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EUS Standard Devices

  • Danilo Castellani
  • Ugo Germani
  • Gabrio Bassotti
  • Raffaele Manta
Chapter
  • 150 Downloads

Abstract

Endoscopic ultrasonography (EUS) is an established technique for the diagnosis and staging of gastrointestinal (GI) tumors. In the last years, the spread of new devices dedicated to tissue sampling has improved the diagnostic accuracy of EUS fine-needle aspiration (EUS-FNA). The development of EUS-guided drainage of the biliopancreatic region and abdominal fluid collections has allowed EUS to evolve into an interventional tool that can replace more invasive procedures. For instance, techniques using EUS for pancreatic cancer treatment and celiac neurolysis have been described. Moreover, confocal laser endomicroscopy was coupled to EUS for the in vivo histological diagnosis of gastrointestinal, biliopancreatic, and lymph node lesions.

In this chapter, data on EUS devices, with particular emphasis on EUS biopsy, EUS-guided confocal laser endomicroscopy, interventional EUS, and EUS pancreatic cancer treatment, are discussed. All the EUS devices here presented are used with linear array echoendoscopes, image guidance being necessary for device introduction into the target structures. Such a process is not allowed by radial echoendoscopes.

Keywords

Endoscopic ultrasound Fine-needle aspiration Tissue acquisition Endomicroscopy Stent Fiducial Biliary drainage 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Danilo Castellani
    • 1
  • Ugo Germani
    • 1
  • Gabrio Bassotti
    • 2
  • Raffaele Manta
    • 1
  1. 1.Gastroenterology UnitPerugia General HospitalPerugiaItaly
  2. 2.Gastroenterology and Hepatology Section, Department of MedicineUniversity of Perugia Medical SchoolPerugiaItaly

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