Article
Surgery
Michiel Hanssens, Elisabeth DHondt, Helena Degroote, Pieter Hindryckx
Summary: This study compares the efficacy and safety of EUS-RV and PTC-RV in achieving biliary cannulation in failed ERCP. The results show that EUS-RV has a comparable success rate and complication risk to PTC-RV. Therefore, EUS-RV can be considered as an alternative salvage technique for biliary cannulation.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2023)
Review
Medicine, General & Internal
Jun Liang Teh, Anthony Yuen Bun Teoh
Summary: Endoscopic ultrasound guided-pancreatic duct drainage (EUS-PDD) is a technically challenging procedure for interventional endoscopists. It is most commonly indicated for patients with main pancreatic duct obstruction who have failed conventional endoscopic retrograde pancreatography (ERP) drainage or have surgically altered anatomy. EUS-PDD can be performed using either the EUS-rendezvous (EUS-RV) or the EUS-transmural drainage (TMD) techniques.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Gastroenterology & Hepatology
Il Sang Shin, Jong Ho Moon, Yun Nah Lee, Jun Ho Myeong, Tae Hoon Lee, Jae Kook Yang, Young Deok Cho, Sang-Heum Park, Marc Giovannini
Summary: This study evaluated the feasibility of a new stent for EUS-HPG and found that it can effectively alleviate malignant biliary obstruction after failed ERCP, reduce procedure-related adverse events, and allow for advanced endoscopic interventions.
GASTROINTESTINAL ENDOSCOPY
(2023)
Article
Medicine, General & Internal
Shin Yagi, Yusuke Kurita, Takamitsu Sato, Sho Hasegawa, Kunihiro Hosono, Noritoshi Kobayashi, Itaru Endo, Yusuke Saigusa, Kensuke Kubota, Atsushi Nakajima
Summary: In endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS), dilation with a fine-gauge balloon catheter before conventional metal stent placement has been found to improve the success rate of the procedure.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Gastroenterology & Hepatology
Alessandro Fugazza, Carlo Fabbri, Roberto Di Mitri, Maria Chiara Petrone, Matteo Colombo, Luigi Cugia, Arnaldo Amato, Edoardo Forti, Cecilia Binda, Marcello Maida, Emanuele Sinagra, Alessandro Repici, Ilaria Tarantino, Andrea Anderloni
Summary: EUS-guided choledochoduodenostomy with a lumen-apposing metal stent is a viable alternative for patients with distal malignant biliary obstruction and failed ERCP, with acceptable rates of adverse events.
GASTROINTESTINAL ENDOSCOPY
(2022)
Review
Gastroenterology & Hepatology
Alexander Podboy, Jacky Yuan, Christopher Donald Stave, Shannon Melissa Chan, Joo Ha Hwang, Anthony Yuen Bun Teoh
Summary: This study compared the efficacy of PT-GBD, ETP-GBD, and EUS-GBD in patients with acute cholecystitis. It found that EUS-GBD had the highest technical and clinical success rates, with the lowest risk of recurrent cholecystitis.
GASTROINTESTINAL ENDOSCOPY
(2021)
Review
Gastroenterology & Hepatology
Suprabhat Giri, Babu P. Mohan, Vaneet Jearth, Aditya Kale, Sumaswi Angadi, Shivaraj Afzalpurkar, Sidharth Harindranath, Sridhar Sundaram
Summary: This meta-analysis analyzed the adverse events (AEs) associated with EUS-guided biliary drainage (BD) and found that despite a high clinical success rate, approximately one-seventh of the cases experienced AEs. However, the incidence of major AEs and mortality remained low.
GASTROINTESTINAL ENDOSCOPY
(2023)
Article
Gastroenterology & Hepatology
Kelly E. Hathorn, Andrew Canakis, Todd H. Baron
Summary: This study retrospectively analyzed the largest single-center U.S. experience of EUS-guided transhepatic biliary drainage (ETBD) for the management of benign and malignant biliary disease. The results showed that ETBD was effective in treating these patients with a modest adverse event rate.
GASTROINTESTINAL ENDOSCOPY
(2022)
Article
Surgery
Manus Rugivarodom, Pitulak Aswakul, Karjpong Techathuvanan, Arunchai Chang, Varayu Prachayakul
Summary: This study reviewed 11 cases of difficult malignant biliary obstruction treated with EUS-HES, finding a high technical success rate, a clinical success rate of 90.9%, a relatively long overall survival period, and no major procedure-related complications.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Review
Gastroenterology & Hepatology
Abdelhai Abdelqader, Michel Kahaleh
Summary: Pancreaticobiliary endotherapy continues to progress in the era of therapeutic endosonography. Endoscopic ultrasound-guided biliary and pancreatic duct drainage is increasingly becoming the preferred alternative when ERCP fails.
DIGESTIVE DISEASES AND SCIENCES
(2022)
Article
Gastroenterology & Hepatology
Diane Lorenzo, Laura Bromberg, Marianna Arvanitakis, Myriam Delhaye, Michael Fernandez Y. Viesca, Daniel Blero, Martina Pezzullo, Judith Racape, Valerio Lucidi, Olivier Le Moine, Jacques Deviere, Arnaud Lemmers
Summary: This study reports the experience of treating biloma secondary to refractory biliary leak with TP/TF drainage or EUS-TD. The results show that both methods are technically feasible with high clinical success, which may avoid the need for additional surgery in complex cases or in patients with altered anatomy.
GASTROINTESTINAL ENDOSCOPY
(2022)
Article
Medicine, General & Internal
Ken Ishii, Yuji Fujita, Eisuke Suzuki, Yuji Koyama, Seitaro Tsujino, Atsuki Nagao, Kunihiro Hosono, Takuma Teratani, Kensuke Kubota, Atsushi Nakajima
Summary: This study compared the efficacy and safety of endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) and percutaneous transhepatic gallbladder drainage (PTGBD) as a bridge to surgery in patients with acute cholecystitis. The study found that both methods had a 100% technical success rate for cholecystectomy, and there was no significant difference in post-surgical adverse events between the two groups. The conclusion is that EUS-GBD may be an alternative transitional treatment option for patients with acute cholecystitis due to its lower adverse event rate.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Gastroenterology & Hepatology
Shayan S. Irani, Kaveh Sharzehi, Uzma D. Siddiqui
Summary: Endoscopic gallbladder drainage is a feasible and efficacious alternative to percutaneous drainage for high-risk surgical candidates with acute cholecystitis. The use of lumen-apposing metal stents enables endoscopic ultrasound-guided gallbladder drainage and per-oral cholecystoscopy. Expertise in advanced therapeutic endoscopic ultrasound is necessary for performing this procedure. Multidisciplinary collaboration between interventional radiology and surgery is crucial for the care of these patients. The choice of drainage method depends on individual patient characteristics.
CLINICAL GASTROENTEROLOGY AND HEPATOLOGY
(2023)
Review
Gastroenterology & Hepatology
Christoph F. Dietrich, Barbara Braden, Sean Burmeister, Lars Aabakken, Paolo Giorgio Arciadacono, Manoop S. Bhutani, Manuela Gotzberger, Andrew J. Healey, Michael Hocke, Stephan Hollerbach, Andre Ignee, Christian Jenssen, Christian Jurgensen, Alberto Larghi, Kathleen Moeller, Bertrand Napoleon, Mihai Rimbas, Adrian Saftoiu, Siyu Sun, Anthony Yuen Bun Teoh, Giuseppe Vanella, Pietro Fusaroli, Silvia Carrara, Uwe Will, Yi Dong, Eike Burmester
Summary: EUS-guided biliary drainage (EUS-BD) is a safe and effective alternative method for biliary drainage when ERCP is not feasible. However, there are still potential risks associated with EUS-BD.
ENDOSCOPIC ULTRASOUND
(2022)
Review
Gastroenterology & Hepatology
Alessandro Cucchetti, Cecilia Binda, Elton Dajti, Monica Sbrancia, Giorgio Ercolani, Carlo Fabbri
Summary: Comparison studies between EUS-GBD and PT-GBD for acute cholecystitis show that PT-GBD has superior technical success, while clinical success is similar between the two treatments. EUS-GBD convincingly reduces overall adverse events and unplanned readmissions, but further studies are needed to evaluate the need for reinterventions.
GASTROINTESTINAL ENDOSCOPY
(2022)
Editorial Material
Gastroenterology & Hepatology
Marina Kim, Romy Bareket, Mishal Reja, Avik Sarkar, Haroon Shahid, Amy Tyberg, Michel Kahaleh
Editorial Material
Gastroenterology & Hepatology
Rodrigo Duarte-Chavez, Marina Kim, Daniel Marino, Michel Kahaleh
Editorial Material
Gastroenterology & Hepatology
Marina Kim, Romy Bareket, Michel Kahaleh
Editorial Material
Gastroenterology & Hepatology
Mihajlo Gjeorgjievski, Abdelhai Abdelqader, Avik Sarkar, Haroon Shahid, Amy Tyberg, Michel Kahaleh
Editorial Material
Gastroenterology & Hepatology
Marina Kim, Rodrigo Duarte-Chavez, Michel Kahaleh
Review
Gastroenterology & Hepatology
Tayyaba Mohammad, Michel Kahaleh
Summary: This paper reviews and compares the efficacy and safety of photodynamic therapy and radiofrequency ablation for palliative treatment of bile duct cancer.
CLINICAL ENDOSCOPY
(2022)
Article
Gastroenterology & Hepatology
Sardar M. Shah-Khan, Eric Zhao, Amy Tyberg, Sardar Sarkar, Haroon M. Shahid, Rodrigo Duarte-Chavez, Monica Gaidhane, Michel Kahaleh
Summary: This study evaluated the opinions and practices of endoscopists regarding endoscopic ultrasound-directed transgastric ERCP (EDGE). The results showed that EDGE is gaining popularity as an option for pancreaticobiliary interventions in Roux-en-Y gastric bypass patients, with most endoscopists believing it should be the new standard. Additionally, post-procedural weight gain was reported to be low.
DIGESTIVE DISEASES AND SCIENCES
(2023)
Article
Gastroenterology & Hepatology
Michel Kahaleh, Vicky Bhagat, Peter Dellatore, Amy Tyberg, Avik Sarkar, Haroon M. Shahid, Iman Andalib, Resheed Alkhiari, Monica Gaidhane, Prashant Kedia, Jose Nieto, Nikhil A. Kumta, Rebekah E. Dixon, Habeeb Salameh, Georgios Mavrogenis, Stefanos Bassioukas, Seiichiro Abe, Vitor N. Arentes, Flavio H. Morita, Paulo Sakai, Eduardo G. de Moura
Summary: This study compared three endoscopic techniques (STER, EFTR, and LECS) for resection of subepithelial tumors and found similar R0 resection rates and complication rates among them. However, LECS was associated with longer procedure time and hospital stay.
ENDOSCOPY INTERNATIONAL OPEN
(2022)
Editorial Material
Gastroenterology & Hepatology
Rodrigo Duarte-Chavez, Khaled Elfert, Michel Kahaleh
Editorial Material
Gastroenterology & Hepatology
Mihajlo Gjeorgjievski, Avik Sarkar, Haroon Shahid, Amy Tyberg, Michel Kahaleh
Review
Gastroenterology & Hepatology
Marcella Pimpinelli, Michael Makar, Michel Kahaleh
Summary: Management of hilar strictures is challenging for endoscopists. While various strategies have been demonstrated, there is limited consensus in the literature. This review aims to summarize the current literature and discuss emerging therapies, such as photodynamic therapy and radiofrequency ablation.
DIGESTIVE ENDOSCOPY
(2023)
Article
Gastroenterology & Hepatology
Carlos Robles-Medranda, Jorge Baquerizo-Burgos, Juan Alcivar-Vasquez, Michel Kahaleh, Isaac Raijman, Rastislav Kunda, Miguel Puga-Tejada, Maria Egas-Izquierdo, Martha Arevalo-Mora, Juan C. Mendez, Amy Tyberg, Avik Sarkar, Haroon Shahid, Raquel del Valle-Zavala, Jorge Rodriguez, Ruxandra C. Merfea, Jonathan Barreto-Perez, Gabriela Saldana-Pazmino, Daniel Calle-Loffredo, Haydee Alvarado, Hannah P. Lukashok
Summary: The study aims to develop a CNN model for detecting neoplastic lesions during real-time DSOC and clinically validate it against expert and nonexpert endoscopists. The results demonstrate that the CNN model achieved high accuracy in diagnosing neoplastic lesions and outperformed both nonexpert and expert endoscopists.
Editorial Material
Gastroenterology & Hepatology
Sardar M. Shah-Khan, Khaled Elfert, Avik Sarkar, Haroon Shahid, Amy Tyberg, Michel Kahaleh
Article
Gastroenterology & Hepatology
Apostolis Papaefthymiou, Michel Kahaleh, Arnaud Lemmers, Sandro Sferrazza, Maximilien Barret, Katsumi Yamamoto, Pierre Deprez, Jose C. Marin-Gabriel, George Tribonias, Hong Ouyang, Federico Barbaro, Oleksandr Kiosov, Stefan Seewald, Gaurav Patil, Shaimaa Elkholy, Dimitri Coumaros, Clemence Vuckovic, Matthew Banks, Rehan Haidry, Georgios Mavrogenis
Summary: This study evaluated the recurrence rate of undifferentiated early gastric cancer (UD-EGC) after endoscopic submucosal dissection (ESD) and identified potential risk factors. The results showed that 5.6% of patients had local recurrence after ESD, with no lymph node or distant metastases reported. Lesion size was not associated with recurrence, while lymphovascular and perineural invasion were independent risk factors for local recurrence.
ENDOSCOPY INTERNATIONAL OPEN
(2023)
Article
Gastroenterology & Hepatology
Rodrigo Duarte-Chavez, Amy Tyberg, Avik Sarkar, Haroon M. Shahid, Bhargav Vemulapalli, Sardar Shah-Khan, Monica Gaidhane, Michel Kahaleh
Summary: This study compared invasive and noninvasive CO2 monitoring methods during peroral endoscopic myotomy (POEM). The results showed a strong correlation between arterial CO2 levels (PaCO2) and end-tidal CO2 levels (etCO2), suggesting that etCO2 monitoring is sufficient in most cases.
ENDOSCOPY INTERNATIONAL OPEN
(2023)