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Endoscopy 2010; 42(11): 944-949
DOI: 10.1055/s-0030-1255795
DDW highlights

© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic ultrasonography

C.  W.  Teshima1 ,  2 , J.  W.  Poley1
  • 1Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, Rotterdam, The Netherlands
  • 2Division of Gastroenterology, University of Alberta, Edmonton, Canada
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Publikationsverlauf

Publikationsdatum:
11. November 2010 (online)

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Introduction

Exciting research with endoscopic ultrasonography (EUS) was once again presented at this year’s Digestive Disease Week (DDW; 1 – 5 May 2010, New Orleans, Louisiana, USA). As in recent years, the ever-increasing trend of expanding EUS beyond a diagnostic tool to an interventional and therapeutic device has continued. However, considerable attention remains on the imaging and tissue sampling aspects of EUS, with much focus on methods to enhance these diagnostic capabilities. In this review, abstracts of particular interest for both diagnostic and therapeutic EUS have been identified and summarized.

References

  • 1 Canto M I, Schulick R D, Kamel I R. et al . 415g: Screening for familial pancreatic neoplasia: a prospective, multicenter blinded study of EUS, CT, and secretin-MRCP (The NCI-Spore Lustgarten Foundation Cancer of the Pancreas CAPS 3 Study).  Gastrointest Endosc. 2010;  71 AB119
    PubMedGoogle Scholar
  • 2 Fisher J M, Gordon S R, Pohl H, Gardner T B. T1514: Impact of time elapsed between EUS and esophagectomy on concordance of ultrasonographic and pathologic staging of esophageal cancers.  Gastrointest Endosc. 2010;  71 AB297
    PubMedGoogle Scholar
  • 3 Wallace M B, Reed C E, Hoffman B J. et al . 683g: EUS-FNA detection of micrometastases and survival of resected early stage lung cancer.  Gastrointest Endosc. 2010;  71 AB130-AB131
    PubMedGoogle Scholar
  • 4 Iglesias-Garcia J, Larino-Noia J, Abdulkader I. et al . T1442: Quantitative endoscopic ultrasound (EUS) elastography accurately differentiates pancreatic cancer from inflammatory mass (IM) of the pancreas.  Gastrointest Endosc. 2010;  71 AB278
    PubMedGoogle Scholar
  • 5 Saftoiu A, Vilmann P, Gorunescu F. et al . 415i: Accuracy of endoscopic ultrasound elastography used for differential diagnosis of chronic pancreatitis and pancreatic cancer: a multicentric study.  Gastrointest Endosc. 2010;  71 AB120
    PubMedGoogle Scholar
  • 6 Badaoui A, Borbath I, Aouattah T. et al . T1455: Evaluation of pancreatic tumors with contrast enhanced-endoscopic ultrasonography and EUS-strain ratio elastography.  Gastrointest Endosc. 2010;  71 AB281
    PubMedGoogle Scholar
  • 7 Conway J, Kundu S, Evans J A. et al . T1440: A prospective, randomized trial comparing the diagnostic yield of the 22-Gauge and 25-Gauge needles during EUS-FNA of all solid lesions.  Gastrointest Endosc. 2010;  71 AB277-AB278
    PubMedGoogle Scholar
  • 8 Rastogi A, Wani S B, Gupta N. et al . W1148: A prospective, single blinded, randomized controlled trial of endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) with and without a Stylet.  Gastroenterology. 2010;  138 Suppl 1 S-661
    PubMedGoogle Scholar
  • 9 Al-Haddad M A, Gill K R, Dewitt J M. et al . M1444: Cytology brushings vs. standard FNA in evaluating mucinous cysts of the pancreas: a surgical pathology correlation study.  Gastrointest Endosc. 2010;  71 AB223
    PubMedGoogle Scholar
  • 10 Shin E J, Khashab M, Giday S A, Canto M I. 415j: Use of millipore filter cellblock technique increases the diagnostic rate of EUS-FNA.  Gastrointest Endosc. 2010;  71 AB120
    PubMedGoogle Scholar
  • 11 Levy M J, Kipp B R, Oberg T N. et al . 415h: Prospective evaluation of routine cytology (RC), digital image analysis (DIA) and fluorescence in situ hybridization (FISH) at EUS FNA.  Gastrointest Endosc. 2010;  71 AB119-AB120
    PubMedGoogle Scholar
  • 12 Khalid A, Dewitt J M, Ohori N P. et al . 415k: EUS-FNA K-RAS and allelic loss analysis (LOH) in autoimmune pancreatitis and pancreatic cancer: a multicenter study.  Gastrointest Endosc. 2010;  71 AB120
    PubMedGoogle Scholar
  • 13 Park D H, Song T J, Eum J. et al . T1482: Clinical outcome of EUS-guided biliary drainage with a transluminal stent for biliary obstruction after a failed ERCP.  Gastrointest Endosc. 2010;  71 AB288
    PubMedGoogle Scholar
  • 14 Ergun M, Aouattah T, Gillain C. et al . M1447: Endoscopic ultrasound (EUS) guided transluminal drainage of pancreatic duct obstruction: long term outcome.  Gastrointest Endosc. 2010;  71 AB224
    PubMedGoogle Scholar
  • 15 Voermans R P, Bakker O J, Van Santvoort H C. et al . T1428: Prospective evaluation of endoscopic and conservative treatment of persistent symptomatic sterile pancreatic necrosis.  Gastrointest Endosc. 2010;  71 AB274-AB275
    PubMedGoogle Scholar
  • 16 Voermans R P, Ponchon T, Larghi A. et al . 788g: Randomized controlled comparison of forward-viewing versus oblique-viewing EUS-scopes in drainage of pancreatic fluid collections.  Gastrointest Endosc. 2010;  71 AB135
    PubMedGoogle Scholar
  • 17 Varadarajulu S, Trevino J, Wilcox C M. et al . 354: Randomized trial comparing EUS and surgery for pancreatic pseudocyst drainage.  Gastrointest Endosc. 2010;  71 AB116
    PubMedGoogle Scholar
  • 18 Kim J, Shah J N, Marson F, Binmoeller K F. T1458: Self-expandable metal stent without dilatation for drainage of pancreatic fluid collection using a front-view forward-array echoendoscope.  Gastrointest Endosc. 2010;  71 AB282
    PubMedGoogle Scholar
  • 19 Berzin T M, Majumder S, Mahadevan A. et al . T1471: Comparison of EUS vs. surgery for placement of fiducials in patients with pancreatic cancer.  Gastrointest Endosc. 2010;  71 AB285
    PubMedGoogle Scholar

Additional references: Screening and staging

  • 20 Callaway J, Bryant A S, Cerfolio R J. et al . 683k: Minimally invasive selective sampling of abnormal PET scanning targets by EUS-FNA: does EUS-FNA improve clinical staging in patients with non-small cell lung cancer (NSCLC)?.  Gastrointest Endosc. 2010;  71 AB132
    PubMedGoogle Scholar
  • 21 Catalano M F, Landesman N, Hazan T. et al . T1448: Patients with suspected pancreatic cancer: importance of adjunctive FNA of pancreatic duct fluid, ascites and liver lesions.  Gastrointest Endosc. 2010;  71 AB279-AB280
    PubMedGoogle Scholar
  • 22 Choi J, Kim S G, Im J P. et al . T1515: Diagnostic accuracy of endoscopic ultrasound is not superior to conventional endoscopy for prediction of depth of tumor invasion in early gastric cancer.  Gastrointest Endosc. 2010;  71 AB297
    PubMedGoogle Scholar
  • 23 De Melo S W, Panjala C, Crespo S M. et al . T1484: Interobserver agreement on the echosonographic features of lymph nodes in pulmonary, esophageal and pancreatic nodal malignancies.  Gastrointest Endosc. 2010;  71 AB289
    PubMedGoogle Scholar
  • 24 Early D S, Keswani R N, Cote G A. et al . T1516: A prospective multicenter EUS database of subepithelial gastric lesions.  Gastrointest Endosc. 2010;  71 AB297
    PubMedGoogle Scholar
  • 25 Gleeson F C, Clain J E, Rajan E. et al . W1146: Prospective evaluation of primary rectal cancer EUS FNA: the prognostic significance of lymph node location.  Gastroenterology. 2010;  138 Suppl 1 S-661
    PubMedGoogle Scholar
  • 26 Harinck F, Nagtegaal T, Kluijt I. et al . W1155: Burden of undergoing EUS-MRI based pancreatic cancer screening in high-risk individuals; first experiences.  Gastroenterology. 2010;  138 Suppl 1 S-663
    PubMedGoogle Scholar
  • 27 Harinck F, Poley J-W, Hooft Van J E. et al . T1463: Spontaneous resolvement of focal pancreatic lesions in EUS screening of individuals at high risk of pancreatic cancer.  Gastrointest Endosc. 2010;  71 AB283-AB284
    PubMedGoogle Scholar
  • 28 Pouw R E, Heldoorn N, Herrero L A. et al . T1506: Do we still need endoscopic ultrasound (EUS) in the work-up of patients with early esophageal neoplasia for endoscopic treatment? A retrospective analysis of 131 cases.  Gastrointest Endosc. 2010;  71 AB295
    PubMedGoogle Scholar
  • 29 Sugimori S, Ashida R, Tominaga K. et al . 683j: When and how mesenchymal tumor in the stomach should be followed up?.  Gastrointest Endosc. 2010;  71 AB131
    PubMedGoogle Scholar
  • 30 Tekola B D, Sauer B G, White G E, Shami V M. T1451: Accuracy of endoscopic ultrasound in the diagnosis of T2N0 esophageal cancer.  Gastrointest Endosc. 2010;  71 AB280
    PubMedGoogle Scholar
  • 31 Ishikawa T, Hirooka Y, Itoh A. et al . T1446: Pancreatic endocrine tumors: preoperative localization and differentiation of malignant versus benign by EUS combined with contrast-enhancement.  Gastrointest Endosc. 2010;  71 AB279
    PubMedGoogle Scholar

Additional references: Enhanced imaging methods

  • 32 Miyahara R, Hirooka Y, Nagaya T. et al . T1504: Endoscopic ultrasound elastography (EUS-EG) is useful to distinguish between gastrointestinal stromal tumor (GIST) and leiomyoma.  Gastrointest Endosc. 2010;  71 AB294
    PubMedGoogle Scholar
  • 33 Chin M W, Coss A, McLoughlin M. et al . T1470: Stylet use does not affect adequacy of specimen of pancreatic EUS FNA: a prospective, single blinded, randomized, control trial.  Gastrointest Endosc. 2010;  71 AB285
    PubMedGoogle Scholar

Additional references: Needles, stylets, and brushes

  • 34 Choi E R, Jang T H, Jang K T. et al . T1464: 25 G or 22 G needle, which is better for EUS-FNA for pancreatic tumor? Prospective randomized controlled trial.  Gastrointest Endosc. 2010;  71 AB284
    PubMedGoogle Scholar
  • 35 Ruiz-Obaldia J R, Giovannini M, Pesenti C. et al . T1495: EUS-guided pancreatic biopsies: comparison between 22 G and 25 G needles.  Gastrointest Endosc. 2010;  71 AB292
    PubMedGoogle Scholar
  • 36 Wani S B, Gupta N, Gaddam S. et al . T1473: Is the use of stylet during endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) worth the effort? A comparative study of EUS-FNA with and without a stylet.  Gastrointest Endosc. 2010;  71 AB286
    PubMedGoogle Scholar
  • 37 Ardengh J C, Coelho Neto D E, Coelho J FE. et al . T1431: The yield of the cell block obtained by endoscopic ultrasound-guided fine needle aspiration for the diagnosis of pancreatic cystic lesion.  Gastrointest Endosc. 2010;  71 AB275
    PubMedGoogle Scholar

Additional references: Post-sampling techniques to increase diagnostic yields

  • 38 Francisco P S, Gonda T A, Glick M P. et al . T1502: Performance characteristics of K-RAS and LOH mutation patterns in predicting mucinous pancreatic cyst histology.  Gastrointest Endosc. 2010;  71 AB294
    PubMedGoogle Scholar
  • 39 Kubiliun N, Levi J U, Fan Y-S. et al . M1438: EUS guided FNA with rescue fluorescence in situ hybridization (FISH) for the diagnosis of pancreatic carcinoma.  Gastrointest Endosc. 2010;  71 AB221
    PubMedGoogle Scholar
  • 40 Reicher S, Boyar F Z, Albitar M. et al . M1448: FISH and Kras mutational analysis improves diagnostic yield of EUS-guided fine needle aspiration of solid pancreatic masses.  Gastrointest Endosc. 2010;  71 AB224
    PubMedGoogle Scholar
  • 41 Abadia M A, Dot-Bach J, Peracaula M M. et al . T1465: EUS-guided cholangiography when endoscopic retrograde cholangiography failed: 6-year single center experience.  Gastrointest Endosc. 2010;  71 AB284
    PubMedGoogle Scholar

Additional references: Pancreaticobiliary access

  • 42 Fabbri C, Luigiano C, Polifemo A M. et al . T1435: EUS-guided biliary drainage for malignant biliary ducts obstruction: a prospective study.  Gastrointest Endosc. 2010;  71 AB276
    PubMedGoogle Scholar
  • 43 Perez-Miranda M, De La Serna C, Diez-Redondo P. et al . 788i: Endo-sonography-guided cholangio-pancreatography (ESCP) as the primary approach for ductal drainage after failed ERCP.  Gastrointest Endosc. 2010;  71 AB136
    PubMedGoogle Scholar
  • 44 Shaikh S N, Azagury D E, Ryan M B. et al . M1585: A novel method of hemostasis for upper gastrointestinal bleeding using EUS-guided intravascular injection of a reverse phase polymer.  Gastrointest Endosc. 2010;  71 AB261
    PubMedGoogle Scholar
  • 45 Dimaio C J, Nagula S, Goodman K A. et al . M1445: EUS-guided placement of gold coil fiducials using a 22-Gauge needle.  Gastrointest Endosc. 2010;  71 AB223
    PubMedGoogle Scholar

Additional references: Interventional EUS

  • 46 Di Matteo F M, Margareth M, Rea R. et al . 788k: EUS-guided Nd:YAG laser ablation on normal pancreatic tissue: a pilot study in a pig model.  Gastrointest Endosc. 2010;  71 AB136
    PubMedGoogle Scholar
  • 47 Fabbri C, Luigiano C, Polifemo A M. et al . T1434: Endoscopic ultrasonography (EUS) drainage with self-expandable metallic stent (SEMS) in pancreatic pseudocyst (PP) and peri-pancreatic abscess (PPA): a prospective study.  Gastrointest Endosc. 2010;  71 AB276
    PubMedGoogle Scholar
  • 48 Kim J, Shah J N, Marson F, Binmoeller K F. T1459: Endoscopic drainage of pancreatic fluid collection with covered self-expanding metal stents under EUS guidance.  Gastrointest Endosc. 2010;  71 AB282
    PubMedGoogle Scholar
  • 49 Lakhtakia S, Gupta R, Nagar A. et al . 788l: A randomized controlled trial comparing tapered catheter vs 6 Fr cystostome for safe EUS guided drainage of non-bulging pseudocyst with collaterals.  Gastrointest Endosc. 2010;  71 AB136-AB137
    PubMedGoogle Scholar

J. W. PoleyMD 

Department of Gastroenterology and Hepatology
Erasmus MC University Medical Center

‘s-Gravendijkwal 230
3015 CE Rotterdam
The Netherlands

Fax: +31-10-7034680

eMail: j.poley@erasmusmc.nl