Full Text Journal Articles by
Author Rajesh Puri

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Do we need contrast agents for EUS?

Adrian Saftoiu, Bertrand Napoleon, Paolo Giorgio Arcidiacono, Barbara Braden, Sean Burmeister, Silvia Carrara, Xin Wu Cui, Pietro Fusaroli, Uwe Gottschalk, Michael Hocke, Stephan Hollerbach, Julio Iglesias-Garcia, Christian Jenssen, Masayuki Kitano, Alberto Larghi, Kofi W Oppong, Anand V Sahai, Siyu Sun, Eike Burmester, Milena Di Leo, Maria Chiara Petrone, Erwin Santos, Anthony Y B Teoh, Joo Ha Hwang, Mihai Rimbas, Malay Sharma, Rajesh Puri, Michel Kahaleh, Christoph F Dietrich,

We recently introduced a series of articles that dealt with controversies in EUS. In Part I, the authors discussed which clinical information is necessary prior to EUS and whether other imaging modalities are required before embarking on EUS examinations. Part II focuses on technical details and controversies about the use ... Read more >>

Endosc Ultrasound (Endoscopic ultrasound)
[2020, :]

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Endoscopic ultrasound-guided tissue acquisition with or without macroscopic on-site evaluation: randomized controlled trial.

Charing C N Chong, Sundeep Lakhtakia, Nam Nguyen, Kazuo Hara, Wah Kheong Chan, Rajesh Puri, Majid A Almadi, Tiing Leong Ang, Andrew Kwek, Ichiro Yasuda, Shinpei Doi, Mitsuhiro Kida, Hsiu-Po Wang, Tsu-Yao Cheng, Qingwei Jiang, Aiming Yang, Anthony W H Chan, Shannon Chan, Raymond Tang, Takuji Iwashita, Anthony Y B Teoh,

BACKGROUND: The use of macroscopic on-site evaluation (MOSE) to estimate the adequacy of a specimen for histological diagnosis during endoscopic ultrasound (EUS)-guided fine-needle tissue acquisition (FNTA) has recently been advocated. This study aimed to evaluate the diagnostic yield of MOSE compared with conventional EUS-FNTA without rapid on-site evaluation (ROSE). METHODS: This was ... Read more >>

Endoscopy (Endoscopy)
[2020, 52(10):856-863]

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Amyloidosis presenting as right adrenal mass-diagnosed on endoscopic ultrasound-guided fine needle aspiration.

Abha Thakur, Haimanti Sarin, Narendra S Choudhary, Ishani Mohapatra, Rajesh Puri, A S Soin,

Indian J Pathol Microbiol (Indian journal of pathology & microbiology)
[2020, 63(2):335-337]

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Transgastric Endoscopic Lumen-Apposing Metal Stents for Intra-abdominal Fluid Collections After Living Donor Liver Transplantation.

Narendra S Choudhary, Swapnil Dhampalwar, Rajesh Puri,

Liver Transpl. (Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society)
[2020, 26(5):726]

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What should be known prior to performing EUS exams? (Part II).

Christoph F Dietrich, Paolo Giorgio Arcidiacono, Barbara Braden, Sean Burmeister, Silvia Carrara, Xinwu Cui, Milena Di Leo, Yi Dong, Pietro Fusaroli, Uwe Gottschalk, Andrew J Healey, Michael Hocke, Stephan Hollerbach, Julio Iglesias Garcia, André Ignee, Christian Jürgensen, Michel Kahaleh, Masayuki Kitano, Rastislav Kunda, Alberto Larghi, Kathleen Möller, Bertrand Napoleon, Kofi W Oppong, Maria Chiara Petrone, Adrian Saftoiu, Rajesh Puri, Anand V Sahai, Erwin Santo, Malay Sharma, Assaad Soweid, Siyu Sun, Anthony Yuen Bun Teoh, Peter Vilmann, Hans Seifert, Christian Jenssen,

In "What should be known prior to performing EUS exams, Part I," the authors discussed the need for clinical information and whether other imaging modalities are required before embarking EUS examinations. Herewith, we present part II which addresses some (technical) controversies how EUS is performed and discuss from different points ... Read more >>

Endosc Ultrasound (Endoscopic ultrasound)
[2019, 8(6):360-369]

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Biliary Ascariasis Mimicking as Choledocholithiasis on Endoscopic Ultrasound.

Mukesh Nasa, Gaurav Patil, Zubin Dev Sharma, Rajesh Puri,

J Assoc Physicians India (The Journal of the Association of Physicians of India)
[2019, 67(1):81-82]

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What should be known prior to performing EUS?

Christoph F Dietrich, Paolo Giorgio Arcidiacono, Barbara Braden, Sean Burmeister, Silvia Carrara, Xinwu Cui, Milena Di Leo, Yi Dong, Pietro Fusaroli, Odd Helge Gilja, Andrew J Healey, Michael Hocke, Stephan Hollerbach, Julio Iglesias Garcia, André Ignee, Christian Jürgensen, Michel Kahaleh, Masayuki Kitano, Rastislav Kunda, Alberto Larghi, Kathleen Möller, Bertrand Napoleon, Kofi W Oppong, Maria Chiara Petrone, Adrian Saftoiu, Rajesh Puri, Anand V Sahai, Erwin Santo, Malay Sharma, Assaad Soweid, Siyu Sun, Anthony Yuen Bun Teoh, Peter Vilmann, Christian Jenssen,

Direct referral of patients for EUS - instead of preprocedural consultation with the endosonographer - has become standard practice (like for other endoscopic procedures) as it is time- and cost-effective. To ensure appropriate indications and safe examinations, the endosonographer should carefully consider what information is needed before accepting the referral. ... Read more >>

Endosc Ultrasound (Endoscopic ultrasound)
[2019, 8(1):3-16]

Cited: 1 time

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Severe hypertriglyceridemia-induced pancreatitis successfully managed with therapeutic plasma exchange: Report from India.

Swati Pabbi Mehta, Aseem Kumar Tiwari, Rajesh Puri, Dinesh Arora, Geet Aggarwal, Ankita Ratan,

Hypertriglyceridemia (HTG) is the third most significant risk factor for acute pancreatitis after gallstones and alcohol. Therapeutic plasma exchange (TPE) has been considered a possible treatment for HTG-induced pancreatitis, especially in severe and refractory cases. Here, we report one such clinical experience with a patient of severe HTG-induced pancreatitis. He ... Read more >>

Asian J Transfus Sci (Asian journal of transfusion science)
[2018, 12(2):154-156]

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Endoscopic management of difficult benign biliary and pancreatic strictures using a wire-guided cystotome: experience with 25 cases.

Rajesh Puri, Sumit Bhatia, Rinkesh K Bansal, Randhir Sud,

Endoscopic management using standard accessories is the preferred modality for treatment of benign biliary strictures. However, with difficult strictures, there is frequently failure of endoscopic therapy. We are reporting our experience regarding use of a standard diathermic dilator (cystotome) to aid in stricture dilatation and stent placement in patients with ... Read more >>

Endosc Int Open (Endoscopy international open)
[2018, 6(7):E797-E800]

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Endoscopic ultrasound-guided fine-needle aspiration of enlarged adrenals in patients with pyrexia of unknown origin: A single-center experience of 52 cases.

Rinkesh K Bansal, Narendra S Choudhary, Saurabh K Patle, Amit Agarwal, Gagandeep Kaur, Haimanti Sarin, Rajesh Puri,

BACKGROUND:Fine-needle aspiration (FNA) of adrenals is needed in patients with pyrexia of unknown origin (PUO) and adrenal enlargement in absence of other diagnostic clues. Adrenals are easily accessible by endoscopic ultrasound (EUS) due to proximity; however, there is no systemic study available on FNA of adrenals in patients with PUO. ... Read more >>

Indian J Gastroenterol (Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology)
[2018, 37(2):108-112]

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Consensus guidelines on the optimal management in interventional EUS procedures: results from the Asian EUS group RAND/UCLA expert panel.

Anthony Y B Teoh, Vinay Dhir, Mitsuhiro Kida, Ichiro Yasuda, Zhen Dong Jin, Dong Wan Seo, Majid Almadi, Tiing Leong Ang, Kazuo Hara, Ida Hilmi, Takao Itoi, Sundeep Lakhtakia, Koji Matsuda, Nonthalee Pausawasdi, Rajesh Puri, Raymond S Tang, Hsiu-Po Wang, Ai Ming Yang, Robert Hawes, Shyam Varadarajulu, Kenjiro Yasuda, Lawrence Khek Yu Ho,

Interventional endoscopic ultrasonography (EUS) procedures are gaining popularity and the most commonly performed procedures include EUS-guided drainage of pancreatic pseudocyst, EUS-guided biliary drainage, EUS-guided pancreatic duct drainage and EUS-guided celiac plexus ablation. The aim of this paper is to formulate a set of practice guidelines addressing various aspects of the ... Read more >>

Gut (Gut)
[2018, 67(7):1209-1228]

Cited: 25 times

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Diagnostic adequacy and safety of endoscopic ultrasound-guided fine-needle aspiration in patients with lymphadenopathy in a large cohort.

Rinkesh K Bansal, Narendra S Choudhary, Saurabh K Patle, Mahesh K Gupta, Chitranshu Vashishtha, Gagandeep Kaur, Haimanti Sarin, Rajesh Puri,

The role of endoscopic-ultrasound (EUS) guided fine-needle aspiration (FNA) in patients with lymphadenopathy in terms of diagnostic adequacy and safety in large population is not well defined. The aim of this study was to evaluate diagnostic adequacy and safety of EUS-FNA in patients with lymphadenopathy. Retrospective study from October 2010 to ... Read more >>

Endosc Int Open (Endoscopy international open)
[2018, 6(4):E421-E424]

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Ultrasound imaging features of isolated pancreatic tuberculosis.

Yi Dong, Christian Jürgensen, Rajesh Puri, Mirko D'Onofrio, Michael Hocke, Wen-Ping Wang, Nathan Atkinson, Malay Sharma, Christoph F Dietrich,

Isolated pancreatic tuberculosis (PTB) is extremely rare worldwide. The purpose of this multicenter retrospective study is to analyze imaging features of histologically confirmed isolated PTB in order to determine the diagnostic features of the new methods contrast enhanced ultrasound (CEUS), ultrasound elastography and contrast enhanced endoscopic ultrasound (CE-EUS).We report on ... Read more >>

Endosc Ultrasound (Endoscopic ultrasound)
[2018, 7(2):119-127]

Cited: 7 times

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Endoscopic pancreatic balloon sphincteroplasty for difficult to treat pancreatic stones and strictures: experience in 80 patients.

Rinkesh Kumar Bansal, Gaurav Kumar Patil, Rajesh Puri, Narendra S Choudhary, Saurabh R Patle, Zubin D Sharma, Randhir Sud,

 There is paucity of data about endoscopic pancreatic sphincteroplasty (EPS) after endoscopic pancreatic sphincterotomy (EPST) in the treatment of chronic pancreatitis. The aim of this study was to establish the indications for EPS, complications related to it, and to examine its effectiveness in managing chronic pancreatitis after a year of ... Read more >>

Endosc Int Open (Endoscopy international open)
[2017, 5(12):E1229-E1234]

Cited: 1 time

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VIDEO PLENARY 2: VID-HPB-02: Endoscopic ultrasound-guided fine needle aspiration from small liver lesions in a case of gallbladder carcinoma.

Narendra Singh Choudhary, Haimanti Sarin, Mridula Guleria, Randhir Sud, Rajesh Puri, Rinkesh Bansal,

A 52-year-old male presented with nonspecific upper abdominal pain. His ultrasound abdomen revealed gallbladder wall thickening. A contrast (dynamic) computed tomography (CT) abdomen was suggestive of carcinoma gallbladder. He was planned for surgery and a positron emission tomography (PET) CT was done; it showed PET avid lesion of gallbladder small ... Read more >>

(Endoscopic Ultrasound)
[2017, 6(Suppl 1):S37-S37]

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P-LUM-12: Diagnostic adequacy and safety of endoscopic ultrasound-guided fine needle aspiration in patients with lymphadenopathy in a large cohort.

Rinkesh Kumar Bansal, Rajesh Puri, Narendra S. Chaudhary, Saurabh Patle, Chitranshu Vashishtha, Mukesh Nasa, Randhir Sud, Mahesh Gupta, Haimanti Sarin, Mridula Guleria,

Background and Objectives:Role of endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) in patients with lymphadenopathy in terms of diagnostic adequacy and safety in large population is not well defined. The aim of the current study was to evaluate diagnostic adequacy and safety of EUS FNA in patients with lymphadenopathy.Methods:This was ... Read more >>

(Endoscopic Ultrasound)
[2017, 6(Suppl 1):S14-S15]

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Endoscopic pancreatic necrosectomy: why scuff when you can flush the muck - make it an easy row to hoe.

Rinkesh Kumar Bansal, Rajesh Puri, Narendra S Choudhary, Sumit Bhatia, Nisharg Patel, Saurabh K Patle, Gaurav K Patil, Amit Agarwal, Chandra Prabha, Randhir Sud,

 Endoscopic ultrasound (EUS) guided drainage of symptomatic pancreatic walled-off necrosis (WON) followed by fully covered self-expanding metal stent (FCSEMS) placement offers several advantages such as higher technical success rate and the option of necrosectomy. The aim of this study was to evaluate the safety and efficacy of EUS guided drainage ... Read more >>

Endosc Int Open (Endoscopy international open)
[2017, 5(9):E847-E853]

Cited: 1 time

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VIDEO PLENARY 2: VID-HPB-01: An unusual appearance of space-occupying lesion in pancreas: Hydatid cyst.

Narendra Singh Choudhary, Rajesh Puri, Rinkesh Bansal, Haimanti Sarin, Mridula Guleria, Randhir Sud,

A 57-year-old male underwent ultrasound abdomen for nonspecific pain. The ultrasound abdomen showed a lesion in the body of pancreas. The patient was referred for endoscopic ultrasound (EUS) evaluation of a pancreatic lesion. EUS showed a 3.3 cm solid lesion in the body of pancreas with alternating thin hypoechoic and ... Read more >>

(Endoscopic Ultrasound)
[2017, 6(Suppl 1):S37-S37]

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P-THER-10: Complications encountered during interventional endoscopic ultrasound - a tertiary care center experience.

Sumit Bhatia, Rajesh Puri, Narendra Choudhary, Rinkesh Bansal, Randhir Sud, Gaurav Patil,

Background and Objectives:Interventional endoscopic ultrasound (EUS) includes fine needle aspiration (FNA), pancreatic cystogastrostomy, aspiration of cystic cavity or collection, hepaticogastrostomy, and coiling. It is considered safe. This study was undertaken to note frequency of various complications that arose with interventional EUS at our center.Methods:This was a retrospective cohort study done ... Read more >>

(Endoscopic Ultrasound)
[2017, 6(Suppl 1):S29-S29]

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P-THER-05: Endoscopic pancreatic necrosectomy: Why to scuff when you can flush the muck-make it an easy row to hoe.

Rinkesh Bansal, Rajesh Puri, Narendra S. Choudhary, Randhir Sud, Saurabh Patle, Mridula Guleria, Haimanti Sarin, Gagandeep Kaur, Chandra Prabha, Sumit Bhatia,

Background and Objectives:Endoscopic ultrasound (EUS)-guided drainage of symptomatic walled-off pancreatic necrosis (WON) followed by fully covered self-expanding metal stent (FCSEMS) placement offers several advantages such as higher technical success and option of necrosectomy. The aim was to evaluate the safety and efficacy of EUS-guided drainage of patients with WON using ... Read more >>

(Endoscopic Ultrasound)
[2017, 6(Suppl 1):S27-S27]

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Comparison of endoscopic ultrasound-guided fine-needle aspiration by capillary action, suction, and no suction methods: a randomized blinded study.

Rinkesh K Bansal, Narendra S Choudhary, Rajesh Puri, Saurabh K Patle, Suraj Bhagat, Mukesh Nasa, Amit Bhasin, Haimanti Sarin, Mridula Guleria, Randhir Sud,

Different types of endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) techniques are used in clinical practice; the best method in terms of outcome has not been determined. The aim of the study was to compare the diagnostic adequacy of aspirated material, and the cytopathological and EUS morphological features between capillary action, ... Read more >>

Endosc Int Open (Endoscopy international open)
[2017, 5(10):E980-E984]

Cited: 1 time

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P-HPB-24: Pancreatic lesion with double duct sign in an adolescent male.

Narendra Singh Choudhary, Rajesh Puri, Rinkesh Bansal, Haimanti Sarin, Mridula Guleria, Randhir Sud,

A 17-year-old male presented with weight loss. Computed tomography (CT) of the abdomen was suggestive of pancreatic head mass lesion with dilated pancreatic duct and common bile duct. He underwent endoscopic retrograde cholangiopancreatography with stenting outside for jaundice. A positron emission tomography CT was done which showed pancreatic lesion with ... Read more >>

(Endoscopic Ultrasound)
[2017, 6(Suppl 1):S25-S25]

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VID-LUM-05: Difficult to control recurrent fundal variceal bleed.

Rinkesh Kumar Bansal, Rajesh Puri, Narendra S. Chaudhary, Saurabh Patle, Chitranshu Vashishtha, Mukesh Nasa, Randhir Sud,

A 55–year-old male presented with recurrent upper gastrointestinal (GI) bleed; he is diagnosed as chronic liver disease, portal hypertension, hepatocellular carcinoma with portal vein tumor thrombus. On upper GI endoscopy, there were large IGV1 fundal varices – glue injection done twice recently; however, he continues to have recurrent episode hematemesis ... Read more >>

(Endoscopic Ultrasound)
[2017, 6(Suppl 1):S36-S36]

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P-HPB-23: Disseminated neuroendocrine tumor in a young male with weight loss.

Rinkesh Bansal, Rajesh Puri, Narendra S. Choudhary, Randhir Sud, Saurabh Patle, Mridula Guleria, Haimanti Sarin, Gagandeep Kaur, Chandra Prabha, Sumit Bhatia,

A 34-year-old male presented with weight loss of 10 kg in the last 3 months. There was no abdominal pain, fever, jaundice, or gastrointestinal bleeding. On routine laboratory investigation, there was microcytic anemia with hemoglobin of 8.5 g/dl. On ultrasound examination, there were abdominal lymph adenopathy and left adrenal enlargement. ... Read more >>

(Endoscopic Ultrasound)
[2017, 6(Suppl 1):S24-S25]

Cited: 0 times

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P-LUM-14: Safety and impact of endoscopic ultrasound-guided fine needle aspiration of the lymph nodes in cirrhotics with hepatocellular carcinoma or pyrexia of unknown origin.

Narendra Singh Choudhary, Haimanti Sarin, Mridula Guleria, Randhir Sud, Rajesh Puri, Rinkesh Bansal,

Background and Objectives:Fine needle aspiration (FNA) of the enlarged lymph nodes or adrenal is advisable in patients with cirrhosis who have hepatocellular carcinoma (HCC) or pyrexia of unknown origin (PUO), before choosing optimal management strategy. It is difficult to perform percutaneous FNA due to the presence of collaterals and difficult ... Read more >>

(Endoscopic Ultrasound)
[2017, 6(Suppl 1):S15-S15]

Cited: 0 times

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