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This article, published in the journal Endoscopy, discusses a case study on the combined percutaneous-endoscopic post-hepatectomy bile-duct reconnection using a biloma as a meeting point. The case involves a patient who experienced high-output bile leakage after left hepatectomy, which was followed by percutaneous drainage of a biloma. The authors describe the use of various techniques, including EUS-guided transgastric biloma drainage, ERCP, and PTC, to reconnect the bile duct and successfully stop the bile leakage. The article highlights the synergistic use of these procedures in reestablishing the duct. [Extracted from the article]

This article discusses the controversy surrounding the use of cholecystoscopy and lumen apposing stent (LAMS) removal versus long-term LAMS in surgically unfit patients with acute calculous cholecystitis. The study compared the outcomes of two groups: one that underwent cholecystoscopy for stone removal and LAMS removal (Group A) and another that kept the LAMS for the long term (Group B). The results showed that Group A had significantly more recurrent biliary events and late complications compared to Group B. Therefore, the study suggests that long-term LAMS may be a better option for surgically unfit patients with acute calculous cholecystitis. [Extracted from the article]

This article discusses a study that compares the outcomes of two different treatment strategies for nonsurgical patients with acute calculous cholecystitis (ACC). The first strategy involves the use of percutaneous cholecystostomy (PC) followed by endoscopic ultrasound-guided gallbladder drainage (EUS-GBD), while the second strategy involves standard non-endoscopic management. The study found that patients who underwent EUS-GBD had a significantly lower rate of biliopancreatic events (BPE) and readmissions compared to those who received conservative management. The technical success of EUS-GBD was high, with minimal complications and no increase in morbidity or mortality. However, further research is needed to confirm these findings before incorporating this approach into current management algorithms. [Extracted from the article]

This article discusses a randomized clinical trial comparing two approaches for treating symptomatic choledocholithiasis, a condition characterized by the presence of gallstones in the bile ducts. The study compared the outcomes of patients who underwent endoscopic retrograde cholangiopancreatography (ERCP) alone versus ERCP combined with endoscopic ultrasound-guided gallbladder drainage (EUS-GBD). The results showed that performing EUS-GBD during the same endoscopic procedure as ERCP reduced the risk of subsequent gallstone-related hospital readmissions without increasing the risk of adverse events or prolonging hospital stays. The study suggests that this combined approach may be beneficial for non-surgical patients with symptomatic choledocholithiasis. [Extracted from the article]

This article, published in the journal Endoscopy, discusses the use of cholecystoscopy for clip-closure of the gallbladder wall during the internalization of percutaneous cholecystostomy (PC) in nonsurgical patients with acute cholecystitis. The case study presented involves a comorbid patient with gallstone cholecystitis who undergoes EUS-GBD for internalization of PC before discharge. The procedure involves the insertion of a LAMS for cholecyst-duodenostomy, followed by the passage of an upper endoscope into the gallbladder through the LAMS. The PC catheter is then removed under cholecystoscopy, and the orifice is clipped. Cholecystography confirms proper sealing, and the patient recovers without complications. The article suggests that clip closure of PC orifices by cholecystoscopy eliminates the need to wait for track maturation. [Extracted from the article]

This article, published in the journal Endoscopy, discusses the use of EUS-duodenojejunostomy (EUS-DJ) for the treatment of gastric-outlet obstruction (GOO) in patients with gastric linitis plastica. The authors present a case study of a patient with extensive gastric adenocarcinoma resulting in GOO, and describe the successful use of EUS-DJ to alleviate the obstruction. The article highlights the potential benefits of EUS-DJ in cases where traditional methods, such as duodenal stents, are not feasible. The authors also provide a video demonstrating the procedure. [Extracted from the article]

This article discusses the efficacy and safety of endoscopic internal drainage (EID) using double pigtail stents (DPS) for the treatment of postsurgical anastomotic leaks (PSL) in the upper gastrointestinal tract. The study included 36 patients with a median age of 65.5 years, with 25 patients having malignant conditions and 11 patients having previous bariatric surgery. The primary outcome was clinical success, and the secondary outcomes included technical success, endoscopic sessions required, time until resolution, and adverse events. The study found that EID using DPS was an effective option for treating upper gastrointestinal tract PSL, with a clinical success rate of nearly 80%. [Extracted from the article]

This article, published in the journal Endoscopy, discusses a case study on the effective bridging of a misdeployed LAMS (lumen-apposing metal stent) during transgastric EUS-guided gallbladder drainage (EUS-GBD). The study highlights the technical challenges of EUS-GBD for internalization of prior percutaneous cholecystostomy and presents a case where a misdeployment occurred. The authors describe how they were able to salvage the misdeployment by repositioning a second LAMS inside the first LAMS and bridging the gap. The article provides a video link for further reference. [Extracted from the article]

This article, published in the journal Endoscopy, discusses the use of a double-channel gastroscope (DCG) in a case of Type I stent misdeployment (SMD-I) during EUS-guided gastroenterostomy (EUS-GE). The case involves a patient with advanced stage-IV colo-rectal cancer and gastric-outlet obstruction. The misdeployed stent is used as an internal trocar to facilitate the passage of the DCG from the stomach into the peritoneum. The article describes the use of contrast and methylene-blue to identify the target jejunum and the use of a grasping forceps and needle-knife incision to fix the misdeployment. The authors comment that the DCG stabilizes the jejunum and facilitates access for fixing the misdeployment. [Extracted from the article]

This article, published in the journal Endoscopy, discusses a case study involving a patient who underwent a Roux-en-Y gastric bypass and developed a symptomatic common bile duct (CBD) stone. The authors describe a novel technique called EUS-guided rendezvous, which involves using an echoendoscope to puncture the CBD and pass a guidewire across the papilla. This technique was chosen instead of a pre-cut due to the patient's high-risk papillary anatomy. The authors suggest that EUS-guided rendezvous can be a useful alternative in cases with challenging duodenal anatomy. [Extracted from the article]

This article discusses a case study involving a patient who experienced severe bile leakage after a liver transplant. Traditional methods of repair, such as ERCP, were unsuccessful in accessing the donor duct. The patient underwent EUS-guided choledochoduodenostomy (EUS-CDS) with stenting, which successfully controlled the leakage. The stents were later removed, and the patient's bile duct healed. This case highlights the effectiveness of EUS-CDS in managing post-transplant complications and the potential for cholangioscopy-guided interventions. [Extracted from the article]

This article discusses the use of endoscopic ultrasound-guided gastroenteroanastomosis (EUS-GE) with lumen-apposing metal stent (LAMS) for the treatment of benign gastric outlet obstruction (B-GOO). B-GOO is traditionally managed surgically, but this study aims to assess the effectiveness of EUS-GE with LAMS as an alternative treatment option. The study found that EUS-GE with LAMS was successful in the majority of patients, with a high long-term clinical success rate and few adverse events. The procedure was deemed safe and suitable for both temporary and definitive palliative treatment in selected nonsurgical patients. [Extracted from the article]

This article discusses a study that aimed to standardize the parallel enteral catheter (PEC) method for endoscopic ultrasound-guided gastroenterostomy (EUS-GE). The study involved 38 patients with unresectable malignant gastric outlet obstruction (GOO) who underwent EUS-GE using the PEC method. The results showed that the PEC method was consistently reproducible across operators with varying levels of experience and was associated with high technical success rates and relatively short procedure times. The study concludes that the PEC method for EUS-GE is a reliable and effective technique. [Extracted from the article]

This article discusses a medical procedure called Double EUS-guided bypass (DEB) that combines hepaticogastrostomy (HGS) and lumen-apposing metal stent duodeno-jejunostomy (LAMS-DJ) for the treatment of massive hepatolithiasis in patients who have previously undergone Roux-en-Y hepaticojejunostomy (RYHJ). The procedure involves using endoscopic ultrasound (EUS) to guide the placement of stents and perform lithotripsy to clear the bile ducts. The authors report that the procedure was successful in achieving duct clearance without any adverse events. They suggest that DEB may be a viable option for addressing larger disease burdens in patients with RYHJ, while minimizing the risk of complications. [Extracted from the article]

This article, published in the journal Endoscopy, discusses a case study involving a patient who had undergone Roux-en-Y subtotal gastrectomy (RYSG) and needed biliary access for stone removal. The traditional method of antegrade stone removal was not possible, so the authors planned to use EUS-guided transenteric anastomosis with LAMS for biliary access. The small bowel anatomy was confusing, but after EUS-guided pancreatography, they were able to map the area and successfully perform the procedure. The article concludes that single-session transjejunal antegrade ERCP via LAMS is a viable option for patients who have undergone RYSG. [Extracted from the article]

This section summarizes studies on the use of endoscopic ultrasound published in various medical journals. Ranney et al. examined the impact of biliary stents on endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) of malignancy in the pancreas. The effectiveness of endoscopic ultrasound-guided vascular therapy was examined by Gonzalez et al. A study compared EUS and pre-cut papillotomy techniques for access to the biliary ducts.

The article presents a case study of a 73-year-old man leukocytosis, fever, peritonitis and sharp tenderness in the left iliac fossa. A computed tomography (CT) scan showed that the biliary stent had moved and caused sigmoid colon perforation having mild pneomoperitoneum. Sigmoidoscopy was conducted after colon preparation with enema. The stent was removed atraumatically with foreign body forceps.

The article presents a case study of a 47-year-old man who underwent colonoscopy because of chronic diarrhea. Examination of the patient showed elevation of C-reactive protein, leukocytosis and peritoneal irritation. Multiple serosal lacerations were observed at laparoscopy in the ascending and cecum colon, and hematomas in the transverse colon having apparent intact colonic mucosa.