Document Detail


Endoscopic ultrasonography.
MedLine Citation:
PMID:  11272218     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Twenty years after the introduction of endoscopic ultrasonography, many papers on the topic are still being published every year in the medical literature. Along with established clinical indications, such as gastrointestinal and pancreatic cancer staging and differential diagnosis of submucosal tumors, new applications have been suggested, such as mediastinal and liver tumor sampling with fine-needle aspiration. Improved accuracy and cost-effectiveness have been demonstrated in comparison with other imaging techniques. Reports of large series of fine-needle aspiration procedures have described a high level of accuracy for EUS in the diagnosis of lymph nodes and perivisceral masses. Pancreatic and ampullary tumors still represent a major challenge, as shown by numerous articles describing differential-diagnostic criteria and cytological sampling techniques. A few papers have also been published on the topic of portal hypertension, but it seems questionable whether there is any real advantage for endoscopic ultrasonography over traditional endoscopy here. New techniques such as radiofrequency tumor ablation are promising, while others such as three-dimensional imaging and the use of contrast enhancement have not yet met with routine clinical application. Finally, some of the papers published during the last year have studied the technique of endoscopic ultrasonography itself, dealing with issues of outcome, current clinical availability and use, and the learning curve. Evidently, endoscopic ultrasonography is still widely underused - not only among general practitioners and physicians in other specialties, but even by gastroenterologists. Although endoscopic ultrasonography is already 20 years old, considerable efforts are still needed, therefore, to ensure that it becomes more widely accepted in clinical practice.
Authors:
G Caletti; P Fusaroli
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Endoscopy     Volume:  33     ISSN:  0013-726X     ISO Abbreviation:  Endoscopy     Publication Date:  2001 Feb 
Date Detail:
Created Date:  2001-02-22     Completed Date:  2001-05-10     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  0215166     Medline TA:  Endoscopy     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  158-66     Citation Subset:  IM    
Affiliation:
Dept. of Internal Medicine and Gastroenterology, S. Orsola Hospital, Bologna, Italy. caletti@med.unibo.it
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MeSH Terms
Descriptor/Qualifier:
Biopsy, Needle
Chronic Disease
Digestive System Neoplasms / ultrasonography*
Endosonography*
Esophageal Neoplasms / ultrasonography
Humans
Hypertension, Portal / therapy
Mediastinal Diseases / ultrasonography
Pancreatic Neoplasms / ultrasonography
Pancreatitis / ultrasonography
Stomach Neoplasms / ultrasonography

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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