- Browse by Author
Browsing by Author "Mohamadnejad, Mehdi"
Now showing 1 - 3 of 3
Results Per Page
Sort Options
Item Clinical Study Bedside Endoscopic Ultrasound in Critically Ill patients(Hindawi, 2011) Mohamadnejad, Mehdi; Leblanc, Julia K.; Sherman, Stuart; Al-haddad, Mohammad; Mchenry, Lee; Cote, Gregory A.; Dewitt, John M.Background. The aim of this study was to evaluate the role and impact of EUS in the management of critically ill patients. Methods. We retrospectively identified all patients at our institution over a 68-month period in whom bedside inpatient EUS was performed. EUS was considered to have a significant impact if a new diagnosis was established and/or the findings altered subsequent clinical management. Results. Fifteen patients (9 male; mean age 58 ± 15 years) underwent bedside EUS without complications. EUS-FNA (median 4 passes; range 2–7) performed in 12 (80%) demonstrated a malignant mediastinal mass/lymph node (5), pancreatic abscess (1), excluded a pelvic abscess (1), established enlarged gastric folds as benign (1) and excluded malignancy in enlarged mediastinal (1) and porta hepatis adenopathy (1). In two patients, EUS-FNA failed to diagnose mediastinal histoplasmosis (1) and a hemorrhagic pancreatic pseudocyst (1). In three diagnostic exams without FNA, EUS correctly excluded choledocholithaisis (n = 1) and cholangiocarcinoma (1), and found gastric varices successfully thrombosed after previous cyanoacrylate injection (1). EUS was considered to have an impact in 13/15 (87%) patients. Conclusions. In this series, bedside EUS in critically ill patients was technically feasible, safe and had a major impact on the majority of patients. 1.Item Intrahepatic aneurysmal portosystemic venous shunt diagnosed on EUS(Elsevier, 2022-01-26) Mohamadnejad, Mehdi; Al-Haddad, Mohammad; Medicine, School of MedicineVideo 1EUS demonstration of aneurysmal intrahepatic portosystemic venous shunt.Item Pancreatic hydatid cyst diagnosed on EUS-guided FNA(Elsevier, 2018-11-30) Mohamadnejad, Mehdi; Kheyri, Zahedin; Zamani, Farhad; Sotoudeh, Masoud; Al-Haddad, Mohammad; Medicine, School of MedicineA 22-year-old woman presented with abdominal pain. Abdominal CT scan demonstrated a mass lesion in the pancreatic body (Fig. 1A). There was no lesion in the liver on CT scan (Fig. 1B). EUS showed a 50- × 35-mm cystic mass lesion containing numerous floating serpentine-like linear structures (Fig. 2; Video 1, available online at www.VideoGIE.org). EUS-guided FNA was performed with a 22-gauge needle.