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Reverse Endoscopic Ultrasound-Guided Gastrojejunostomy for the Treatment of Superior Mesenteric Artery Syndrome: A New Concept

Xu Mm, Dawod E, Gaidhane M, Tyberg A, Kahaleh M

Superior mesenteric artery syndrome (SMAS) causes compression and partial or complete obstruction of the duodenum, resulting in abdominal pain, nausea, vomiting, and weight loss. If conservative therapy fails, the patient...
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Advances in Endoscopic Ultrasound-Guided Biliary Drainage: A Comprehensive Review

Sarkaria S, Lee HS, Gaidhane M, Kahaleh M

  • KMID: 2135062
  • Gut Liver.
  • 2013 Mar;7(2):129-136.
Endoscopic retrograde cholangiopancreatography (ERCP) has become the first-line therapy for bile duct drainage. In the hands of experienced endoscopists, conventional ERCP results in a failed cannulation rate of 3% to...
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Endoscopic Guided Biliary Drainage: How Can We Achieve Efficient Biliary Drainage?

Kedia P, Gaidhane M, Kahaleh M

  • KMID: 2165465
  • Clin Endosc.
  • 2013 Sep;46(5):543-551.
Currently, endoscopic retrograde cholangiopancreatography (ERCP) is the preferred procedure for biliary drainage for various pancreatico-biliary disorders. ERCP is successful in 90% of the cases, but is unsuccessful in cases with...
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Technical Advances in Endoscopic Ultrasound (EUS)-Guided Tissue Acquisition for Pancreatic Cancers: How Can We Get the Best Results with EUS-Guided Fine Needle Aspiration?

Kedia P, Gaidhane M, Kahaleh M

  • KMID: 2165466
  • Clin Endosc.
  • 2013 Sep;46(5):552-562.
Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is one of the least invasive and most effective modality in diagnosing pancreatic adenocarcinoma in solid pancreatic lesions, with a higher diagnostic accuracy than...
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Pancreatic Fluid Collection Drainage by Endoscopic Ultrasound: An Update

Singhal S, Rotman SR, Gaidhane M, Kahaleh M

  • KMID: 2165459
  • Clin Endosc.
  • 2013 Sep;46(5):506-514.
Endoscopic management of symptomatic pancreatic fluid collections (PFCs) is now considered to be first line therapy. Expanded use of endoscopic ultrasound (EUS) techniques has resulted in increased applicability, safety, and...
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Photodynamic Therapy in Unresectable Cholangiocarcinoma: Not for the Uncommitted

Talreja JP, DeGaetani , Ellen K, Schmitt T, Gaidhane M, Kahaleh M

  • KMID: 2425260
  • Clin Endosc.
  • 2013 Jul;46(4):390-394.
BACKGROUND/AIMS: Photodynamic therapy (PDT) in unresectable cholangiocarcinoma has been associated with improved survival. We report a single tertiary care center experience over the past 6 years. METHODS: Fifty-five patients with unresectable...
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Peroral Endoscopic Myotomy: Establishing a New Program

Kumta NA, Mehta S, Kedia P, Weaver K, Sharaiha R, Fukami N, Minami H, Casas F, Gaidhane M, Lambroza A, Kahaleh M

Achalasia is an esophageal motility disorder characterized by incomplete relaxation of the lower esophageal sphincter (LES) and aperistalsis of the esophageal body. Treatment of achalasia is aimed at decreasing the...
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Endoscopic Therapy for Pancreatic Fluid Collections: A Definitive Management Using a Dedicated Algorithm

Xu MM, Andalib I, Novikov A, Dawod E, Gabr M, Gaidhane M, Tyberg A, Kahaleh M

Background/Aims: Endoscopic ultrasonography (EUS)-guided drainage is the preferred approach for infected or symptomatic pancreatic fluid collections (PFCs). Here, we developed an algorithm for the management of pancreatitis complicated by PFCs and...
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Endoscopic Ultrasound (EUS)-Directed Transgastric Endoscopic Retrograde Cholangiopancreatography or EUS: Mid-Term Analysis of an Emerging Procedure

Tyberg A, Nieto J, Salgado S, Weaver K, Kedia P, Sharaiha R, Gaidhane M, Kahaleh M

BACKGROUND/AIMS: Performing endoscopic retrograde cholangiopancreatography (ERCP) in patients who have undergone Rouxen-Y gastric bypass (RYGB) is challenging. Standard ERCP and enteroscopy-assisted ERCP are associated with limited success rates. Laparoscopy- or...
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Endoscopic Gallbladder Drainage for Acute Cholecystitis

Widmer J, Alvarez P, Sharaiha R, Gossain S, Kedia P, Sarkaria S, Sethi A, Turner BG, Millman J, Lieberman , Nandakumar G, Umrania H, Gaidhane M, Kahaleh M

BACKGROUND/AIMS: Surgery is the mainstay of treatment for cholecystitis. However, gallbladder stenting (GBS) has shown promise in debilitated or high-risk patients. Endoscopic transpapillary GBS and endoscopic ultrasound-guided GBS (EUS-GBS) have...
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The Learning Curve for Peroral Endoscopic Myotomy in Latin America: A Slide to the Right?

Kahaleh M, Tyberg A, Suresh S, Lambroza A, Casas FR, Rey M, Nieto J, Martínez GM, Zamarripa F, Arantes V, Porfilio MG, Gaidhane M, Familiari P, Carames JC, Vargas-Rubio R, Canadas R, Hani A, Munoz G, Castillo B, Moura ET, Galileu FF, Lukashok HP, Robles-Medranda C, Moura EGd

Background/Aims: Per oral endoscopic myotomy (POEM) has been increasingly used for achalasia in Latin America, where Chagas disease is prevalent, and this makes POEM more challenging. The aim of this...
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