Review
Medicine, General & Internal
Daryl Ramai, Viraaj Pannu, Antonio Facciorusso, Banreet Dhindsa, Joseph Heaton, Andrew Ofosu, Saurabh Chandan, Marcello Maida, Barbara Lattanzi, Eduardo Rodriguez, Vicky H. Bhagat, Jayanta Samanta, Monique T. Barakat
Summary: In recent years, endoscopic-ultrasound-guided liver biopsy (EUS-LB) has emerged as an effective alternative to traditional liver biopsy techniques. Comparative studies have shown that both endoscopic and non-endoscopic approaches have similar diagnostic adequacy, accuracy, and adverse events, but EUS-LB offers the advantage of reduced recovery time. EUS-LB allows sampling of both lobes of the liver and enables portal pressure measurements, but cost-effectiveness may be a concern.
Article
Oncology
Antonio Facciorusso, Daryl Ramai, Maria Cristina Conti Bellocchi, Laura Bernardoni, Erminia Manfrin, Nicola Muscatiello, Stefano Francesco Crino
Summary: This study compared percutaneous and endoscopic ultrasound methods for liver biopsy, with results showing that although percutaneous liver biopsy yielded specimens with greater total sample length, the diagnostic adequacy and accuracy were similar between the two procedures.
Review
Acoustics
Giampiero Francica, Maria Franca Meloni, Laura Riccardi, Francesco Giangregorio, Eugenio Caturelli, Fulvia Terracciano, Ilario de Sio
Summary: This pictorial essay presents the contrast-enhanced ultrasound features of a wide range of vascular complications and injuries of the surrounding abdominal and chest wall occurring after liver interventional procedures, with a special focus on diagnosing complications such as hemorrhage.
JOURNAL OF ULTRASOUND IN MEDICINE
(2021)
Review
Gastroenterology & Hepatology
Shiva Rangwani, Devarshi R. Ardeshna, Khalid Mumtaz, Sean G. Kelly, Samuel Y. Han, Somashekar G. Krishna
Summary: Endoscopic ultrasound guided liver biopsy (EUS-LB) is a minimally-invasive alternative for diagnosing liver parenchymal diseases. Compared to traditional liver biopsy, it has comparable diagnostic yield, better specimen acquisition, and shorter recovery time.
WORLD JOURNAL OF GASTROENTEROLOGY
(2022)
Article
Medicine, General & Internal
Syed Mohammed Taif Rizvi, David Qiu, Patrick Lam, Lisa Hackett, Judie Walton, George A. C. Murrell
Summary: This study aimed to evaluate the effectiveness of a novel technique for managing rotator cuff calcific tendonitis at two years and beyond. The technique involved arthroscopic debridement with localization assistance from a breast biopsy needle under ultrasound guidance. Long-term follow-up showed that this technique significantly improved pain symptoms and preserved rotator cuff integrity.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Medicine, General & Internal
Haoyu Jing, Zhanxiong Yi, Enhui He, Ruifang Xu, Xianquan Shi, Li Li, Li-Ying Sun, Ying Liu, Liang Zhang, Linxue Qian
Summary: This study analyzed risk factors for hemorrhagic complications after ultrasound-guided liver biopsies. Age, number of needle passes, platelet count, prothrombin time, and international normalized ratio were associated with post-procedure bleeding. Age under 18 years, low platelet count, and increased needle passes were identified as independent risk factors for bleeding complications.
INTERNATIONAL JOURNAL OF GENERAL MEDICINE
(2021)
Article
Multidisciplinary Sciences
Nikolaus A. Handke, Dennis C. Koch, Eugen Muschler, Daniel Thomas, Julian A. Luetkens, Ulrike Attenberger, Daniel Kuetting, Claus C. Pieper, Kai Wilhelm
Summary: A retrospective study of 300 patients undergoing percutaneous liver biopsy found that biopsy tract plugging with gelatin sponge slurry is a technically easy and safe procedure that can effectively prevent major bleeding events. Complications associated with gelatin sponge slurry were not observed, indicating its potential as a beneficial intervention following liver biopsy.
SCIENTIFIC REPORTS
(2021)
Article
Radiology, Nuclear Medicine & Medical Imaging
Yarab Al Bulushi, Cinthia Cruz-Romero, Hadiseh Kavandi, Alexander Brook, Olga R. R. Brook
Summary: This study aimed to determine the factors affecting the success of ultrasound-guided biopsy of liver lesions and to build a model for predicting feasibility. The success rate of ultrasound-guided liver lesion biopsy was found to be 86%, and factors affecting feasibility included lesion size, depth, location, and number. A linear logistic regression model incorporating these factors was highly successful in predicting the feasibility of ultrasound-guided biopsy for liver lesions.
ABDOMINAL RADIOLOGY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Jia-Xin Huang, Cai-Gou Shi, Yan-Fen Xu, Juan Fu, Yuan Zhong, Long-Zhong Liu, Xiao-Qing Pei
Summary: CEUS has shown to have a higher success rate for sampling and diagnostic accuracy of liver biopsies compared to US, especially in cases of FLLs >= 5 cm, heterogeneous hypoechoic FLLs, or FLLs with an obscure boundary. CEUS can also reduce the number of punctures needed, potentially increasing the safety of liver biopsy.
EUROPEAN RADIOLOGY
(2022)
Article
Gastroenterology & Hepatology
Yen- Chen, Avijit Chatterjee, Robert Berger, Yonca Kanber, Jonathan Wyse, Eric Lam, Ian Gan, Manon Auger, Sana Kenshil, Jennifer Telford, Fergal Donnellan, James Quinlan, Gregory Lutzak, Fatma Alshamsi, Josee Parent, Kevin Waschke, Adel Alghamdi, Jeffrey Barkun, Peter Metrakos, Prosanto Chaudhury, Myriam Martel, Alastair Dorreen, Kristen Candido, Corey Miller, Viviane Adam, Alan Barkun, George Zogopoulos, Clarence Wong
Summary: In this study, EUS-FNB alone was found to be non-inferior to EUS-FNA+ROSE in the diagnosis of solid pancreatic lesions, with similar diagnostic accuracy for malignancy and excellent histological yield. EUS-FNB alone required fewer needle passes and shorter procedure time compared to EUS-FNA+ROSE, with comparable costs.
Article
Gastroenterology & Hepatology
Wei-Lu Chai, Dan-Lei Lu, Zhong-Xia Sun, Chao Cheng, Zhuang Deng, Xin-Yan Jin, Tong-Long Zhang, Qiong Gao, Yu-Wei Pan, Qi-Yu Zhao, Tian-An Jiang
Summary: This study aimed to determine the annual incidence of major complications following ultrasound-guided percutaneous liver biopsy (PLB) and identify variables associated with an increased risk of major complications. A total of 1857 consecutive cases of PLB were included in the study, and the major complication rate was found to be 0.53%, with a 30-day all-cause mortality rate of 0.27%. Factors associated with the incidence of major complications after PLB included fibrinogen less than 2 g/L, post-biopsy hemoglobin level, obstructive jaundice, application of anticoagulants/antiplatelet medications, and age.
WORLD JOURNAL OF GASTROINTESTINAL SURGERY
(2023)
Article
Radiology, Nuclear Medicine & Medical Imaging
Anton V. Nikolaev, Leon de Jong, Patrik Zamecnik, Vincent Groenhuis, Francoise J. Siepel, Stefano Stramigioli, Hendrik H. G. Hansen, Chris L. de Korte
Summary: In this study, a novel Automated Cone-based Breast Ultrasound Scanning and Biopsy System (ACBUS-BS) was introduced for scanning and biopsy of women's breasts. The system, based on a previously developed ACBUS system, enables MRI-3D ultrasound image fusion imaging. The results demonstrate the feasibility of ACBUS-BS for biopsy of US-visible and US-occult lesions, offering a low-cost alternative to MRI-guided biopsy.
Article
Radiology, Nuclear Medicine & Medical Imaging
Susan John, Wael Shabana, Jean-Paul Salameh, Matthew D. F. McInnes
Summary: The study aimed to assess the complication rate of percutaneous image-guided biopsy of the spleen at a single tertiary care institution. The diagnostic yield was high, and no variables were found to be associated with complication rate.
CANADIAN ASSOCIATION OF RADIOLOGISTS JOURNAL-JOURNAL DE L ASSOCIATION CANADIENNE DES RADIOLOGISTES
(2021)
Article
Gastroenterology & Hepatology
Alyssa Y. Y. Choi, Xiaodong Li, Wenchang Guo, Vishal S. S. Chandan, Jason Samarasena, John G. G. Lee, Kenneth J. J. Chang, Ke-Qin Hu
Summary: This study aims to evaluate if EUS-bx can effectively and safely obtain adequate specimen and accurately predict hepatic fibrosis compared to P-bx. The outcomes of EUS-bx versus P-bx were assessed by success rate, performance, and safety profile. The results showed that EUS-bx can be safely performed and accurately predict liver fibrosis stage.
DIGESTIVE DISEASES AND SCIENCES
(2023)
Article
Public, Environmental & Occupational Health
J. W. Power, J. W. Ryan, B. Hutchinson, D. Brady, M. M. Hannan, K. J. O'Malley, B. D. Murphy, N. Scanlon, N. Soman, C. McGarvey, M. M. McNicholas, C. G. Cronin, J. G. Murray
Summary: TRUS biopsy of the prostate carries an increased risk of post-procedural sepsis. In response to the COVID-19 pandemic, the study institution reduced TRUS biopsy services and switched to transperineal biopsy to eliminate the risk of post-procedural sepsis and maintain a service for prostate cancer diagnosis.
JOURNAL OF HOSPITAL INFECTION
(2022)
Article
Surgery
Wei Jin Wong, Nik Arsyad Nik Muhamad Affendi, Sze Li Siow, Hans Alexander Mahendran, Peng Choong Lau, Shiaw Hooi Ho, Sanjiv Mahadeva
Summary: Per-Oral Endoscopic Myotomy (POEM) is a complex endoscopic technique that can effectively treat Esophageal Achalasia Cardia (EAC). This study compared the complication rates of POEM with the established procedure Laparoscopic Heller's Myotomy with Fundoplication (LHM + F), and found that the complication rates equalized after approximately 25 POEMs.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Article
Gastroenterology & Hepatology
Kee-Huat Chuah, Christopher J. Black, Vincent Tee, Sze-Zee Lim, Wen-Xuan Hian, Nur-Fazimah Sahran, Yeong-Yeh Lee, Sanjiv Mahadeva, Alexander C. Ford
Summary: By comparing IBS patients from the UK and Malaysia, it was found that UK patients were more likely to consume alcohol, had more frequent symptoms such as pain, bloating, and meal-related issues, higher symptom scores, greater limitation of activities, and a higher likelihood of reporting abnormal anxiety. UK patients also had higher levels of perceived stress, gastrointestinal symptom-specific anxiety, and somatoform symptom-reporting.
ALIMENTARY PHARMACOLOGY & THERAPEUTICS
(2023)
Letter
Gastroenterology & Hepatology
Kewin T. H. Siah, Sanjiv Mahadeva
Summary: This article is connected to the papers by Marasco et al. To access these articles, visit the link.
ALIMENTARY PHARMACOLOGY & THERAPEUTICS
(2023)
Letter
Gastroenterology & Hepatology
Kee-Huat Chuah, Sanjiv Mahadeva
ALIMENTARY PHARMACOLOGY & THERAPEUTICS
(2023)
Review
Radiology, Nuclear Medicine & Medical Imaging
Sook Sam Leong, Maisarah Jalalonmuhali, Mohammad Nazri, Kwan Hoong Ng, Anushya Vijayananthan, Ranitha Hisham, Jeannie Hsiu Ding Wong
Summary: This study reviews the use of shear wave elastography (SWE) in assessing renal fibrosis, highlighting the factors that affect its accuracy and reproducibility. The study suggests that two-dimensional SWE with elastogram provides better results in selecting the region of interest in kidneys compared to point SWE. However, SWE is not recommended for overweight or obese patients. Training of operators to ensure consistent transducer forces may also improve SWE reproducibility.
BRITISH JOURNAL OF RADIOLOGY
(2023)
Meeting Abstract
Gastroenterology & Hepatology
G. Pennisi, M. Enea, V. Falco, G. P. Aithal, N. Palaniyappan, Y. Yilmaz, J. Boursier, C. Cassinotto, V. De Ledinghen, W. K. Chan, S. Mahadeva, P. Eddowes, P. Newsome, T. Karlas, J. Wiegand, V. Wai-Sun Wong, J. M. Schattenberg, C. Labenz, W. Kim, M. S. Lee, M. Lupsor-Platon, J. F. L. Cobbold, J. Fan, F. Shen, K. Staufer, M. Trauner, R. Stauber, A. Nakajima, M. Yoneda, E. Bugianesi, R. Younes, S. Gaia, M. Zheng, C. Camma, Q. M. Anstee, F. E. Mozes, M. Pavlides, S. Petta
DIGESTIVE AND LIVER DISEASE
(2023)
Article
Gastroenterology & Hepatology
Kee Huat Chuah, Wen Xuan Hian, Aik Tatt Teoh, Justin Kwan Yeu Ling, Sanjiv Mahadeva
Summary: This study investigated the outcome of routine treatment for disorders of gut-brain interaction (DGBI) in secondary care. It found that after 2 years of treatment, 66.1% of patients reported symptom improvement. Reassurance was associated with better symptom improvement, while patients with an overlap syndrome had a poorer outcome, leading to more healthcare consultations and work absenteeism.
NEUROGASTROENTEROLOGY AND MOTILITY
(2023)
Review
Clinical Neurology
Ai Huey Tan, Kee Huat Chuah, Yuan Ye Beh, Jie Ping Schee, Sanjiv Mahadeva, Shen-Yang Lim
Summary: Patients with Parkinson's disease often experience gastrointestinal symptoms like nausea, bloating, reduced bowel movements, and difficulties with defecation. These symptoms are common but difficult to manage, and objective testing does not always match up with symptoms. Treatment options are limited and evidence is scarce. Upper GI dysfunction can also complicate the pharmacological treatment of motor symptoms in PD. This review discusses the recognition, diagnosis, and management of common GI problems in PD, as well as potential future research.
JOURNAL OF MOVEMENT DISORDERS
(2023)
Editorial Material
Gastroenterology & Hepatology
Sanjiv Mahadeva
Review
Gastroenterology & Hepatology
Khean-Lee Goh, Yeong Yeh Lee, Alex Hwong-Ruey Leow, Raja Affendi Raja Ali, Shiaw Hooi Ho, Sanjiv Mahadeva, Rosaida Hj Mohd Said, Raman Muthukaruppan Chettiar, Hoi Poh Tee
Summary: There are misconceptions in Malaysian clinical practice regarding the appropriate diagnostic method and treatment strategies for Helicobacter pylori infection. To address this, an expert panel of nine key opinion leaders in gastroenterology developed a set of consensus statements relevant to the Malaysian healthcare practice. The panel achieved consensus in three areas of H. pylori infection management: indications for testing, diagnosis, and treatment. They proposed 19 consensus statements, which can serve as a guide for physicians across various healthcare settings in Malaysia.
Editorial Material
Gastroenterology & Hepatology
Kee-Huat Chuah, Christopher J. Black, Vincent Tee, Sze-Zee Lim, Wen-Xuan Hian, Nur-Fazimah Sahran, Yeong-Yeh Lee, Sanjiv Mahadeva, Alexander C. Ford
ALIMENTARY PHARMACOLOGY & THERAPEUTICS
(2023)
Article
Gastroenterology & Hepatology
Johnny T. K. Cheung, Xinrong Zhang, Grace Lai-Hung Wong, Terry Cheuk-Fung Yip, Huapeng Lin, Guanlin Li, Howard Ho-Wai Leung, Jimmy Che-To Lai, Sanjiv Mahadeva, Nik Raihan Nik Mustapha, Xiao-Dong Wang, Wen-Yue Liu, Vincent Wai-Sun Wong, Wah-Kheong Chan, Ming-Hua Zheng
Summary: We developed and validated the MAFLD fibrosis score (MFS) for identifying advanced fibrosis in MAFLD patients. MFS was composed of seven variables and outperformed conventional non-invasive scores in predicting advanced fibrosis.
ALIMENTARY PHARMACOLOGY & THERAPEUTICS
(2023)
Editorial Material
Gastroenterology & Hepatology
Sanjiv Mahadeva
Meeting Abstract
Gastroenterology & Hepatology
Wah Loong Chan, Shi-En Chong, Felicia Chang, Kee Huat Chuah, Nik Raihan Nik Mustapha, Sanjiv Mahadeva, Wah-Kheong Chan
JOURNAL OF HEPATOLOGY
(2023)
Meeting Abstract
Gastroenterology & Hepatology
Wah Loong Chan, Shi-En Chong, Felicia Chang, Kee Huat Chuah, Nik Raihan Nik Mustapha, Sanjiv Mahadeva, Wah-Kheong Chan
JOURNAL OF HEPATOLOGY
(2023)