Pancreas divisum is the most common congenital anatomic variation of the pancreatic ductal anatomy and in most of the individuals it is asymptomatic. However, in minority of individuals it is presumed to cause recurrent acute pancreatitis and chronic pancreatitis. Endoscopic retrograde cholangiopancreatography is the gold standard for its diagnosis, but is invasive and associated with significa...

Endoscopic ultrasound (EUS) was introduced in clinical practice in 19801 and during the last few decades the quality of instrumentation has improved significantly. The first commercially available radial echoendoscope was introduced in Japan 2 and then in Europe 3 in the mid to late 1980s. At that time, radial probes were used for fine needle aspiration (FNA). Only in the early 1990s EUS-FNA be...

aim : to evaluate the role of  endoscopic ultrasonography (eus) in the diagnosis of gallbladder microlithiasis, sludge, and stone  in patients with clinical suspicion of cholecystitis, but with normal transabdominal ultrasonography (tus) during six months follow-up after laparosopic cholecystectomy (lct). background : endosonography has been shown to be highly sensitive in the detection of chol...

BACKGROUND AND STUDY AIMS One can approach mediastinal pathology via esophageal ultrasound (EUS) and/or endobronchial ultrasound (EBUS). It has been suggested that EUS is better tolerated by patients. If so, EUS might be the procedure of choice when suspect lesions are accessible via EUS. We studied procedural characteristics of EUS with fine needle aspiration (EUS-FNA) and EBUS with transbronc...

Interventional endoscopy is a field that continues to grow rapidly. A novel prototype forward-viewing echoendoscope (FV-EUS) has been recently developed in an attempt to overcome some of the limitations of conventional curved linear-array echoendoscopes (OV-EUS). We present a case of a successful endoscopic ultrasound-guided drainage of a pancreatic pseudocyst using a forward-viewing echoendosc...

Superior mesenteric artery (SMA) syndrome is an uncommon disease that results from SMA compression of the third portion of the duodenum. Patients with SMA syndrome present with upper gastrointestinal symptoms, such as nausea, vomiting, and abdominal pain. The diagnosis is usually made from an upper barium study or computed tomography. Typically, SMA syndrome is caused by a decreased aortomesent...

Learning endoscopic ultrasound (EUS) can be challenging as the technology combines disciplines of flexible endoscopy and diagnostic radiology. In early days evolution, radiographers performed EUS independently taught gastroenterologists basic principles ultrasound. Lok Tio developed first learning tool—an atlas EUS—by correlating images with computed tomography, surgery, pathology. Robert Hawes...

Background and aims  EUS-guided biliary drainage (EUS-BD) and rendezvous (EUS-RV) are acceptable rescue options for patients with failed endoscopic retrograde cholangiopancreatography (ERCP). However, there are limited training opportunities at most centers owing to low case volumes. The existing models do not replicate the difficulties encountered during EUS-BD. We aimed to develop and validat...

The technical advances in endoscopic ultrasonograpy (EUS) and accessories have enabled performing EUS-guided intervention in the pancreas and biliary tract. Many research centers have been performing or investigating EUS-guided drainage, EUS-guided celiac plexus neurolysis and block, EUS-guided anastomosis that includes choledocho-enterostomy and choledocho-gastrostomy, EUS-guided ablation and ...

OBJECTIVE There is no comparative study of electronic radial endoscopic ultrasonography (ER-EUS) and electronic curvilinear EUS (EC-EUS). The aim of this study was to compare the accuracy of ER-EUS and EC-EUS for detecting pancreatic malignancies. METHODS This was a retrospective review of the patients who had EUS assessment from September 2008 to December 2011 for suspicious pancreatic tumor...