English (United Kingdom)

https://curated-unify.zendy.io/wp-json/zendy-region/v1/featured_content/oa?rat=en

https://curated-unify.zendy.io/wp-json/zendy-region/v1/highlighted_journal/

Global: Zendy Plus annual

Presents the access of premium content as premium feature

Premium Content

Presents the keyphrase highlighting as premium feature

Keyphrase Highlighting

Presents the summarisation as premium feature

Summarisation

Insights

Presents the pdf analysis as premium feature

PDF Analysis

Presents the zaia usage as premium feature

ZAIA

Global: Zendy Tools annual

Global: Zendy Free Plan

Global: Zendy Tools monthly

Global: Zendy Plus monthly

A 79-year-old man with a prior history of distal gastrectomy and Roux-en-Y anastomosis for gastric cancer 2 years ago was admitted to our department. Contrast-enhanced computed tomography revealed an ill-defined hypovascular lesion in the head of pancreas without upstream pancreatic duct dilation [Figure 1]. Endoscopic ultrasonography (EUS)-guided fine-needle aspiration (EUS-FNA) was attempted using a forward-oblique viewing curved linear echoendoscope (EG-580UT, Fujifilm Corp., Tokyo, Japan). Since the head of pancreas was not visualized on EUS from the remnant stomach, the echoendoscope was advanced to the jejunojejunal anastomosis using the assistance of the endoscopic view [Figure 2]. Although intubation into the afferent limb was difficult due to the sharp angulation, a 2‐cm, ill‐defined hypoechoic mass in the head of pancreas was visualized on EUS from the proximal jejunum before the anastomosis and EUS-FNA using a 22-gauge needle (EZ Shot 3 Plus, Olympus Corp., Tokyo, Japan) was successfully performed without complications [Figure 3]. Images and Videos

EUS-FNA of gastric cancer metastatic to the head of pancreas using a forward oblique viewing echoendoscope in a case with Roux-en-Y anatomy