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DOI: 10.1055/s-2003-43484
Endoscopic Ultrasonography
Publikationsverlauf
Publikationsdatum:
07. November 2003 (online)
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Utility, Training and Clinical Impact
A survey on physician attitudes regarding endoscopic ultrasonography (EUS) and its availability was sent to gastroenterologists and surgeons involved in the care of patients with gastrointestinal tract cancers in three separate urban regions of the USA [1]. Preliminary results from 10 % of a total of 2211 surveys were reported. Only 5 % of respondents performed EUS themselves. Thirty-eight percent currently had no readily available access to diagnostic or interventional EUS. Thirty-two percent had never utilized EUS in the staging of esophageal, rectal, or pancreatic cancers. Inadequate training opportunities (52 %) and the high equipment costs (39 %) were cited as the greatest barriers to learning and performing EUS.
One abstract dealt with variations in EUS practice patterns among American and international endosonographers [2]. A survey questionnaire was distributed to attendees at the 13th International Symposium on EUS in New York, 2002. The majority of endosonographers appeared to be young physicians in academic practice. There was tremendous variation in levels of training, experience, and utilization among the endosonographers. Nineteen percent had more than 6 months of dedicated hands-on EUS training, 34 % had less than 6 months’ training, 26 % had learned EUS by observing others, and 18 % were self-taught.
Clearly, there is an urgent need for adequate EUS training facilities both in quantitative and in qualitative terms. A new easy-to-use interactive EUS simulator (CorVET) had been developed that can run on any PC-based system [3]. The scope and transducer orientation are controlled by the mouse. Besides the EUS window, a separate active window shows a three-dimensional model of the gastrointestinal tract with surrounding structures, the real-time position of the transducer, and the direction of the ultrasound beam. Both radial and linear-array imaging are available, and the simulation includes labeling of anatomical structures and correlations of EUS images with digital anatomy.
An EUS phantom was evaluated that allows trainees to acquire early skills in imaging, manipulation of Doppler and color Doppler systems, and basic techniques of EUS fine-needle aspiration (FNA) [4]. The phantom consists of a customized rubber form into which a swine esophagus and stomach are placed, surrounded by agar in which grapes are embedded to simulate lymph nodes. A rubber tube connected to a pump is placed along the esophagus to simulate the aorta.
An important issue in teaching EUS is how many supervised procedures are required for a trainee to become proficient in a certain technique. One abstract dealt with how much training is needed to perform EUS-FNA safely and accurately [5]. Fellows who were new to this technique were trained by an expert endosonographer. Accuracy in EUS-FNA required a minimum of 25 supervised procedures to reach a 90 % concordance in comparison with an expert endosonographer.
EUS is a technique that may have a profound impact on patient management. This was demonstrated in a series of patients with known or suspected malignancies [6]. Physicians requesting EUS for patients with known or suspected tumors were asked how they would manage their patient if EUS were not available. This was compared with the actual management post-EUS as determined by the same requesting physician. EUS led to a less invasive or simplified strategy in 37 %, and a more complicated or more invasive management strategy in 14 %.
References
- 1 Muthusamy R, Rai J, Rao I. et al . A multicenter survey of the availability of endoscopic ultrasound (EUS) and physician attitudes regarding the utility of EUS in the staging of gastrointestinal malignancies [abstract]. Gastrointest Endosc. 2003; 57 AB 249
- 2 Das A, Mourad W, Lightdale C J. et al . An international survey of the clinical practice of endoscopic ultrasonography (EUS) [abstract]. Gastrointest Endosc. 2003; 57 AB 250
- 3 Imani F, Chen Y K. Colorado virtual EUS trainer (CORVET): a new PC-based interactive endoscopic ultrasound simulator [abstract]. Gastrointest Endosc. 2003; 57 AB 100
- 4 Matsuda K, Hawes R H, Gress F. et al . Can a phantom model allow a shortening of the learning curve for endoscopic ultrasound (EUS)? Evaluation by seven EUS experts [abstract]. Gastrointest Endosc. 2003; 57 AB 245
- 5 Linder J D, Bukeirat F A, Geenen J E. et al . Minimal requirements of EUS-FNA training required to attain technical proficiency and accuracy [abstract]. Gastrointest Endosc. 2003; 57 AB 246
- 6 Shah J N, Ahmad N A, Ginsberg G S. et al . Clinical impact of endoscopic ultrasonography in the management of malignancies [abstract]. Gastrointest Endosc. 2003; 57 AB 249
- 7 Will U, Meyer F, Reinholz G. et al . Submucosal tumors (SMT) of the upper gastrointestinal tract - monitoring versus surgical intervention? A prospective endosonography study [abstract]. Gastroenterology. 2003; 124 A 424
- 8 Lin C J, Chu Y Y, Lien J M. et al . Clinical outcome of endosonographic follow-up or endoscopic resection for esophageal submucosal tumors [abstract]. Gastrointest Endosc. 2003; 57 AB 232
- 9 Ozawa S, Kitagawa Y, Kitajima M. et al . Endoscopic ultrasonography-fine needle aspiration biopsy for submucosal tumor of the esophagus [abstract]. Gastrointest Endosc. 2003; 57 AB 231
- 10 Chen Y K, Dewitt J, Antillon M R. et al . EUS-guided fine needle aspiration (FNA) of suspected gastrointestinal stromal tumors (GIST) for cytomorphology and immunocytochemical (ICC) staining [abstract]. Gastrointest Endosc. 2003; 57 AB 233
- 11 Lee S H, Kim J O, Jang G Y. et al . Clinical usefulness of the endoscopic ultrasonography (EUS) for gastro-intestinal granular cell tumors [abstract]. Gastrointest Endosc. 2003; 57 AB 178
- 12 Wildi S M, Hoda R S, Fickling W. et al . Diagnosis of benign cysts of the mediastinum: the role and risks of endoscopic ultrasonography and fine-needle aspiration [abstract]. Gastrointest Endosc. 2003; 57 AB 242
- 13 Wildi S M, Judson M A, Fraig M. et al . Is EUS-FNA for sarcoidosis as good as we think?. Gastrointest Endosc. 2003; 57 AB 241
- 14 Varadarajulu S, Schmulewitz N, Wildi S M. et al . Accuracy of EUS in T staging in lung cancer [abstract]. Gastrointest Endosc. 2003; 57 AB 240
- 15 Wallace M B, Wildi S M, Schmulewitz N. et al . Endoscopic ultrasound-fine needle aspiration (EUS-FNA) staging detects mediastinal metastases in patients with lung cancer and normal mediastinal computed tomography [abstract]. Gastrointest Endosc. 2003; 57 AB 98
- 16 Wallace M B, Block M I, Gillanders W. et al . Detection of micrometastases in mediastinal lymph nodes in non-small cell lung cancer patients by EUS-FNA and real-time RTPCR [abstract]. Gastrointest Endosc. 2003; 57 AB 75
- 17 Vilmann P, Krasnik M, Larsen S S. et al . Endoscopic trans-esophageal and endoscopic trans-bronchial real-time ultrasound guided biopsy: a combined approach in the evaluation of mediastinal lesions [abstract]. Gastrointest Endosc. 2003; 57 AB 75
- 18 Fritscher-Ravens A, Hauber H P, Davidson B L. et al . Endoscopic ultrasound with fine needle aspiration (EUS-FNA) compared to positron emission tomography (PET) and chest computed tomography (CT) for determining operability of lung cancer [abstract]. Gastrointest Endosc. 2003; 57 AB 98
- 19 Annema J T, Hoekstra O, Veselic M. et al . Towards a minimally invasive staging strategy in non-small cell lung cancer (NSCLC): analysis of PET positive mediastinal lesions with EUS-FNA [abstract]. Gastrointest Endosc. 2003; 57 AB 241
- 20 Schmulewitz N, Wildi S M, Varadarajulu S. et al . EUS criteria and primary tumor site do not predict lymph-node FNA results in the mediastinal staging of patients with lung cancer [abstract]. Gastrointest Endosc. 2003; 57 AB 241
- 21 Prasad P, Patel A, Tuttian R. et al . Prospective detection of liver metastases by endoscopic ultrasound in patients with upper gastrointestinal and lung cancers [abstract]. Gastrointest Endosc. 2003; 57 AB 248
- 22 Harewood G C, Kumar K S. Assessment of clinical impact of endoscopic ultrasound on esophageal cancer [abstract]. Gastrointest Endosc. 2003; 57 AB 80
- 23 Dewitt J, Kesler K, Brooks J. et al . Preoperative staging accuracy of radial endosonography for esophageal (ES) and gastroesophageal junction (GEJ) malignancy [abstract]. Gastrointest Endosc. 2003; 57 AB 231
- 24 Zuccaro G, Rice T W, Vargo J. et al . Improved accuracy of esophageal cancer staging by combining EUS with a predictive model based on clinical, endoscopic and histologic parameters [abstract]. Gastrointest Endosc. 2003; 57 AB 140
- 25 Salo J A, Rasanen J V, Sihvo E I. et al . Positron emission tomography (PET) cannot replace computed tomography (CT) and endoscopic ultrasonography (EUS) in the staging of adenocarcinoma of the esophagus and the esophagogastric junction [abstract]. Gastroenterology. 2003; 124 M1893
- 26 Meenan J, Rankin S, Marx G. et al . A prospective study of the accuracy of EUS, PET and hCT in re-staging esophageal cancer following chemotherapy [abstract]. Gastroenterology. 2003; 124 A 76
- 27 Yoshida S, Tanaka S, Kamino D. et al . Pretreatment determination of early gastric cancer depth by endoscopic ultrasonography [abstract]. Gastrointest Endosc. 2003; 57 AB 233
- 28 Sato T, Yuki T, Ishida K. et al . Diagnosis of the T-staging of gastric cancer by ultrasonic probe: a prospective study [abstract]. Gastroenterology. 2003; 124 A 184
- 29 Ney M V, Maluf-Filho F, Sakai P. et al . Prospective comparison of endoscopic ultrasonography (EUS) and endoscopic retrograde cholangiography (ERC) in the diagnosis of choledocholithiasis: the influence of the duct diameter and the stone size [abstract]. Gastrointest Endosc. 2003; 57 AB 234
- 30 Levy P, Boruchowicz A, Hastier P. et al . Echoendoscopy modifies classical predictive criteria of a biliary origin of acute pancreatitis: prospective multicentre French study [abstract]. Gastroenterology. 2003; 124 A 84
- 31 Romagnuolo J, Currie G. Endoscopic ultrasound (EUS) vs. standard care for acute biliary pancreatitis (ABP): a cost-effectiveness study [abstract]. Gastrointest Endosc. 2003; 57 AB 112
- 32 Seifert H, Schmidt-Lauber M, Schuette A. et al . Endoscopic retroperitoneal necrosectomy for infected peripancreatic necrosis [abstract]. Gastrointest Endosc. 2003; 57 AB 76
- 33 Vazquez-Sequeiros E, Moreira-Vicente V, Boixeda-Miquel D. et al . A prospective blinded determination of factors that may be associated with presence of endoscopic ultrasound (EUS) criteria suggestive of chronic pancreatitis (CP) in asymptomatic patients [abstract]. Gastrointest Endosc. 2003; 57 AB 239
- 34 Barclay R L. Obesity and diabetes mellitus are associated with diffuse pancreatic parenchymal hyperechogenicity on endosonography [abstract]. Gastrointest Endosc. 2003; 57 AB 236
- 35 Yusoff I, Raymond G, Sahai A V. A serum biomarker for EUS-defined chronic pancreatitis? A prospective blinded analysis of the association between the EUS criteria for chronic pancreatitis and serum amylase/lipase levels in 1113 patients with and without symptoms or suspected pancreatic disease [abstract]. Gastrointest Endosc. 2003; 57 AB 234
- 36 Farrell J J, Brugge W R. Autoimmune pancreatitis: EUS and EUS-FNA in diagnosis and treatment of 12 cases [abstract]. Gastrointest Endosc. 2003; 57 AB 236
- 37 Gillian C, Piessevaux H, Descamps C. et al . Endosonographic (EUS) cystogastrostomy or cystenterostomy in acute and chronic pancreatitis [abstract]. Gastrointest Endosc. 2003; 57 AB 242
- 38 Krueger M, Nietzschmann T, Schneider A. et al . EUS guided transmural drainage of pancreatic pseudocysts using a one-step needle-wire device [abstract]. Gastrointest Endosc. 2003; 57 AB 211
- 39 Antillon M R, Shah R J, Chen Y K. Single-step endoscopic ultrasound (EUS) drainage of infected and noninfected pseudocysts using large (10 Fr) endoprostheses [abstract]. Gastrointest Endosc. 2003; 57 AB 237
- 40 Ahmad N A. Interobserver agreement among endosonographers for the diagnosis of neoplastic versus non-neoplastic pancreatic cystic lesions [abstract]. Gastrointest Endosc. 2003; 57 AB 235
- 41 Catalano M F, Linder J D, Bukeirat F A. et al . Endosonographic features in the differential diagnosis of cystic neoplasms (CN) of the pancreas: a prospective single-center experience [abstract]. Gastrointest Endosc. 2003; 57 AB 234
- 42 Nawras A T, Geenen J E, Catalano M F. Endoscopic ultrasonography with fine needle aspiration and cyst fluid analysis in the diagnosis of pancreatic neuroendocrine cystic tumors [abstract]. Gastrointest Endosc. 2003; 57 AB 236
- 43 McHenry Jr L, Fletcher J W, Tann M. et al . Cystic tumors of the pancreas: evaluation with 18-fluorodeoxyglucose positron emission tomography (PET) and endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) [abstract]. Gastrointest Endosc. 2003; 57 AB 238
- 44 Catalano M, Linder J D, Bukeirat F A. et al . Cyst fluid analysis obtained by EUS guided FNA in the evaluation of cystic neoplasms (CN) of the pancreas: a prospective single-center experience [abstract]. Gastrointest Endosc. 2003; 57 AB 99
- 45 Asnacios A A, Buscail L, Selves J. et al . Predictive diagnostic value of endoscopic ultrasound-guided fine needle aspiration of unilocular macrocystic lesions of the pancreas [abstract]. Gastroenterology. 2003; 124 A 440
- 46 Kalha I, Kaw M, Singh S. et al . Diagnostic accuracy of endoscopic ultrasound-guided fine-needle aspiration of cystic lesions of the pancreas [abstract]. Gastroenterology. 2003; 124 A 188
- 47 Will U, Meyer F, Erhardt C. et al . Correlation of differential diagnostic between inflammatory and malignant lesions of the papilla of Vater using endosonography with results of histologic investigation [abstract]. Gastroenterology. 2003; 124 A 440
- 48 Chen S L, Venegas R, French S. et al . Does immunohistochemical staining improve the diagnostic yield of endoscopic ultrasonography guided fine needle pancreatic aspirates?. Gastrointest Endosc. 2003; 57 AB 237
- 49 Springer E W, Antillon M R, Jakribettuu V S. et al . Endoscopic ultrasound (EUS) versus ct scan for detection of solid pancreatic masses in patients with and without chronic pancreatitis [abstract]. Gastrointest Endosc. 2003; 57 AB 235
- 50 Davila R E, Faigel D O. Endoscopic ultrasound-guided fine-needle aspiration of pancreatic duct fluid in the evaluation of pancreatic cancer [abstract]. Gastrointest Endosc. 2003; 57 AB 238
- 51 Dewitt J M, Gress F, Nayar D. et al . EUS-FNA of pancreatic metastases: endosonographic features, cytologic diagnoses and clinical impact [abstract]. Gastrointest Endosc. 2003; 57 AB 239
- 52 McClellan T, Erickson R A. Factors associated with non-diagnostic EUS-guided FNA in pancreatic cancer [abstract]. Gastrointest Endosc. 2003; 57 AB 238
- 53 Dewitt J, Ciaccia D, LeBlanc J. et al . Prospective comparison of endoscopic ultrasound (EUS) and dual-phase helical computed tomography (DPHCT) for the preoperative evaluation of known or suspected pancreatic malignancy: final results [abstract]. Gastrointest Endosc. 2003; 57 AB 99
- 54 Hanada K, Hino F, Oobayashi M. et al . Practical differential preoperative diagnosis in intraductal papillary-mucinous tumor of the pancreas [abstract]. Gastroenterology. 2003; 124 A 440
- 55 Pellise M, Castells A, Gines A. et al . Usefulness of K-ras mutational analysis in the diagnosis of pancreatic carcinoma by means of endosonography-guided fine-needle aspiration biopsy [abstract]. Gastrointest Endosc. 2003; 57 AB 239
- 56 Eloubeidi M A, Chen V K, Jhala N N. et al . Endoscopic ultrasound guided fine needle aspiration biopsy in patients with suspected cholangiocarcinoma: diagnostic accuracy and impact on management [abstract]. Gastrointest Endosc. 2003; 57 AB 235
- 57 Fritscher-Ravens A, Broering D, Swain C P. et al . Efficacy and safety of EUS guided fine needle aspiration in patients with suspected malignant hilar tumors and negative brush cytology [abstract]. Gastroenterology. 2003; 124 A 99
- 58 Byrne M F, Gerke H, Mitchell R M. et al . Yield of endoscopic ultrasound guided fine needle aspiration of bile duct lesions [abstract]. Gastrointest Endosc. 2003; 57 AB 237
- 59 Steinhauer J R, Jhala D N, El O ubeidi. et al . Role of endoscopic ultrasound guided fine needle aspiration in the diagnosis of extrahepatic biliary tract and gallbladder lesions [abstract]. Gastroenterology. 2003; 124 A 557
- 60 Sharma A, Chang K J, Nguyen P. The role of endoscopic ultrasound (EUS) and EUS-guided fine needle aspiration (FNA) in the diagnosis of proximal biliary strictures [abstract]. Gastrointest Endosc. 2003; 57 AB 99
- 61 Maor Y, Chowers Y, Avidan B. et al . Endoscopic ultrasound (EUS) evaluation of perianal fistulas: comparing two probes and assessing the role of hydrogen peroxide injection [abstract]. Gastroenterology. 2003; 124 A 557
- 62 Hill K L, Fennerty M B, Fanning S. et al . Endoanal ultrasound compared to anorectal manometry for the evaluation of fecal incontinence: an outcomes study [abstract]. Gastroenterology. 2003; 124 A 427
- 63 Harewood G C, Kumar K S. Are all T3 rectal cancers created equal? Prognostic significance of preoperative EUS staging [abstract]. Gastrointest Endosc. 2003; 57 AB 240
- 64 Irisawa A, Bhutani M S, Hikichi T. et al . Usefulness of automated spring-loaded powershot needle device for endoscopic ultrasound fine-needle aspiration [abstract]. Gastrointest Endosc. 2003; 57 AB 249
- 65 Irisawa A, Bhutani M S, Hikichi T. et al . A comparative study between automated spring-loaded powershot needle-device and manual operated needle-device for EUS guided fine-needle aspiration [abstract]. Gastrointest Endosc. 2003; 57 AB 248
- 66 Levy M J, Wiersema M J, Clain J. et al . Comparison of endoscopic ultrasound guided trucut biopsy (EUS-TCB) to endoscopic ultrasound guided fine needle aspiration (EUS FNA) [abstract]. Gastrointest Endosc. 2003; 57 AB 244
- 67 Varadarajulu S, Fraig M, Wildi S M. et al . Comparison of the EUS-guided 19-gauge trucut needle biopsy to EUS-guided fine needle aspiration [abstract]. Gastrointest Endosc. 2003; 57 AB 243
- 68 Larghi A, Verna E C, Stavropoulos S S. et al . Endoscopic ultrasound-guided pancreatic trucut needle biopsies in patients with suspicious pancreatic masses [abstract]. Gastroenterology. 2003; 124 A 90
- 69 Early D, Edmundowicz S A, Azar R. et al . EUS guided trucut biopsy [abstract]. Gastrointest Endosc. 2003; 57 AB 246
- 70 Gines A, Wiersema M J, Levy M J. et al . Prospective study comparing endosonography guided trucut (EUS TCB) and endosonography guided fine needle aspiration biopsy (EUS FNAB ) [abstract]. Gastrointest Endosc. 2003; 57 AB 243
- 71 Monges G, Giovannini M, Palazzo L. et al . Fine needle aspiration (FNA) under EUS a comparison between monolayer cytology (ThinPrep method) and routine slide preparation: a multicentric study [abstract]. Gastrointest Endosc. 2003; 57 AB 174
- 72 Urayama S. Feasibility of transcript profiling using EUS-guided fine needle aspiration sample from pancreatic cancer tissue [abstract]. Gastroenterology. 2003; 124 A 442
- 73 Selinger R, Kimmey M B, Ayub K. EUS-guided fine needle aspiration of hepatic lesions: efficacy, safety and impact on management [abstract]. Gastrointest Endosc. 2003; 57 AB 250
- 74 Dewitt J M, LeBlanc J, McGreevy K. et al . EUS-FNA of solid liver lesions [abstract]. Gastrointest Endosc. 2003; 57 AB 246
- 75 Seewald S, Brand B, Omar S. et al . EUS-FNA of the adrenal gland-study on indications and diagnostic impact [abstract]. Gastrointest Endosc. 2003; 57 AB 247
- 76 Eloubeidi M A. Identification and transgastric fine needle aspiration of the spleen using the curvilinear echoendoscope [abstract]. Gastrointest Endosc. 2003; 57 AB 249
- 77 Liu T C, Studeman K, Henry H H. et al . Contamination of EUS-FNA specimens by luminal exfoliated cancer cells in esophageal cancer [abstract]. Gastrointest Endosc. 2003; 57 AB 230
- 78 Wallace M B, Lewin D, Block M I. et al . False positive cytology when performing FNA of peri-tumoral lymph nodes [abstract]. Gastrointest Endosc. 2003; 57 AB 245
- 79 Nayar D S, Pollack B J, Demetriou C. et al . Complications of propofol sedation in 775 patients undergoing endoscopic ultrasonography (EUS) [abstract]. Gastrointest Endosc. 2003; 57 AB 104
- 80 Yusoff I, Raymond G, Sahai A V. Endoscopist-administered propofol for EGD and EUS: a prospective study of safety and efficacy [abstract]. Gastrointest Endosc. 2003; 57 AB 110
- 81 Dewitt J, LeBlanc J, McHenry L. et al . Registered nurse-administered propofol sedation (RNAPS) versus midazolam and meperidine (MM) for endoscopic ultrasound (EUS): a prospective, randomized trial [abstract]. Gastrointest Endosc. 2003; 57 AB 78
- 82 Chou J C, Cassar P, Grendell J H. et al . The incidence of perforations with use of propofol sedation during endoscopic procedures, a retrospective study [abstract]. Gastroenterology. 2003; 124 A 357
- 83 Eloubeidi M A, Chen V K, Pratibhu P. et al . A prospective evaluation of immediate, acute and 30-day complication assessment after endoscopic ultrasonography (EUS): a large single endosonographer’s experience [abstract]. Gastrointest Endosc. 2003; 57 AB 106
- 84 Grobman C R, Michael H, Modi A. et al . Prospective risk assessment of infectious complications in patients undergoing endoscopic ultrasound (EUS) guided celiac plexus block (CPB) [abstract]. Gastrointest Endosc. 2003; 57 AB 243
- 85 Eloubeidi M A, Savides T J, Kochman M L. et al . Acute pancreatitis after EUS-FNA of solid pancreatic masses: a pooled analysis from expert endosonography (EUS) centers in the united states [abstract]. Gastrointest Endosc. 2003; 57 AB 106
- 86 Fritscher-Ravens A, Park P, Mukherjee D. et al . Endoscopic gastropexy and crural repair for gastro-esophageal reflux: transgastric surgery under endoscopic ultrasound control [abstract]. Gastroenterology. 2003; 124 A 38
- 87 Fritscher-Ravens A, Park P, Swain C P. Esophageal patches and valves: materials, design and endoscopic attachment methods [abstract]. Gastrointest Endosc. 2003; 57 AB 83
- 88 De Angelis C, Repici A, Dughera L. et al . EUS-assisted Stretta procedure for GERD treatment and EUS assessment of immediate and delayed radiofrequency (RF) related gastroesophageal (GE) wall changes [abstract]. Gastrointest Endosc. 2003; 57 AB 131
- 89 Thompson C C, Bounds B C, Brugge W R. EUS-guided ethanol lavage of pancreatic cystadenomas: a pilot study to assess safety and effect [abstract]. Gastrointest Endosc. 2003; 57 AB 242
- 90 Chan H H, Nishioka N S, Mino M. et al . The use of endoscopic ultrasound (EUS)-guided photodynamic therapy (PDT) in the ablation of the pancreas: a pilot study [abstract]. Gastrointest Endosc. 2003; 57 AB 242
- 91 Hirooka Y, Itoh A, Hashimoto S. et al . Usefulness of contrast-enhanced endoscopic ultrasonography in the diagnosis of pancreatic diseases [abstract]. Gastrointest Endosc. 2003; 57 AB 235
- 92 Kitano M, Kudo M, Nakaoka R. et al . Differential diagnosis of pancreatic diseases by contrast-enhanced power Doppler endosonography [abstract]. Gastrointest Endosc. 2003; 57 AB 244
- 93 Kitano M, Kudo M, Maekawa K. et al . Evaluation of pancreatic microcirculation by contrast-enhanced endosonography in dogs [abstract]. Gastrointest Endosc. 2003; 57 AB 75
- 94 Kikuchi H, Kida M, Kida Y. et al . Diagnosis of invasion depth of the esophageal cancer using three-dimensional endoscopic ultrasonography [abstract]. Gastrointest Endosc. 2003; 57 AB 233
- 95 Singh P, Sivak M V, Wong R. et al . A prospective evaluation of dual plane reconstruction probe for imaging of gastrointestinal lesions [abstract]. Gastrointest Endosc. 2003; 57 AB 245
- 96 Sumiyama K, Suzuki N, Uchiyama Y. et al . Preliminary experiences of observation of the pancreas and the splenic vein using convex type three dimensional endoscopic ultrasound [abstract]. Gastrointest Endosc. 2003; 57 AB 244
- 97 Fritscher-Ravens A, Knoefel W T, Thonke F. et al . Three dimensional linear endosonography in the detection of vessel involvement due to pancreatic cancer [abstract]. Gastrointest Endosc. 2003; 57 AB 76
- 98 Meenan J, Gunn A, Freeman J. et al . The application of Aloka 3D image technology to upper GI EUS using a standard Olympus echoendoscope [abstract]. Gastroenterology. 2003; 124 A 629
- 99 Rocca R, De Angelis C, Castellino F. et al . Endoscopic ultrasound retrograde cholangio-pancreatography (EURCP): a preliminary report [abstract]. Gastrointest Endosc. 2003; 57 AB 243
- 100 Niehaus J, Burmester E, Leineweber T. et al . EUS-cholangio-drainage (EUS-CD) of the bile duct: a report of seven cases [abstract]. Gastrointest Endosc. 2003; 57 AB 244
- 101 Quadri A, Catalano M F, Linder J. et al . Percutaneous and transgastric cannulation of inaccessible pancreatic ducts following failure of endoscopic retrograde pancreatography: a new rendezvous technique [abstract]. Gastrointest Endosc. 2003; 57 AB 206
- 102 Wildi S M, Fickling W, Day T A. et al . Endoscopic ultrasonography in the diagnosis and staging of neoplasms of the head and neck [abstract]. Gastrointest Endosc. 2003; 57 AB 241
- 103 Kumar K S, Levy M J, Wiersema M J. et al . EUS diagnosis of Kommerell’s diverticulum (KD) and cases series of aberrant right subclavian artery (ARSA) [abstract]. Gastrointest Endosc. 2003; 57 AB 247
- 104 Saltzman J R, Liu J J, Thompson C C. et al . Endosonographic findings post-endoluminal gastroplication (ELGP) [abstract]. Gastrointest Endosc. 2003; 57 AB 232
- 105 Sabate J M, Dumontier I, Roseau G. et al . Relationships between endosonographic appearance, clinical or manometric features and functional results after pneumatic dilatation in patients with achalasia: retrospective series of 85 patients [abstract]. Gastrointest Endosc. 2003; 57 AB 231
- 106 Taylor D C, Faigel D O, Fanning S C. et al . Prospective evaluation of EUS for the prediction of variceal hemorrhage in a U.S. population [abstract]. Gastrointest Endosc. 2003; 57 AB 248
- 107 Ayonote A, Ligresti R. Clinical significance of porta hepatis lymphadenopathy detected by endoscopic ultrasound (EUS) [abstract]. Gastroenterology. 2003; 124 A 428
- 108 Yip J, Sharma A, Alasadi R. et al . Visualization of mesenteric vessels by endoscopic ultrasound (EUS): comparison of two linear echo endoscopes [abstract]. Gastrointest Endosc. 2003; 57 AB 236
M. J. Bruno, M. D.
Division of Gastroenterology and Hepatology, Room C2-321, Academic Medical Center
Meibergdreef 9 · 1105 AZ Amsterdam · The Netherlands ·
Fax: + 31-20-5669156
eMail: m.j.bruno@amc.uva.nl