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http://dx.doi.org/10.1016/j.gie.2021.11.016 | DOI Listing |
Gastrointest Endosc
July 2025
Division of Gastroenterology and Hepatology, University of North Carolina at Chapel Hill, North Carolina, USA.
Background And Aims: Endoscopic ultrasound guided gallbladder drainage (EUS-GBD) has emerged as a reliable management option in high-risk surgical patients with acute cholecystitis. Its technical success has been well described in the literature. Guidelines now support the use of EUS-GBD over percutaneous transhepatic gallbladder drainage in this patient population.
View Article and Find Full Text PDFCureus
May 2025
Department of Gastroenterology Medicine Center, Shonan Kamakura General Hospital, Kamakura, JPN.
Endoscopic ultrasound (EUS) has become an essential tool in vascular interventions due to its imaging potential in the proximity of various vascular structures in the mediastinum and abdominal cavity. EUS-guided variceal therapy (EUS-VT) has emerged as a promising approach for treating gastric varices (GV). Although still underused, EUS-VT offers such advantages as precise targeting and real-time variceal puncture visualization, making it a valuable alternative when conventional therapies fail.
View Article and Find Full Text PDFCureus
February 2025
Gastroenterology, Icahn School of Medicine at Mount Sinai, Queens, USA.
Hepatolithiasis is a condition characterized by the presence of bile stones in the intrahepatic bile ducts. It represents a significant therapeutic challenge owing to its association with recurrent cholangitis, biliary obstruction, and potentially life-threatening complications such as hepatic abscesses and cholangiocarcinoma. Traditional treatments include hepatectomy and percutaneous transhepatic cholangioscopic lithotomy (PTCL), both of which are effective but highly invasive, whereas endoscopic approaches often leave residual stones.
View Article and Find Full Text PDFPancreatic cancer is among the leading causes of gastrointestinal cancer-related death, with a dismal prognosis. Over 80% of pancreatic cancer patients present with advanced disease, making curative resection unfeasible. These patients are often presented with malignant biliary obstruction (MBO) and gastric outlet obstruction (GOO).
View Article and Find Full Text PDFWorld J Gastroenterol
January 2025
Department of Gastroenterology and Hepatology, Campus Virchow/Campus Mitte, Charité Berlin, Berlin 10117, Germany.
Endoscopic retrograde cholangiopancreatography is considered the gold standard for treating benign and malignant biliary obstructions. However, its use in complex biliary obstructions is limited. Over the past decades, therapeutic endosonography (EUS) and emerging technologies such as lumen-apposing metal stents have enabled endoscopic treatment of conditions previously requiring non-endoscopic or surgical approaches.
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