Fig. 32.1 EUS identifies an 18 × 12 mm cystic lesion with solid peripheral component in the tail of the pancreas, which clearly communicates with the main pancreatic duct and did…
Fig. 2.1 a Probe-confocal laser endomicroscopy ( pCLE) image of normal bile duct with reticular network of thin dark branching bands and light gray background. b pCLE image of bile…
Fig. 25.1 White light endoscopy showing near circumferential mass in distal esophagus (Courtesy Dr. Tamas Gonda, Columbia University Medical Center, New York, NY) Diagnosis of Esophageal Cancer Esophageal cancer is…
Indications Primary diagnosis of pancreatic masses Differentiation of cystic pancreatic lesions Evaluation of unexplained periluminal lymphadenopathy Diagnosis of gastrointestinal intramural lesions Staging of digestive and pulmonary malignancies Sampling of peritoneal…
Disease Pregnancy trimester Laboratory abnormalities Hyperemesis gravidarum First Elevated AST, ALT Intrahepatic cholestasis of pregnancy Second and third trimester and postpartum Elevated serum bile acids Elevated AST, ALT, Bilirubin Normal…
Common indications Lymphadenopathy Lung cancer nodal staging Esophageal cancer tumor Nodal staging Mediastinal mass Uncommon indications Mediastinal vascular abnormalities Mediastinal cystic lesions Thyroid mass/lesion Mediastinal collections FNA fine-needle aspiration, FNB…
Fig. 4.1 Patient being positioned semi-prone in the operating room for ERCP Other positions that are used for ERCP include left lateral and supine. Although the left lateral position is…
Complication Frequency Pancreatitis 5–25 % Bleeding 1–2 % Perforation <1 % Cholecystitis <1 % Cholangitis Rare Death Rare ERCP Endoscopic retrograde cholangiopancreatography Post-ERCP Pancreatitis Post-ERCP pancreatitis (PEP) is the most…
Tumor Note the maximal dimensions, border irregularity, echo-texture, and presence of solid/cystic components in the tumor Vascular invasion Pancreatic head tumor: note the relationship of the tumor with the portal…
Fig. 27.1 Management algorithm for nonmetastatic primary rectal cancer (ESD endoscopic submucosal dissection) The diagnostic accuracy of EUS in rectal cancer staging has recently been questioned and criticized as clinical…
