Table 2 EUS procedures by indications and findings
Case | Age (y) / Sex | Indication | Comorbidities | Imagery/Diagnostic Studies Prior EUS | Sedation | EUS Findings | Treatment | Impact |
|---|---|---|---|---|---|---|---|---|
1 | 18 F | Suspected CBDs | Nil | US, CT | DP | Gallstones and CBDs | Stones extracted at ERCP; laparoscopic cholecystectomy | 2 |
2 | 12 F | Suspected acute biliary pancreatitis | Psoriasis | US, CT | DP | Normal | Precluded need for ERCP | 1 |
3 | 18 M | Suspected CBDs | Ulcerative colitis, sclerosing cholangitis | US, MRI | DP | Normal | Precluded need for ERCP | 1 |
4 | 12 F | Suspected CBDs | Nil | US | DP | Gallstones | Precluded need for ERCP; laparoscopic cholecystectomy | 1 |
5 | 7 M | Recurrent pancreatitis | Klinefelter syndrome | US, MRI | GA | Chronic pancreatitis | Nil | 1 |
5b | Recurrent pancreatitis (1 year later) | Nil | CT | GA | Chronic pancreatitis | Nil | 0 | |
6 | 14 M | Acute biliary pancreatitis | Nil | US, CT | DP | Gallstones, edematous pancreatitis | Precluded need for ERCP; laparoscopic cholecystectomy | 1 |
7 | 15 M | Suspected CBDs | Nil | US | DP | Gallstones | Precluded need for ERCP; Laparoscopic cholecystectomy | 1 |
8 | 18 M | Recurrent hypoglycemia | Nil | CT, MRI | DP | Solid hypoechogenic hypervascular lesion of pancreatic tail | FNA with 25 G, diagnosis of insulinomas; surgical resection | 2 |
9 | 18 M | Suspected anal Crohn’s disease | Rectal Crohn’s disease | Colonoscopy, MRI | NS | Normal | Nil | 0 |
10 | 18 M | Suspected CBDs | Nil | US | DP | Gallstones | Precluded need for ERCP; laparoscopic cholecystectomy | 1 |
11 | 18 M | Suspected anal Crohn’s disease | Rectal Crohn’s disease | Colonoscopy, CT | NS | Trans-sphincteric fistula | Biologic therapy | 2 |
11b | Control after 6 months of therapy | Nil | EUS | NS | Partial remission | Biologic therapy | 2 | |
11c | Control after 1 year of therapy | Nil | EUS | NS | Remission | Stop of biologic therapy | 2 | |
12 | 18 F | Suspected CBDs | Nil | US, MRI | DP | Gallstones | Precluded need for ERCP; laparoscopic cholecystectomy | 1 |
13 | 16 M | Suspected Crohn’s disease | Rectal Crohn’s disease | Colonoscopy, CT | NS | Normal | Nil | 0 |
14 | 13 F | Recurrent pancreatitis | Celiac disease | US, CT | DP | Chronic pancreatitis | Nil | 1 |
15 | 9 M | Suspected acute biliary pancreatitis | Nil | US, CT | DP | Gallstones edematous pancreatitis | Precluded need for ERCP; laparoscopic cholecystectomy | 1 |
16 | 16 F | Cystic pancreatic mass | Takayasu arteritis Hashimoto thyroiditis | US | GA | Voluminous head pancreatic cysts | FNA with 22 G (serous cystadenoma) | 1 |
16b | Acute pancreatitis | Nil | CT | GA | Compression of CBD and Wirsung duct | Whipple resection | 2 | |
17 | 12 M | Fecal incontinence | Surgery for Hirschsprung disease | MRI | NS | Interruption of internal anal sphincter | Symptomatic management | 1 |
18 | 18 F | Suspected anal Crohn’s disease | Ileo-colonic Crohn’s disease | Colonoscopy, CT | NS | Normal | Nil | 0 |
19 | 12 M | Suspected anal Crohn’s disease | Colonic Crohn’s disease | Colonoscopy | NS | Extra sphincteric fistula | Biologic therapy | 2 |
19b | Control after 6 months of therapy | Nil | EUS | NS | Remission | Biologic therapy | 2 | |
20 | 9 F | Duodenal polyp | Nil | EGD, MRI, PET with Ga-DOTATOC | GA | Hypoechoic, hypervascular lesion originate in the III layer, infiltrate the IV | Surgical resection (NET G2) | 2 |
20b | Follow up after surgery | Nil | MRI, CT, PET with Ga-DOTATOC | GA | Normal | Nil | 0 | |
21 | 13 F | Suspected acute biliary pancreatitis | Nil | US, MRI | DP | Gallstones, acute necrotizing pancreatitis | Precluded need for ERCP; laparoscopic cholecystectomy | 1 |
21b | Abdominal pain | Nil | CT | GA | Pancreatic pseudocyst | Transgastric drainage with metallic stent | 2 | |
22 | 12 F | Fecal incontinence | Surgery for Hirschsprung disease | MRI | NS | Interruption of internal anal sphincter | Symptomatic management | 1 |
23 | 15 M | Suspected CBDs | Ulcerative colitis sclerosing cholangitis | US, MRI | DP | Normal | Precluded need for ERCP | 1 |
24 | 17 F | Suspected anal Crohn’s disease | Colonic Crohn’s disease | Colonoscopy, MRI | NS | Abscess with extra sphincteric fistula | Surgical intervention | 2 |
25 | 18 M | Suspected CBDs | Ulcerative Colitis sclerosing cholangitis | US, MRI | DP | Normal | Precluded need for ERCP | 1 |
26 | 17 M | Suspected CBDs | Nil | US | DP | Gallstones | Precluded need for ERCP; laparoscopic cholecystectomy | 1 |
27 | 18 M | Suspected Crohn’s anal disease | Ileo-colonic Crohn’s disease | Colonoscopy, CT | NS | Abscess with extra sphincteric fistula | Surgical intervention | 2 |
28 | 12 M | Recurrent pancreatitis | Nil | MRI | DP | Chronic pancreatitis | Nil | 1 |
29 | 17 M | Suspected acute biliary pancreatitis | Nil | US, CT | DP | Gallstones, edematous pancreatitis | Precluded need for ERCP; laparoscopic cholecystectomy | 1 |
30 | 18 M | Suspected Crohn’s anal disease | Nil | Colonoscopy, MRI | NS | Abscess with extra sphincteric fistula | Surgical intervention | 2 |
31 | 14 F | Gastric subepithelial lesions | Nil | EGD | DP | Lipoma | Nil | 1 |
32 | 9 F | Suspected acute biliary pancreatitis | Nil | US, MRI | GA | Normal | Precluded need for ERCP | 1 |
33 | 4 F | Cystic pancreatic mass on US | Nil | MRI | GA | Pancreatic pseudocyst | Surgery in urgency for traumatic rupture | 1 |
34 | 18 F | Suspected CBDs | Nil | US | DP | Gallstones | Precluded need for ERCP; laparoscopic cholecystectomy | 1 |
35 | 18 F | Perigastric abscess at US | PEG, holoprosencephaly | EGD, US | GA | Perigastric abscess | Surgical drainage | 0 |
36 | 18 M | Recurrent hypoglycemia | Nil | MRI | DP | Solid hypoechogenic hypervascular lesion of uncinate process | FNA with 25 G (diagnosis of insulinomas); Medical therapy | 2 |
37 | 18 F | Suspected acute biliary pancreatitis | Nil | US, CT | DP | Gallstones, edematous pancreatitis | Precluded need for ERCP; laparoscopic cholecystectomy | 1 |
38 | 16 M | Suspected CBDs | Nil | US | DP | Gallstones and CBDs | Stones extracted at ERCP | 2 |
39 | 3 F | Encopresis | Sacrococcygeal Yolk Sac Tumor | MRI | DP | Pararectal lesion | Surgical intervention (recurrent disease) | 2 |
40 | 13 M | Suspected Crohn’s anal disease | Ilelonic Crohn’s disease | Colonoscopy, MRI | NS | Perianal abscess | Surgical intervention | 2 |