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Haemoperitoneum after an endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) of a pancreatic lesion in a peritoneal dialysis patient [Case Report]

Lew, Susie Q; Khan, Ali A; Rieders, Brandon; Agrawal, Satyanisth T
Haemoperitoneum was observed in a peritoneal dialysis (PD) patient after undergoing endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). EUS-FNA was performed to evaluate a pancreatic cyst seen on a prekidney transplant evaluation abdominal CT scan. Haemoperitoneum cleared with a PD exchange. In this case report, we discuss aetiologies for bleeding risks in patients with chronic kidney disease and focus on haemoperitoneum in patients receiving PD. We will also explore treatment options to minimise bleeding associated with an abdominal procedure such as EUS-FNA.
PMID: 33148597
ISSN: 1757-790x
CID: 5015512

Successful use of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) on a pancreatic lesion in a peritoneal dialysis patient without interrupting treatment [Case Report]

Lew, Susie Q; Khan, Ali A; Rieders, Brandon; Agrawal, Satyanisth T
Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA), a well-established minimally invasive gastrointestinal procedure, has been used to diagnose and stage cancers of the pancreas. We describe the successful use of EUS-FNA in a peritoneal dialysis (PD) patient to evaluate a pancreatic cyst. The patient continued on PD immediately after the procedure without using hemodialysis. The patient did not experience any complication such as infection, bleeding, or peritoneal fluid leakage.
PMID: 32063184
ISSN: 1718-4304
CID: 5015502

Current and Emerging Therapeutic Options for Gastroparesis

Myint, Aung S; Rieders, Brandon; Tashkandi, Mohammed; Borum, Marie L; Koh, Joyce M; Stephen, Sindu; Doman, David B
Gastroparesis is a complex, debilitating dysmotility disorder with challenging symptom management. A diagnosis of gastroparesis is based on objectively delayed gastric emptying in the absence of mechanical obstruction. Given the limited efficacy of treatment options and serious side effects, significant research continues for therapeutic options for gastroparesis. Promising investigational pharmacologic therapies include relamorelin, prucalopride, and aprepitant. A novel endoscopic therapy is gastric peroral endoscopic pyloromyotomy, which is associated with improved gastric emptying. This article reviews both current and emerging therapeutic options for gastroparesis, including dietary modification and pharmacologic, electrical stimulation, endoscopic, and surgical therapies. Further research and novel treatment options are needed to address the substantial morbidity of gastroparesis.
PMID: 30538604
ISSN: 1554-7914
CID: 5015492

Clinical Practice Patterns Suggest Female Patients Prefer Female Endoscopists [Comment]

Davis, Jessica; Rieders, Brandon; Borum, Marie L
PMID: 26314250
ISSN: 1573-2568
CID: 5015482