Document Detail


Endoscopic ultrasound examination of the upper gastrointestinal tract using a curved-array transducer. A preliminary report.
MedLine Citation:
PMID:  1948619     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Endoscopic ultrasound examination (EUS) of the upper gastrointestinal (GI) tract for the assessment of mural and extramural pathology has attracted growing international interest in recent years. Since February 1989, EUS has been performed on selected patients in our institution using a new Picker-Pentax fiber-optic ultrasound (US) gastroscope. The instrument consists of a forward-view fiber-optic gastroscope with a 5-MHz curved-array linear US transducer mounted directly behind the lens. The scanning plane lies in the long axis of the scope. Based on in vitro US examinations and EUS of 118 patients over an 18-month period, our preliminary experience with the instrument is described. Using EUS, various lesions in the esophageal wall as well as in the gastric and duodenal walls can be visualized. Furthermore, organs and structures outside the GI tract can be seen, and lesions such as enlarged lymph nodes in the mediastinum and abdomen; solid and cystic masses in the liver, pancreas and retroperitoneum; arterial aneurysms; esophageal varices; and gall stones and calcifications can be demonstrated. The 5-MHz transducer does not provide very detailed information on the GI wall. The direction of the ultrasound scanning planes is difficult to define, as the transducer cannot be seen through the optic lens. The method demands great expertise in endoscopy and ultrasound. Indications for EUS have not been definitively established. Evaluation of the diagnostic accuracy of this technique requires further controlled studies. We believe that EUS using a curved-array linear transducer will provide significant diagnostic information of clinical relevance to gastroenterology.
Authors:
P Vilmann; S Khattar; S Hancke
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Surgical endoscopy     Volume:  5     ISSN:  0930-2794     ISO Abbreviation:  Surg Endosc     Publication Date:  1991  
Date Detail:
Created Date:  1991-11-25     Completed Date:  1991-11-25     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  79-82     Citation Subset:  IM    
Affiliation:
Department of Surgical Gastroenterology, Gentofte University Hospital, Copenhagen, Denmark.
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MeSH Terms
Descriptor/Qualifier:
Aged
Esophageal Neoplasms / diagnosis
Evaluation Studies as Topic
Female
Gastrointestinal Neoplasms / diagnosis*
Gastroscopes*
Gastroscopy / methods
Humans
Male
Pancreatic Diseases / diagnosis
Stomach Neoplasms / diagnosis
Transducers
Ultrasonography / instrumentation*

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


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