Precut papillotomy.. as taught to me by my ERCP guru.. Prof Kees Huibregtse.. generous initial cut in CBD direction, followed by cutting layerwise.. to get an onion peel appearance
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New article in DEN
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Linnitus plastica. Endoscopic bx negative twice. EUS Bx done.
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Recurrent abdominal wall abscess. Treated in the past laparoscopically. What should be the work up?

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Humbled by the honour🙏🙏

One of the most challenging problems. Known CCP. Recent worsening of pain. CA19-9>1000. MRCP as shown. EUS shows a tight stricture in genu. The surrounding pancreas is hypoechoic but not definite like Ca. PD traverses through it. ? Inflammatory?? Ca
WDYT?
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How to minimize the number of coils for gastric varices. Search for feeder vessel as seen in first photo. Deploy a single coil just beyond the feeder in the varix. You may not need any more coils. We needed 1/2 cc additional Glue to block a small patent vessel after coiling…

1.7 cm splenic A pseudoaneurysm within a cyst. EUS-guided coil and glue embolization done. Complete stoppage of blood flow observed
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Honoured and delighted to be recognized by SGEI🙏

DPDS detected on ERP. EUS-guided pancreatico-gastrostomy done successfully
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Obstructing lesions at cricopharynx are challenging. Doing a sagittal EUS just above the cricopharynx allows staging as well as biopsy
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Educational video on linear EUS
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youtu.be/FRB-dMf-FlQ

Sagittal EUS with linear echoendoscope gives valuable info in stenotic esophageal cancers. This is a T3 N0 lesion
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Calcified lesion under the diaphragm. Possibilities?
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