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Endoscopic ultrasonography: The current status

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1 Endoscopic ultrasonography: The current status
William R. Brugge  Gastroenterology  Volume 115, Issue 6, Pages (December 1998) DOI: /S (98) Copyright © 1998 American Gastroenterological Association Terms and Conditions

2 Fig. 1 A comparison of two EUS orientations: radial and linear imaging of esophageal cancer. The large arrow points to the muscularis propria. The point of maximal tumor invasion is noted with a small arrow. Gastroenterology  , DOI: ( /S (98) ) Copyright © 1998 American Gastroenterological Association Terms and Conditions

3 Fig. 2 An algorithm for the use of EUS in patients with a submucosal lesion or thickened gastric folds. The use of this algorithm results in a decreased need for CT scanning and has been proven to be cost-effective. Gastroenterology  , DOI: ( /S (98) ) Copyright © 1998 American Gastroenterological Association Terms and Conditions

4 Fig. 3 An example of a staging algorithm for gastroesophageal malignancies. EUS is used to provide highly accurate tumor and nodal staging. Gastroenterology  , DOI: ( /S (98) ) Copyright © 1998 American Gastroenterological Association Terms and Conditions

5 Fig. 4 A staging algorithm for pancreatic masses. EUS is used to diagnose and stage suspected intrapancreatic masses seen on CT scan. The use of EUS in the staging of pancreatic cancer has been shown to decrease the frequency of unsuccessful pancreatic resections. Gastroenterology  , DOI: ( /S (98) ) Copyright © 1998 American Gastroenterological Association Terms and Conditions

6 Fig. 5 An algorithm for diagnosing common bile duct stones in noncritically ill patients. By decreasing the need for ERCPs, EUS can reduce the cost of the evaluation of these patients. Gastroenterology  , DOI: ( /S (98) ) Copyright © 1998 American Gastroenterological Association Terms and Conditions

7 Fig. 6 An example of a pancreatic head mass (M) surrounding the bile duct that has been stented (stent). A fine-needle aspirant was obtained and was diagnostic of pancreatic adenocarcinoma. Gastroenterology  , DOI: ( /S (98) ) Copyright © 1998 American Gastroenterological Association Terms and Conditions


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