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Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
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Author Spotlight: Advancing Biopsy Techniques with Transesophageal Ultrasound
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Interventional Endoscopic Ultrasound: Current Status and Future Directions.

John M DeWitt1, Mustafa Arain2, Kenneth J Chang3

  • 1Department of Gastroenterology and Hepatology, Indiana University Medical Center, Indianapolis, Indiana.

Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association
|September 20, 2020
PubMed
Summary
This summary is machine-generated.

Interventional endoscopic ultrasound (EUS) is shifting disease management from surgery to endoscopy. Growth requires better training, data, and stakeholder support for EUS-guided access, ablation, and endohepatology.

Keywords:
EUSEUS-Guided AblationEUS-Guided AccessEndohepatologyInterventional

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Area of Science:

  • Gastroenterology
  • Interventional Endoscopy
  • Medical Technology

Background:

  • Endoscopic ultrasound (EUS) has evolved from diagnostic to therapeutic applications.
  • New techniques and devices are expanding EUS capabilities for disease management, reducing the need for surgical or percutaneous procedures.
  • Challenges include lack of formal training, data, and clinical implementation guidelines.

Purpose of the Study:

  • To discuss the published literature on interventional EUS.
  • To outline a framework for implementing interventional EUS techniques into clinical practice.
  • To address key areas: EUS-guided access, tumor ablation, and endohepatology.

Main Methods:

  • A White Paper generated from the American Gastroenterological Association's 2019 Tech Summit.
  • Discussion of published literature on interventional EUS.
  • Identification of key components and challenges in the field.

Main Results:

  • Interventional EUS offers a paradigm shift in disease management.
  • Key areas include EUS-guided access, tumor ablation, and endohepatology.
  • Need for improved tools, safety/outcomes data, and endoscopist training identified.

Conclusions:

  • Widespread adoption of interventional EUS requires support from GI societies, stakeholders, and payers.
  • Development of training programs, equipment, and supportive policies is essential.
  • Continued collaboration among societies and manufacturers will drive the growth of interventional EUS.