EUS & ERCP Master

Sphincterotomy necessary to prevent pancreatitis before placing metal stents ? SPHINX trial: 10.1136/gutjnl-2024-332695 🏅PEP: Sphx group had 17% vs no sphx had 21% 🏅 No superiority found 🏅Trial terminated prematurely due to the results

Distal flange not releasing with Hot #AXIOS? We prospectivelty observed 12 cases: ❌ Not operator error ❌ Not a broken stent ⚙ Likely a mechanical mismatch Simple rescue maneuver: “handle springing.” thieme-connect.com/products/ejour… @endoscopyjrnl #LAMS #Therapeutic #EUS #endoscopy

Stent or dilation only for dominant strictures in PSC? giejournal.org/article/S0016-… 🍯We usually avoid stents 🍯Meta-analysis shows increased risk of cholangitis 🍯 Clinical efficiecy and reduction in bilirubin may be higher with stents

“Common bile duct stone on EUS”: Basic EUS images youtu.be/ow0fHYMpdXg @EndoCollabcom @KMonkemuller @ASGEendoscopy @endoscopyjrnl @DHgua @Aced1970 @EndoscopiaH @RevGastroPeru @seed @sepdigestiva @OPGEgastro @schgastro @asogastrocol @FAGEgastro @WorldGastroOrg @GIscope_updates

Among patients with unexplained acute recurrent pancreatitis and pancreas divisum, ERCP with minor papillotomy does not reduce the risk of another episode of acute pancreatitis or related sequelae @helpatologist @NEndoscopy @UmairKamran11 @drkeithsiau shorturl.at/lasWD

🔥 SOCCER ⚽️ trial demonstrates that forceps-assisted cannulation improves cannulation success rate and likely reduces the incidence of difficult cannulation. ✅ journals.lww.com/ajg/fulltext/2…

EndoMRI is a promising evolution ✅ journals.lww.com/eusjournal/Ful…

Lymph Node characteristics Findings on EUS exam Pink Highlighted LN--> Malignant Yellow Highlighted LN--> Benign EUS by by Dr Vikram Bhatia Source youtu.be/XBY448TO2WU?si… #EUS #GItwitter #LN #Malignancy

EDGE in Roux-en-Y gastric bypass anatomy: a review ✅ giejournal.org/article/S0016-…

"A novel mnemonic device”: Practical rule for describing pancreatic cysts by EUS. youtu.be/PHHy4bql-tY @EndoCollabcom @KMonkemuler @ASGEendoscopy @endoscopyjrnl @DHgua @Aced1970 @EndoscopiaH @RevGastroPeru @seed @sepdigestiva @OPGEgastro @schgastro @asogastrocol @FAGEgastro

🔥 Necrolit a new dedicated device for DEN 👌🏿 ✅ thieme-connect.com/products/ejour…

sciencedirect.com/science/articl… Our NMA shows that the techniques for difficult biliary cannulation present similar results although a trend in favour of needle knife techniques and EUS-RV. EUS-RV seems to decrease the risk of PEP. @PepiDellAnna @CrinoStefano @Ivoboskoski

🔥 EUS-guided ablation for pancreatic cystic lesions: An updated review ✅ journals.lww.com/eusjournal/ful…

🍇 Surgical management of IPMN / MCN in 2025 … more for few / nothing for most! 🆓 read with updated flowcharts looking forward to 🆕 guidelines! 🫧 Still over treating / not tailoring enough! sciencedirect.com/science/articl…

🔥 Balloon dilation durations in EPBD & ESBD for choledocholithiasis 180 seconds could be 👌🏿 ✅ link.springer.com/article/10.100…

Our International multicentre randomized study shows that stent patency with EUS-antegrade stenting is better than that with EUS-CDS or EUS-HGS

EUS gastroenterostomy vs surgery for malignant gastric outlet obstruction 🩺 Faster return to oral intake (1 vs 3 days) 🏥 Shorter hospital stay (1 vs 4 days) ✅ Similar reintervention rate (10% vs 12%) 🎯 Clinical success 96% vs 80% #UEGWeek #weareUEG #UEGAmbassador @ESGE_news

Editor’s Choice: Precut papillotomy vs. EUS-guided rendezvous: Which is better for difficult biliary access? Find the article at: doi.org/10.1055/a-2515… Vinay Dhir et al.

#EVideo: Rotation direction matters in bile duct stone removal Find the full text and video here: doi.org/10.1055/a-2589… Mamoru Takenaka et al.

EUS-GE 🔥 journals.lww.com/jcge/fulltext/…