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2006 ; 2
(4
): 261-270
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Extraintestinal Applications of Endoscopic Ultrasound
#MMPMID28286456
Rego R
Gastroenterol Hepatol (N Y)
2006[Apr]; 2
(4
): 261-270
PMID28286456
show ga
Since the joining of ultrasonographic and endoscopic technologies in 1980, there
has been tremendous advancement in the use of endoscopic ultrasound (EUS).
Initially EUS was used mainly to study the anatomic appearance of digestive
organs. In the 1990s, with the development of the charge-coupled device, thinner,
more flexible scopes were developed that simplified imaging for the
endosonographer and improved patient safety. With the development of linear array
EUS scopes, biopsies could be performed utilizing fine needle aspiration.
Currently, several therapeutic techniques, which were formerly performed through
radiologic or surgical procedures, are being safely done with EUS. These include
celiac plexus neurolysis and endoscopic drainage of pancreatic cysts. With the
advent of miniprobe technology, better delineation of the wall of the
gastrointestinal tract can be obtained, facilitating endoscopic mucosal
resection. Novel therapeutic uses for EUS are constantly emerging. This article
describes the various extraintestinal applications of EUS that have been
developed in the last 25 years. More gastroenterologists need training in order
to utilize this challenging technology and improve patient access in the local
community setting.