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Updated: Oct 25, 2025

Author Spotlight: Advancing Biopsy Techniques with Transesophageal Ultrasound
Published on: November 21, 2023
Controversies in EUS: Do we need miniprobes?
Hans Seifert1, Pietro Fusaroli2, Paolo Giorgio Arcidiacono3
1Department of Gastroenterology, Evangelisches Krankenhaus, Oldenburg; Universitatsklinik fur Innere Medizin - Gastroneterologie, Hepatologie; Klinikum Oldenburg, Germany.
High-resolution endoscopic ultrasound miniprobes (EUS-MPs) are crucial for detecting early intestinal tract carcinomas and submucous lesions. Their application in the bile and pancreatic ducts, and endobronchial use, are critically discussed with examples.
Area of Science:
- Gastroenterology and Endoscopy
- Oncology
- Pulmonology
Background:
- Endoscopic Ultrasound (EUS) is a key imaging modality.
- High-resolution catheter probes, or EUS miniprobes (EUS-MPs), offer advanced visualization.
- Previous papers in this series addressed "Controversies in EUS."
Purpose of the Study:
- To critically discuss the applications of EUS miniprobes (EUS-MPs).
- To evaluate EUS-MP utility for early carcinomas throughout the intestinal tract.
- To assess EUS-MP use for subepithelial lesions, bile/pancreatic ducts, and endobronchial findings.
Main Methods:
- Critical discussion of EUS miniprobe (EUS-MP) applications.
- Review of clinical cases and examples illustrating EUS-MP utility.
- Focus on specific indications including early carcinomas and submucous lesions.
Main Results:
- EUS miniprobes (EUS-MPs) show significant utility for early intestinal tract carcinomas.
- Submucous lesions, particularly in the colon, represent a primary indication for EUS-MPs.
- EUS-MPs are valuable for evaluating findings in the bile duct, pancreatic duct, and endobronchial applications.
Conclusions:
- EUS miniprobes (EUS-MPs) are highly effective for diagnosing early gastrointestinal cancers and submucous lesions.
- The diagnostic capabilities of EUS-MPs extend to biliary, pancreatic, and pulmonary applications.
- Further research and clinical examples support the expanding role of EUS-MPs in various medical fields.
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