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Journal of Gastrointestinal Surgery

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01-05-2013 | Case Report

The Concept of Laparoscopy-Assisted Pancreatobiliary EUS (LAP-EUS)

Authors: Jayapal Ramesh, John Christein, Shyam Varadarajulu

Published in: Journal of Gastrointestinal Surgery | Issue 5/2013

Abstract

Introduction

While laparoscopy-assisted endoscopic retrograde cholangiopancreatography can be performed for the diagnosis and management of pancreaticobiliary diseases in patients with Roux-en-Y (RY) anatomy; the technical feasibility of performing laparoscopy-assisted endoscopic ultrasound (EUS) is unknown.

Methods

In this report, we describe the technique for performing laparoscopy-assisted EUS in two patients with RY gastric bypass anatomy who presented with obstructive jaundice, abnormal liver function tests, and dilated biliary tree.

Results

While the examination was normal in one patient, EUS-guided fine needle aspiration of pancreatic head mass revealed adenocarcinoma in the other.

Discussion

Laparoscopic assisted EUS examination including FNA is feasible in Roux-en-Y surgical anatomy.

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Title: The Concept of Laparoscopy-Assisted Pancreatobiliary EUS (LAP-EUS)
Authors: Jayapal Ramesh
John Christein
Shyam Varadarajulu
Publication date: 01-05-2013
Publisher: Springer-Verlag
Published in: Journal of Gastrointestinal Surgery / Issue 5/2013
Print ISSN: 1091-255X
Electronic ISSN: 1873-4626
DOI: https://doi.org/10.1007/s11605-012-2135-8

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

The Concept of Laparoscopy-Assisted Pancreatobiliary EUS (LAP-EUS)

Abstract

Introduction

Methods

Results

Discussion

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Introduction

Methods

Results

Discussion

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