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BACKGROUND & AIMS The clinical significance of "fullness" or enlargement of the pancreas (FP/EP) is not well established. The objective of this study was to report our experience with endoscopic ultrasonography (EUS) in evaluating patients referred for FP/EP found on computed tomography (CT). METHODS Patients referred to our center for EUS evaluation of(More)
BACKGROUND AND AIMS The ability to safely and effectively obtain sufficient tissue for pathologic evaluation by using endoscopic ultrasound (EUS) guidance remains a challenge. Novel designs in EUS needles may provide for improved ability to obtain such core biopsies. The aim of this study was to evaluate the diagnostic yield of core biopsy specimens(More)
bleeding was 63 per 50,000 populations i.e. 126/100,000. The age ranged from 18 to 96, mean age was 63.81 years. 54% of the population was male and 46% female. 51.6% of the population was white and 48.4% African American. Upper endoscopy showed gastric ulcer 38.1%, duodenal ulcer 28.6%, erosive gastritis 15.9%, erosive duodenitis 0.8%, esophageal varices(More)
OBJECTIVES The objective of guideline was to provide clear and relevant consensus statements to form a practical guideline for clinicians on the indications, optimal technique, safety and efficacy of endoscopic ultrasound guided celiac plexus neurolysis (EUS-CPN). METHODS Six important clinical questions were determined regarding EUS-CPN. Following a(More)
BACKGROUND & AIMS Endoscopic ultrasound-guided transmural drainage and necrosectomy have become the standard treatment for patients with pancreatic walled-off necrosis (WON). Lumen-apposing metal stents (LAMS) have shown success in the management of pancreatic fluid collections. However, there are few data on their specific roles in management of WON. We(More)
BACKGROUND In the presence of a compatible clinical picture, the diagnosis of sarcoidosis requires pathologic confirmation of noncaseating epithelioid granuloma in affected tissues. The standard procedure of choice for most patients is a bronchoscopy with transbronchial biopsy (TBB), which has a diagnostic yield of 40% to 90%. The lowest yield with TBB is(More)
BACKGROUND AND AIMS Postsurgical fluid collections (PSFCs) are traditionally drained either percutaneously or surgically. Endoscopic drainage offers several advantages compared with either percutaneous or surgical approaches, including avoiding repeat surgery or the need to have a percutaneous drain in place for weeks. There are very little data regarding(More)
BACKGROUND & AIMS It is not clear whether digital single-operator cholangioscopy (D-SOC) with electrohydraulic and laser lithotripsy is effective in removal of difficult biliary stones. We investigated the safety and efficacy of D-SOC with electrohydraulic and laser lithotripsy in an international, multicenter study of patients with difficult biliary(More)
Purpose: Management of pancreatic duct (PD) disruption and pancreatic fl uid collection (PFC) in children is controversial. Pancreatic resection or percutaneous drainage of PFC with parenteral nutritional support are the standard approaches in children. In adults, endoscopic management with transpapillary stenting of the PD has demonstrated excellent(More)