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Updated: May 15, 2026
Using the Endoscope for Endobronchial Ultrasound in the Esophagus
Published on: November 21, 2023
The concept of laparoscopy-assisted pancreatobiliary EUS (LAP-EUS)
Jayapal Ramesh1, John Christein, Shyam Varadarajulu
1Division of Gastroenterology and Hepatology, University of Alabama at Birmingham, Birmingham, AL 35294, USA. j1ramesh@gmail.com
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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