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Single-Session Endoscopic Ultrasound-Directed Transgastric Intervention for a Fine Needle Biopsy of Pancreatic Head Mass Using Endoscopic Through-the-Scope Suturing in a Patient With Roux-en-Y Gastric Bypass Anatomy

Bassi, Raghav ; Macedo, Francis I ; Perbtani, Yaseen ; Brar, Tony S

ACG case reports journal, 2024, Vol.11 (3), p.e01290-e01290

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Título:
Single-Session Endoscopic Ultrasound-Directed Transgastric Intervention for a Fine Needle Biopsy of Pancreatic Head Mass Using Endoscopic Through-the-Scope Suturing in a Patient With Roux-en-Y Gastric Bypass Anatomy
Autor: Bassi, Raghav ; Macedo, Francis I ; Perbtani, Yaseen ; Brar, Tony S
É parte de: ACG case reports journal, 2024, Vol.11 (3), p.e01290-e01290
Notas: ObjectType-Case Study-2
content type line 59
SourceType-Reports-1
ObjectType-Report-1
Descrição: Endoscopic ultrasound (EUS) is a diagnostic tool used to examine pancreatic lesions. In patients who have undergone Roux-en-Y gastric bypass, lesions of the pancreatic head can be difficult to access because of altered foregut anatomy. To access the excluded stomach for better visualization of the pancreatic head, EUS-directed transgastric intervention can be used in a 2-step fashion. We present an interesting case of a 62-year-old woman who underwent a single-session modified EUS-directed transgastric intervention with a fine needle biopsy of a pancreatic head mass. A novel through-the-scope suturing system, the X-tack system (Apollo Endosurgery, Austin, TX), was used to allow for a successful single-session procedure.
Idioma: Inglês

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