Clinical Endoscopy

Case Reports

Endoscopic Extraction of Biliary Fascioliasis Diagnosed Using Intraductal Ultrasonography in a Patient with Acute Cholangitis: Ji Su Ha, Hyun Jong Choi, Jong Ho Moon, Yun Nah Lee, Jae Woong Tae, Moon Han Choi, Tae Hoon Lee, Sang-Woo Cha; Clin Endosc 2015;48(6):579-582. Published online November 30, 2015; DOI: https://doi.org/10.5946/ce.2015.48.6.579

Fasciola hepatica infection may result in biliary obstruction with or without cholangitis in the chronic biliary phase. Because clinical symptoms and signs of F. hepatica are similar to other biliary diseases that cause bile duct obstruction, such as stones or bile duct malignancies, that are, in fact, more common, this condition may not be suspected and diagnosis may be overlooked and delayed. Patients undergoing endoscopic retrograde cholangiopancreatography or endoscopic ultrasonography for the evaluation of bile duct obstruction may be incidentally detected with the worm, and diagnosis can be confirmed by extraction of the leaf-like trematode from the bile duct. Intraductal ultrasonography (IDUS) can provide high-resolution cross-sectional images of the bile duct, and is useful in evaluating indeterminate biliary diseases. We present a case of biliary fascioliasis that was diagnosed using IDUS and managed endoscopically in a patient with acute cholangitis.

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A Curious Case of Walking Cholangitis in a Nonendemic Region: Hepatobiliary Fascioliasis
Anupam Kumar Singh, Jahnvi Dhar, Saroj Kant Sinha, Jayanta Samanta
ACG Case Reports Journal.2025; 12(5): e01700. CrossRef
An Update on the Pathogenesis of Fascioliasis: What Do We Know?
Melinda Tanabe, Maria Caravedo, A White, Miguel Cabada
Research and Reports in Tropical Medicine.2024; Volume 15: 13. CrossRef
Fascioliasis: Image Findings, Diagnosis, and Treatment
Jae Seung Lee
Clinical Ultrasound.2024; 9(1): 18. CrossRef
Parasitic Diseases of Upper Gastrointestinal Tract
Heung Up Kim
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Endoscopic Diagnosis of Biliary Fascioliasis in Non-endemic Region
Shankar Roy, Abhishek Mewara, Rajesh Gupta, Surinder Singh Rana
Digestive Diseases and Sciences.2023; 68(9): 3476. CrossRef
Fasciola Hepatica Induced Hepatic Abscess Treated with Triclabendazole
Hyun Joon Park, Gil-Soon Choi, Minjung Jung, Sang Uk Lee
The Korean Journal of Gastroenterology.2021; 77(1): 39. CrossRef
Pancréas parasitaire
M. Wallon, F. Bailly, F. Peyron
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Biliary Fascioliasis in Chronic Calcific Pancreatitis Presenting with Ascending Cholangitis and Biliary Stricture
Tanawat Pattarapuntakul, Bancha Ovartlarnporn, Worapot Rojsanga, Thanaidpon Yungyoo
Case Reports in Gastroenterology.2019; 13(3): 438. CrossRef
Obstructive jaundice of a parasitic etiology
M.� Antonia Remacha ., M� Pilar Goñi , Jesus Espinel
Revista Española de Enfermedades Digestivas.2018;[Epub] CrossRef

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Hepatic and Splenic Infarction and Bowel Ischemia Following Endoscopic Ultrasound-Guided Celiac Plexus Neurolysis: Hee Yoon Jang, Sang-Woo Cha, Byung Hoo Lee, Ho Eun Jung, Jin Woo Choo, Yun-Ju Cho, Hye Young Ju, Young Deok Cho; Clin Endosc 2013;46(3):306-309. Published online May 31, 2013; DOI: https://doi.org/10.5946/ce.2013.46.3.306

Abstract PDF PubReader ePub

Endoscopic ultrasound-guided celiac plexus neurolysis (EUS-CPN) is a well-established intervention to palliate malignant pain. We report a patient who developed hepatic and splenic infarction and bowel ischemia following EUS-CPN. A 69-year-old man with known lung cancer and pancreatic metastasis was transferred for debilitating, significant epigastric pain for several months. The patient underwent EUS-CPN to palliate the pain. After the procedure, the patient complained continuously of abdominal pain, nausea, and vomiting; hematemesis and hematochezia were newly developed. Abdominal computed tomography revealed infarction of the liver and spleen and ischemia of the stomach and proximal small bowel. On esophagogastroduodenoscopy, hemorrhagic gastroduodenitis, and multiple gastric ulcers were noted without active bleeding. The patient expired on postoperative day 27 despite the best supportive care.

Citations

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Endoscopic Management of Pain due to Chronic Pancreatitis
Arjun Kundra, Daniel S. Strand, Vanessa M. Shami
Gastrointestinal Endoscopy Clinics of North America.2024; 34(3): 433. CrossRef
Endoscopic Ultrasound-Guided Celiac Plexus Block Can Be a Useful Procedure for Pain Relief in Chronic Pancreatitis When Used Selectively
Nikhil Sonthalia, Vikram Patil, Awanish Tewari, Akash Roy, Mahesh Kumar Goenka
Journal of Digestive Endoscopy.2023; 14(04): 203. CrossRef
Endoscopic ultrasound-guided celiac plexus neurolysis for managing abdominal pain related with advanced cancer
Ryota Nakano, Hideyuki Shiomi, Shogo Ota, Hiroko Iijima
International Journal of Gastrointestinal Intervention.2022; 11(3): 126. CrossRef
Computed Tomography-Guided Celiac Plexus Block in the Setting of Pancreatic Cancer: Case Study and Review
David Weinstein, Sophie Gonzalez, David Sacks
Journal of Radiology Nursing.2022; 41(3): 159. CrossRef
Endoscopic Ultrasound-Guided Celiac Plexus Interventions
Pedro Moutinho-Ribeiro, Pedro Costa-Moreira, Ana Caldeira, Sílvia Leite, Susana Marques, Teresa Moreira, Nuno Nunes, Miguel Bispo
GE - Portuguese Journal of Gastroenterology.2021; 28(1): 32. CrossRef
Endoscopic ultrasonography-guided celiac plexus neurolysis in patients with unresectable pancreatic cancer: An update
Guillermo Pérez-Aguado, Diego Martinez-Acitores de la Mata, Carlos Marra-López Valenciano, Ignacio Fernandez-Urien Sainz
World Journal of Gastrointestinal Endoscopy.2021; 13(10): 460. CrossRef
Efficacy of EUS-guided celiac plexus neurolysis compared with medication alone for unresectable pancreatic cancer in the oxycodone/fentanyl era: a prospective randomized control study
Yoshihide Kanno, Shinsuke Koshita, Kaori Masu, Takahisa Ogawa, Hiroaki Kusunose, Toji Murabayashi, Toshitaka Sakai, Fumisato Kozakai, Kei Ito
Gastrointestinal Endoscopy.2020; 92(1): 120. CrossRef
Alleviating Pancreatic Cancer-Associated Pain Using Endoscopic Ultrasound-Guided Neurolysis
Kosuke Minaga, Mamoru Takenaka, Ken Kamata, Tomoe Yoshikawa, Atsushi Nakai, Shunsuke Omoto, Takeshi Miyata, Kentaro Yamao, Hajime Imai, Hiroki Sakamoto, Masayuki Kitano, Masatoshi Kudo
Cancers.2018; 10(2): 50. CrossRef
Consensus guidelines on the optimal management in interventional EUS procedures: results from the Asian EUS group RAND/UCLA expert panel
Anthony Y B Teoh, Vinay Dhir, Mitsuhiro Kida, Ichiro Yasuda, Zhen Dong Jin, Dong Wan Seo, Majid Almadi, Tiing Leong Ang, Kazuo Hara, Ida Hilmi, Takao Itoi, Sundeep Lakhtakia, Koji Matsuda, Nonthalee Pausawasdi, Rajesh Puri, Raymond S Tang, Hsiu-Po Wang, A
Gut.2018; 67(7): 1209. CrossRef
Celiac Plexus Block and Neurolysis
Amit H. Sachdev, Frank G. Gress
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Eus-guided therapy for pancreatic pain: easy, effective and safe. why isn´t the first therapeutic approach?
Pilar Castro Carbajo, Lydia Elena Pradera Andrés, Carolina Navarro, Luis Ramón Rábago Torres
Gastroenterology & Hepatology: Open Access.2018;[Epub] CrossRef
Endoscopic ultrasound‐guided celiac plexus block and neurolysis
Ichiro Yasuda, Hsiu‐Po Wang
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Vishal B. Gohil, Jason B. Klapman
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EUS-guided celiac plexus neurolysis
Ichiro YASUDA, Shinpei DOI, Masatoshi MABUCHI
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Therapeutic role of endoscopic ultrasound in pancreaticobiliary disease: A comprehensive review
Fan-Sheng Meng
World Journal of Gastroenterology.2015; 21(46): 12996. CrossRef

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Original Article

Endoscopic Ultrasound Elastography for the Pancreas in Korea: A Preliminary Single Center Study: Tae Hee Lee, Young Deok Cho, Sang-Woo Cha, Joo Young Cho, Jae Young Jang, Soung Won Jeong, Hyun Jong Choi, Jong Ho Moon; Clin Endosc 2013;46(2):172-177. Published online March 31, 2013; DOI: https://doi.org/10.5946/ce.2013.46.2.172

Abstract PDF PubReader ePub

Background/Aims

Endoscopic ultrasound elastography (EUS-EG) has been widely used for the evaluation of pancreatic cancer in the Western world. To date, there is very little experience with EUS-EG in Korea. We described the results of comparison between normal pancreas and pancreatic cancer in Korea.

Methods

The present study was performed at a tertiary hospital on 35 subjects comprising 20 with normal pancreas (control group) and 15 with pancreatic cancer (disease group). We compared the EUS-EG performance of the two groups.

Results

The pancreas in the control group showed a mean elasticity value of 0.53% (95% confidence interval [CI], 0.45 to 0.61). The elasticity value was higher than that previously reported from Western country (0.47%; 95% CI, 0.38 to 0.57). In the disease group, the mean elasticity value of pancreatic lesions was 0.02% (95% CI, 0.01 to 0.02). The mean elasticity value of the disease group was significantly lower than that of the control group (p<0.0001).

Conclusions

EUS-EG could be a highly sensitive diagnostic modality for pancreatic cancer in Korea with little EUS-EG experience. We also provided the reference range of elasticity value of normal pancreas, which might be valuable in the interpretation of pancreatic elasticity data for Korean adults.

Citations

Citations to this article as recorded by

Imaging Surveillance of High Risk-Patients for Early Detection of Pancreatic Cancer
Mostafa Alnoury, Hashim R. Mehdi, Atif Zaheer
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Present status of ultrasound elastography for the diagnosis of pancreatic tumors: review of the literature
Takamichi KUWAHARA, Kazuo HARA, Nobumasa MIZUNO, Shin HABA, Nozomi OKUNO
Choonpa Igaku.2022; 49(3): 275. CrossRef
Recent Advances in Endosonography—Elastography: Literature Review
Akira Yamamiya, Atsushi Irisawa, Koki Hoshi, Akane Yamabe, Naoya Izawa, Kazunori Nagashima, Takahito Minaguchi, Masamichi Yamaura, Yoshitsugu Yoshida, Ken Kashima, Yasuhito Kunogi, Fumi Sakuma, Keiichi Tominaga, Makoto Iijima, Kenichi Goda
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Endoscopic ultrasonography elastography in the diagnosis of intrapancreatic ectopic spleen: A case report
Nan Ge, Si-Yu Sun
World Journal of Clinical Cases.2020; 8(9): 1729. CrossRef
Present status of ultrasound elastography for the diagnosis of pancreatic tumors: review of the literature
Takamichi Kuwahara, Kazuo Hara, Nobumasa Mizuno, Shin Haba, Nozomi Okuno
Journal of Medical Ultrasonics.2020; 47(3): 413. CrossRef
Impact of endoscopic ultrasonography on diagnosis of pancreatic cancer
Masayuki Kitano, Takeichi Yoshida, Masahiro Itonaga, Takashi Tamura, Keiichi Hatamaru, Yasunobu Yamashita
Journal of Gastroenterology.2019; 54(1): 19. CrossRef
Early Detection of Pancreatic Cancer: Opportunities and Challenges
Aatur D. Singhi, Eugene J. Koay, Suresh T. Chari, Anirban Maitra
Gastroenterology.2019; 156(7): 2024. CrossRef
Diagnostic Efficacy of Endoscopic Ultrasound Elastography in Differentiating Solid Pancreatic Lesions: A Single-Center Experience
Ahmed Youssef Altonbary, Hazem Hakim, Ahmed Mohamed El-Shamy
Clinical Endoscopy.2019; 52(4): 360. CrossRef
Elastography of the Pancreas, Current View
Christoph F. Dietrich, Michael Hocke
Clinical Endoscopy.2019; 52(6): 533. CrossRef
Endoscopic ultrasound elastography in the diagnosis of pancreatic masses: A meta-analysis
Binglan Zhang, Fuping Zhu, Pan Li, Shishi Yu, Yajing Zhao, Minmin Li
Pancreatology.2018; 18(7): 833. CrossRef
Endoscopic ultrasound (EUS) elastography and strain ratio, could it help in differentiating malignant from benign pancreatic lesions?
Hussein Hassan Okasha, Reem Ezzat Mahdy, Shaimaa Elkholy, Mohamed Sayed Hassan, Ahmed Nabil El-Mazny, Kareem Essam Eldin Hadad, Moustafa Saeed, Mohamed El-Nady, Osama Soliman Elbalky, Asem Ashraf, Amr Abo El-Magd, Abeer Awad
Medicine.2018; 97(36): e11689. CrossRef
Differentiation of Pancreatic Masses via Endoscopic Ultrasound Strain Ratio Elastography Using Adjacent Pancreatic Tissue as the Reference
Nadan Rustemović, Mirjana Kalauz, Katja Grubelić Ravić, Hrvoje Iveković, Branko Bilić, Zvonimir Ostojić, Dalibor Opačić, Iva Ledinsky, Matea Majerović, Ana Višnjić
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Endoscopic ultrasound elastography for solid pancreatic lesions
Tanyaporn Chantarojanasiri, Pradermchai Kongkam
World Journal of Gastrointestinal Endoscopy.2017; 9(10): 506. CrossRef
New Imaging Techniques
Julio Iglesias-García, Jose Lariño-Noia, Juan Enrique Domínguez-Muñoz
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World Journal of Gastroenterology.2017; 23(1): 25. CrossRef
Prospective cohort study comparing transient EUS guided elastography to EUS-FNA for the diagnosis of solid pancreatic mass lesions
J. Mayerle, G. Beyer, P. Simon, E.J. Dickson, R.C. Carter, F. Duthie, M.M. Lerch, C.J. McKay
Pancreatology.2016; 16(1): 110. CrossRef
Elasticity of the tibial nerve assessed by sonoelastography was reduced before the development of neuropathy and further deterioration associated with the severity of neuropathy in patients with type 2 diabetes
Fukashi Ishibashi, Miki Taniguchi, Rie Kojima, Asami Kawasaki, Aiko Kosaka, Harumi Uetake
Journal of Diabetes Investigation.2016; 7(3): 404. CrossRef
Endoscopic Ultrasound Elastography for Pancreatic Cancer Diagnosis: A Step Forward?
Woo Jin Lee
Clinical Endoscopy.2013; 46(2): 116. CrossRef

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