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Updated: Dec 2, 2025

Author Spotlight: Advancing Biopsy Techniques with Transesophageal Ultrasound
Published on: November 21, 2023
Therapeutic Endoscopic Ultrasound
Danny Cheriyan1, Jorge V Obando1
1Dr Cheriyan is an advanced endoscopy fellow and an instructor in medicine and Dr Obando is an assistant professor of medicine in the Division of Gastroenterology at Duke University Medical Center in Durham, North Carolina.
Endoscopic ultrasound (EUS) has advanced from a diagnostic aid to a core tool for gastrointestinal and pancreaticobiliary interventions. Its technical accuracy supports diagnosis, staging, and therapeutic procedures like drainage and neurolysis.
Area of Science:
- Gastroenterology
- Medical Imaging
- Interventional Endoscopy
Background:
- Endoscopic ultrasound (EUS) has transformed from a niche diagnostic tool to a widely accessible technology.
- Significant data support EUS's accuracy in diagnosing pancreaticobiliary and gastrointestinal conditions.
Purpose of the Study:
- To review the evolution and current applications of EUS in gastrointestinal and pancreaticobiliary interventions.
- To highlight EUS's role in diagnosis, staging, and therapeutic procedures.
Main Methods:
- Review of current literature and clinical practice guidelines regarding EUS applications.
- Analysis of EUS's technical accuracy and therapeutic outcomes in various gastrointestinal and pancreaticobiliary interventions.
Main Results:
- EUS is now a routine practice for diagnosis, tumor staging, cystic lesion drainage, and celiac plexus neurolysis.
- The technology's accuracy is well-established for pancreaticobiliary and gastrointestinal pathology.
- EUS is increasingly utilized in biliary, pancreatic, ablative, enterostomy, and vascular interventions.
Conclusions:
- Endoscopic ultrasound is a vital diagnostic and therapeutic tool in modern gastroenterology.
- EUS has demonstrated significant advancements and broad applicability in managing gastrointestinal and pancreaticobiliary diseases.
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