Therapeutic Endoscopic Ultrasound.
Endoscopic ultrasound (EUS) technology has evolved dramatically over the past 20 years, from being a supplementary diagnostic aid available only in large medical centers to being a core diagnostic and therapeutic tool that is widely available. Although formal recommendations and practice guidelines have not been developed, there are considerable data supporting the use of EUS for its technical accuracy in diagnosing pancreaticobiliary and gastrointestinal pathology. Endosonography is now routine practice not only for pathologic diagnosis and tumor staging but also for drainage of cystic lesions and celiac plexus neurolysis. In this article, we cover the use of EUS in biliary and pancreatic intervention, ablative therapy, enterostomy, and vascular intervention.
Dr Cheriyan is an advanced endoscopy fellow and an instructor in medicine and Dr Obando is an assistant professor of medicine in the Division of Gastroenterology at Duke University Medical Center in Durham, North Carolina.
Danny
D
Cheriyan
Dr Cheriyan is an advanced endoscopy fellow and an instructor in medicine and Dr Obando is an assistant professor of medicine in the Division of Gastroenterology at Duke University Medical Center in Durham, North Carolina.
Jorge V
JV
Obando
Advanced endoscopy; ablative therapy; biliary access; endoscopic ultrasound; gastrojejunostomy; hemostasis; pancreatic access