journal
https://read.qxmd.com/read/38947752/the-application-of-artificial-intelligence-in-eus
#1
REVIEW
Deyu Zhang, Chang Wu, Zhenghui Yang, Hua Yin, Yue Liu, Wanshun Li, Haojie Huang, Zhendong Jin
Artificial intelligence (AI) is an epoch-making technology, among which the 2 most advanced parts are machine learning and deep learning algorithms that have been further developed by machine learning, and it has been partially applied to assist EUS diagnosis. AI-assisted EUS diagnosis has been reported to have great value in the diagnosis of pancreatic tumors and chronic pancreatitis, gastrointestinal stromal tumors, esophageal early cancer, biliary tract, and liver lesions. The application of AI in EUS diagnosis still has some urgent problems to be solved...
2024: Endoscopic Ultrasound
https://read.qxmd.com/read/38947751/factors-affecting-the-diagnostic-value-of-liquid-based-cytology-by-eus-fna-in-the-diagnosis-of-pancreatic-cystic-neoplasms
#2
JOURNAL ARTICLE
Chen Du, Zhengting He, Fei Gao, Longsong Li, Ke Han, Xiuxue Feng, Xiangdong Wang, Ping Tang, Ningli Chai, Enqiang Linghu
BACKGROUND AND OBJECTIVES: This study retrospectively evaluated the value of liquid-based cytology (LBC) alone for diagnosing pancreatic cystic neoplasms (PCNs) in a large sample and initially estimated factors that might affect LBC diagnostic ability. METHODS: From April 2015 to October 2022, we prospectively enrolled 331 patients with suspected PCNs in our prospective database. Among them, 112 patients chosen to receive surgical resection were included. Only 96 patients who underwent EUS-guided cystic fluid LBC were finally studied...
2024: Endoscopic Ultrasound
https://read.qxmd.com/read/38947750/endohepatology-in-clinical-practice-eus-guided-portal-pressure-measurement-combined-with-eus-guided-liver-biopsy-and-variceal-screening-and-treatment-in-outpatients
#3
JOURNAL ARTICLE
Sung Kim, Scot Lewey, Laura Meuller, Douglas G Adler
BACKGROUND AND OBJECTIVES: EUS-guided portal pressure gradient (PPG) is a novel technique that permits a true, direct measure of portal vein pressure and hepatic vein pressure. This article details our experience and lessons learned from 20 consecutive outpatient EUS-PPG procedures performed at a single center, along with simultaneous EUS-guided liver biopsy, variceal screening, and variceal banding. METHODS: Data on the first 20 patients who underwent EUS-PPG at a single center were retrospectively viewed and analyzed...
2024: Endoscopic Ultrasound
https://read.qxmd.com/read/38947749/clinical-efficacy-of-eus-guided-celiac-plexus-neurolysis-versus-eus-guided-celiac-ganglion-irradiation-with-iodine-125-seeds-for-pain-relief-in-advanced-pancreatic-cancer-a-long-term-retrospective-study
#4
JOURNAL ARTICLE
Ping-Ping Zhang, Xiao-Ju Su, Li Li, Yu-Ling Wang, Dong-Qing Zhu, Ting Yang, Teng Wang, Zhen-Dong Jin, Kai-Xuan Wang
BACKGROUND AND OBJECTIVE: To compare the efficacy of EUS-guided celiac plexus neurolysis (CPN) and celiac plexus irradiation with iodine-125 (125 I) seeds with absolute ethanol for relieving pain in patients with advanced pancreatic cancer. METHODS: We retrospectively analyzed data of 81 patients with advanced pancreatic cancer who underwent EUS-CPN or EUS-125 I implantation between January 2017 and December 2020. Postoperative pain was assessed using visual analog scale (VAS) scores; self-assessments of quality of life and the median survival time were compared between the 2 groups...
2024: Endoscopic Ultrasound
https://read.qxmd.com/read/38947748/revolution-of-hands-on-model-for-interventional-eus-how-to-make-a-training-model
#5
REVIEW
Tanyaporn Chantarojanasiri, Aroon Siripun, Ratchamon Pinyotheppratarn, Pradermchai Kongkam, Nonthalee Pausawasdi, Thawee Ratanachu-Ek
EUS interventions have an increasing role in the treatment for hepatobiliary-pancreatic diseases. However, the procedure itself is not frequently performed, needs expertise, and carries a high risk of complications. With these limitations, the hands-on practice model is very important for the endoscopist in training for EUS intervention. There have been various hands-on models for EUS interventions, ranging from in vivo living pig model to all-synthetic model. Although a living model provides realistic sensation, the preparation is complex and increases concerns for zoonotic issues...
2024: Endoscopic Ultrasound
https://read.qxmd.com/read/38947747/diagnostic-performance-of-eus-guided-tissue-acquisition-for-solid-pancreatic-lesions-%C3%A2-10-mm
#6
JOURNAL ARTICLE
Yuki Kawasaki, Susumu Hijioka, Yoshikuni Nagashio, Akihiro Ohba, Yuta Maruki, Kotaro Takeshita, Tetsuro Takasaki, Daiki Agarie, Yuya Hagiwara, Hidenobu Hara, Kohei Okamoto, Daiki Yamashige, Shunsuke Kondo, Chigusa Morizane, Hideki Ueno, Takahiro Mizui, Takeshi Takamoto, Satoshi Nara, Daisuke Ban, Minoru Esaki, Yutaka Saito, Nobuyoshi Hiraoka, Takuji Okusaka
BACKGROUND AND OBJECTIVES: EUS tissue acquisition (EUS-TA) is the standard diagnostic method for solid pancreatic lesions (SPLs); however, there are few reports on EUS-TA results for SPLs ≤10 mm. Furthermore, given the recent advent of fine-needle biopsy, the current diagnostic accuracy of EUS-TA for SPLs ≤10 mm is unknown. This study aimed to evaluate the diagnostic accuracy and efficacy of EUS-TA for SPLs ≤10 mm. METHODS: We retrospectively analyzed the data of 109 patients with SPLs ≤10 mm who underwent EUS-TA...
2024: Endoscopic Ultrasound
https://read.qxmd.com/read/38947746/comments-and-illustrations-of-the-european-federation-of-societies-for-ultrasound-in-medicine-guidelines-rare-pancreatic-tumors-ultrasound-and-contrast-enhanced-ultrasound-features-malignant-mesenchymal-tumors
#7
REVIEW
Kathleen Möller, Sotirios Ntovas, Michael Hocke, Wei On, Simon M Everett, Barbara Braden, Christian Jenssen, Benjamin Misselwitz, Nan Ge, Siyu Sun, Michael Gerber, Siegbert Faiss, Christoph F Dietrich
Rare malignant mesenchymal pancreatic tumors are systematized and reported in this review. The focus is on the appearance on imaging. The present overview summarizes the data and shows that not every pancreatic tumor corresponds to the most common entities of ductal adenocarcinoma or neuroendocrine tumor.
2024: Endoscopic Ultrasound
https://read.qxmd.com/read/38947745/eus-diagnosis-and-rescue-of-gastrointestinal-stromal-tumor-rupture-and-massive-hemorrhage-with-video
#8
JOURNAL ARTICLE
Yiteng Meng, Lisheng Wang, Jun Yao
No abstract text is available yet for this article.
2024: Endoscopic Ultrasound
https://read.qxmd.com/read/38947744/new-onset-diabetes-is-a-predictive-risk-factor-for-pancreatic-lesions-in-high-risk-individuals-an-observational-cohort-study
#9
JOURNAL ARTICLE
Seyda Baydogan, Chirayu Mohindroo, Merve Hasanov, Maria F Montiel, Pompeyo Quesada, Irina M Cazacu, Adrianna A Luzuriaga Chavez, Maureen E Mork, Wenli Dong, Lei Feng, Y Nancy You, Banu Arun, Eduardo Vilar, Powel Brown, Matthew H G Katz, Suresh T Chari, Anirban Maitra, Eric P Tamm, Michael P Kim, Manoop S Bhutani, Florencia McAllister
BACKGROUND AND OBJECTIVES: Pancreatic cancer (PC) is the third cause of cancer-related deaths. Early detection and interception of premalignant pancreatic lesions represent a promising strategy to improve outcomes. We evaluated risk factors of focal pancreatic lesions (FPLs) in asymptomatic individuals at hereditary high risk for PC. METHODS: This is an observational single-institution cohort study conducted over a period of 5 years. Surveillance was performed through imaging studies (EUS or magnetic resonance imaging/magnetic resonance cholangiopancreatography) and serum biomarkers...
2024: Endoscopic Ultrasound
https://read.qxmd.com/read/38947743/a-risk-scoring-model-based-on-endobronchial-ultrasound-multimodal-imaging-for-predicting-metastatic-lymph-nodes-in-lung-cancer-patients
#10
JOURNAL ARTICLE
Zhihong Huang, Lei Wang, Junxiang Chen, Xinxin Zhi, Jiayuan Sun
BACKGROUND AND OBJECTIVES: Endobronchial ultrasound (EBUS) imaging is a valuable tool for predicting lymph node (LN) metastasis in lung cancer patients. This study aimed to develop a risk-scoring model based on EBUS multimodal imaging (grayscale, Doppler mode, elastography) to predict LN metastasis in lung cancer patients. PATIENTS AND METHODS: This retrospective study analyzed 350 metastatic LNs in 314 patients with lung cancer and 124 reactive LNs in 96 patients with nonspecific inflammation...
2024: Endoscopic Ultrasound
https://read.qxmd.com/read/38947121/comparing-the-diagnostic-adequacy-of-25-gauge-fork-tip-versus-franseen-versus-reverse-bevel-type-needles-in-eus-guided-tissue-acquisition-a-prospective-randomized-study-with-a-retrospective-control
#11
JOURNAL ARTICLE
Adam Haig, Andrew St John, Kasturi Vaska, Xuan Banh, Alexander Huelsen
BACKGROUND AND OBJECTIVES: EUS-guided fine-needle biopsy (FNB) is an established technique for the acquisition of tissue to diagnose lesions of the gastrointestinal tract and surrounding organs. Recently, newer-generation FNB needles have been introduced, including a second-generation reverse-bevel and the third-generation fork-tip and Franseen needles. We aimed to determine if there was any difference between these needles in terms of cytopathological diagnostic yield, sample cellularity, or sample bloodiness...
2024: Endoscopic Ultrasound
https://read.qxmd.com/read/38947120/eus-guided-radiofrequency-ablation-of-solid-pancreatic-lesions-an-updated-review
#12
REVIEW
Andrew Ofosu, Daryl Ramai, Amanda Morgan, Christina Chan, Douglas G Adler, Ali Siddiqui
Recent years have brought to light newly developed therapeutic modalities for the treatment of premalignant and malignant pancreatic lesions. The role of EUS-guided radiofrequency ablation (EUS-RFA) as a treatment modality for malignant pancreatic lesions is still under evaluation. Several animal studies and human studies have demonstrated the safety and efficacy of EUS-RFA in the management of premalignant and malignant pancreatic lesions. EUS-RFA therapy can potentially ablate these lesions safely and with minimally invasive techniques...
2024: Endoscopic Ultrasound
https://read.qxmd.com/read/38947119/a-novel-lumen-apposing-metal-stent-for-endoscopic-drainage-of-symptomatic-pancreatic-fluid-collections-a-retrospective-study
#13
JOURNAL ARTICLE
Ning Xu, Longsong Li, Song Su, Danqi Zhao, Jingyuan Xiang, Pengju Wang, Yaxuan Cheng, Enqiang Linghu, Ningli Chai
BACKGROUND AND OBJECTIVES: Previous studies showed that lumen-apposing metal stent (LAMS) provides a feasible route to perform direct endoscopic necrosectomy. However, the high risk of bleeding and migration induced by the placement of LAMS attracted attention. The aim of this study was to evaluate the safety and effectiveness of a novel LAMS. METHODS: In this retrospective study, we enrolled patients with symptomatic pancreatic fluid collections (PFCs) to perform EUS-guided drainage with a LAMS in our hospital...
2024: Endoscopic Ultrasound
https://read.qxmd.com/read/38947118/efficacy-and-safety-of-eus-directed-transgastric-ercp-edge-versus-laparoscopic-assisted-ercp-a-systematic-review-and-meta-analysis
#14
REVIEW
Manesh Kumar Gangwani, Hossein Haghbin, Fnu Priyanka, Yousaf Hadi, Dushyant Singh Dahiya, Faisal Kamal, Wade Lee-Smith, Ali Nawras, Muhammad Aziz, Douglas G Adler
The altered anatomy in Roux-en-Y gastric bypass (RYGB) makes conventional endoscopic retrograde cholangiopancreatography (ERCP) a technically challenging procedure. EUS-directed transgastric ERCP (EDGE) and laparoscopic-assisted ERCP (LA-ERCP) are alternative modalities used with comparable efficacy and adverse events in such patients. We conducted a meta-analysis comparing EDGE and LA-ERCP to assess the efficacy and safety in patients with RYGB. We conducted a comprehensive literature search from inception to July 7, 2022, on MEDLINE, EMBASE, Cochrane Register of Controlled Trials, and Web of Science databases using the core concepts of EDGE and LA-ERCP...
2024: Endoscopic Ultrasound
https://read.qxmd.com/read/38947117/eus-assisted-preoperative-diagnosis-of-immunoglobulin-g4-related-cholecystitis-mimicking-gallbladder-cancer-in-a-mirizzi-syndrome-case
#15
JOURNAL ARTICLE
Xiao-Chao Wu, Lin Miao, Su-Min Zhu, Kai-Xuan Wang
No abstract text is available yet for this article.
2024: Endoscopic Ultrasound
https://read.qxmd.com/read/38947116/eus-guided-pancreaticojejunostomy-under-gel-immersion-for-pancreaticojejunal-anastomotic-stricture-with-video
#16
JOURNAL ARTICLE
Yasuhiro Kuraishi, Kazuo Hara, Shin Haba, Takamichi Kuwahara, Nozomi Okuno
No abstract text is available yet for this article.
2024: Endoscopic Ultrasound
https://read.qxmd.com/read/38947115/controversies-in-endobronchial-ultrasound
#17
REVIEW
Christoph F Dietrich, Antonio Bugalho, Silvia Carrara, Paul Frost Clementsen, Yi Dong, Michael Hocke, Shailesh Balasaheb Kolekar, Lars Konge, André Ignee, Axel Löwe, Christian Jenssen
Endobronchial ultrasound (EBUS) is a minimally invasive highly accurate and safe endoscopic technique for the evaluation of mediastinal lymphadenopathy and mediastinal masses including centrally located lung tumors. The combination of transbronchial and transoesophageal tissue sampling has improved lung cancer staging, reducing the need for more invasive and surgical diagnostic procedures. Despite the high level of evidence regarding EBUS use in the aforementioned situations, there are still challenges and controversial issues such as follows: Should informed consent for EBUS and flexible bronchoscopy be different? Is EBUS able to replace standard bronchoscopy in patients with suspected lung cancer? Which is the best position, screen orientation, route of intubation, and sedation/anesthesia to perform EBUS? Is it advisable to use a balloon in all procedures? How should the operator acquire skills and how should competence be ensured? This Pro-Con article aims to address these open questions...
2024: Endoscopic Ultrasound
https://read.qxmd.com/read/38947114/clinical-utility-of-the-forward-viewing-echoendoscope-in-patients-after-pancreatoduodenectomy-a-prospective-study
#18
JOURNAL ARTICLE
Hirotoshi Ishiwatari, Junichi Kaneko, Junya Sato, Tatsunori Satoh, Kazuma Ishikawa, Fumitaka Niiya, Hiroyuki Matsubayashi, Tatsunori Minamide, Yuki Maeda, Youichi Yamamoto, Yoshihiro Kishida, Masao Yoshida, Sayo Ito, Noboru Kawata, Kenichiro Imai, Kinichi Hotta, Taisuke Imamura, Teiichi Sugiura, Katsuhiko Uesaka, Hiroyuki Ono
BACKGROUND AND OBJECTIVES: Endoscopic treatment of obstructive jaundice and pancreatitis due to hepaticojejunostomy (H-J), pancreatojejunostomy (P-J) strictures, and tumor recurrence after pancreatoduodenectomy (PD) is technically challenging. Treatment of P-J strictures results in poor outcomes. Although conventional EUS that has an oblique view is not suitable for such patients, forward-viewing EUS (FV-EUS) may become a useful option. This study aimed to evaluate the feasibility and efficacy of FV-EUS in patients who have undergone PD...
2024: Endoscopic Ultrasound
https://read.qxmd.com/read/38947113/eus-coil-and-glue-for-gastric-varices-prevent-treat-and-rescue-one-therapy-to-rule-them-all
#19
JOURNAL ARTICLE
Rajesh Puri, Zubin Dev Sharma, Saurabh Patle, Suraj Bhagat, Abhishek Kathuria
BACKGROUND AND OBJECTIVES: In portal hypertension, gastric varix-associated bleeding is known to have higher transfusion requirements, uncontrolled bleeding, rebleeding, intensive care unit requirements, and death. EUS-guided coil insertion is now an acceptable modality for endoscopic management in cases of gastric varices. With this study, we discuss our large single-center experience in the use of EUS for coil and glue injection in gastric varices. We also look into adverse events associated with and possibilities of using this modality as both primary prophylaxis and a rescue therapy...
2024: Endoscopic Ultrasound
https://read.qxmd.com/read/38947112/epidermoid-cyst-in-an-intrapancreatic-accessory-spleen-diagnosed-by-contrast-enhanced-eus-and-eus-fna-with-video
#20
JOURNAL ARTICLE
Ryogo Minami, Jun Nakahodo, Hiroki Tabata, Kazuro Chiba, Shinichiro Horiguchi, Terumi Kamisawa
No abstract text is available yet for this article.
2024: Endoscopic Ultrasound
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