One patient developed symptoms consistent with an allergic reaction to the injection and one patient declined further injection because of periprocedural pain. Partial or total treatment response was achieved in 66%, with 32% of patients having complete resolution of pain. The median visual analogue score (VAS) decreased from 8 pre-procedure to 4 post-procedure ( p < 0.0001). Procedural success was greater in patients under 55 years old and in those with solitary neuromas. Seventeen patients (20%) went on to have surgery due to continuing pain. Conclusion: Ultrasound guided alcohol ablation for the treatment of Morton's neuroma was a safe procedure that significantly reduced pain and may offer an alternative therapy to surgery. Level of Evidence: IV; Retrospective Case Series

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ENDOSCOPIC ULTRASOUND GUIDED GASTROENTERIC ANASTOMOSES IN FIVE PATIENTS WITH UPPER GASTROINTESTINAL MALIGNANCIES – A RETROSPECTIVE CASE SERIES

10.1055/s-0040-1705003 ◽

2020 ◽

Author(s):

A Bartholdy ◽

PN Schmidt ◽

E Feldager ◽

S Novovic ◽

JG Karstensen

Keyword(s):

Endoscopic Ultrasound ◽

Case Series ◽

Ultrasound Guided ◽

Retrospective Case ◽

Gastrointestinal Malignancies ◽

Retrospective Case Series ◽

Upper Gastrointestinal

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Endoscopic Ultrasound-Guided Radiofrequency Ablation of the Pancreatic Tumors: A Promising Tool in Management of Pancreatic Tumors

Canadian Journal of Gastroenterology and Hepatology ◽

10.1155/2016/4189358 ◽

2016 ◽

Vol 2016 ◽

pp. 1-5 ◽

Cited By ~ 7

Author(s):

Kinesh Changela ◽

Rashmee Patil ◽

Sushil Duddempudi ◽

Vinaya Gaduputi

Keyword(s):

Radiofrequency Ablation ◽

Endoscopic Ultrasound ◽

Pancreatic Neoplasms ◽

Pancreatic Neoplasm ◽

Case Series ◽

Human Case ◽

Pancreatic Tumors ◽

Ultrasound Guided ◽

Technical Success Rate ◽

Novel Technique

Objective. Radiofrequency ablation is a well-established antitumor treatment and is recognized as one of the least invasive therapeutic modalities for pancreatic neoplasm. Endoscopic ultrasound-guided radiofrequency ablation (EUS-RFA) delivery can be used to treat both pancreatic cancer and asymptomatic premalignant pancreatic neoplasms and may serve as a less invasive alternative to surgical resection. This is an appealing option that may result in less morbidity and mortality. The aim of this review was to summarize and evaluate the clinical and technical effectiveness of EUS-guided RFA of pancreatic neoplasms.Methods. A through literature review was performed to identify the studies describing this novel technique. In this review article, we have summarized human case series. The indications, techniques, limitations, and complications reported are discussed.Results. A total of six studies were included. Overall, a 100% technical success rate was reported in human studies. Complications related to endoscopic ultrasound-guided radiofrequency ablation delivery have been described; however, few cases have presented life-threatening outcomes.Conclusion. We believe that this novel technique can be a safe and effective alternative approach in the management of selected patients.

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Endoscopic Ultrasound Guided Rendezvous Drainage of Biliary Obstruction Using a New Flexible 19-Gauge Fine Needle Aspiration Needle

Diagnostic and Therapeutic Endoscopy ◽

10.1155/2016/3125962 ◽

2016 ◽

Vol 2016 ◽

pp. 1-6 ◽

Cited By ~ 2

Author(s):

Zhouwen Tang ◽

Efehi Igbinomwanhia ◽

Sherif Elhanafi ◽

Mohamed O. Othman

Keyword(s):

Success Rate ◽

Endoscopic Ultrasound ◽

Biliary Drainage ◽

Biliary Obstruction ◽

Guide Wire ◽

Case Series ◽

Ultrasound Guided ◽

Retrospective Case ◽

Technical Success Rate ◽

Significant Difference

Background and Aim. A successful endoscopic ultrasound guided rendezvous (EUS-RV) biliary drainage is dependent on accurate puncture of the bile duct and precise guide wire manipulation across the ampulla of Vater. We aim to study the feasibility of using a flexible 19-gauge fine aspiration needle in the performance of EUS-RV biliary drainage. Method. This is a retrospective case series of EUS-RV biliary drainage procedures at a single center. Patients who failed ERCP during the same session for benign or malignant biliary obstruction underwent EUS-RV using a flexible, nitinol covered, 19-gauge needle for biliary access and guide wire manipulation. Result. 24 patients underwent EUS-RV biliary drainage via extrahepatic access while 1 attempt was via intrahepatic access. The technical success rate was 80%, including 83.3% of cases via extrahepatic access. There was no significant difference in success rate of inpatient and outpatient procedures, benign or malignant indications, or type of guide wire used. Adverse events included mild pancreatitis (3 patients) and cholangitis (1 patient). Conclusion. A flexible 19-gauge needle for biliary access can be safe and effective when used to perform EUS-RV biliary drainage. Direct comparison between the nitinol needle and conventional metal needles in the performance of EUS guided biliary drainage is needed.

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