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Related Concept Videos

Ultrasound II: Endoscopic Ultrasound and FibroScan01:25

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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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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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Ultrasound I: Abdominal Ultrasonography01:20

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Introduction:
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A Modified Sonographic Algorithm for Image Acquisition in Life-Threatening Emergencies in the Critically Ill Newborn
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EUS in Pediatrics: A Multicenter Experience and Review.

Travis L Piester1, Quin Y Liu2

  • 1Keck School of Medicine of the University of Southern California, Children's Hospital Los Angeles, Los Angeles, CA, United States.

Frontiers in Pediatrics
|September 13, 2021
PubMed
Summary

Endoscopic ultrasound (EUS) is a safe and effective diagnostic and therapeutic tool for pediatric patients. This study highlights its successful application in managing various gastrointestinal and pancreaticobiliary conditions in children.

Keywords:
endoscopic ultrasonographypancreatic fluid collectionpancreatitispediatricpediatric gastroenterologists

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Area of Science:

  • Pediatric Gastroenterology
  • Gastrointestinal Endoscopy
  • Diagnostic Imaging

Background:

  • Endoscopic ultrasound (EUS) is a recognized diagnostic and therapeutic modality in adult medicine.
  • Pediatric EUS has demonstrated safety and efficacy, with expanding applications.
  • This study reviews EUS experience in pediatric tertiary care centers.

Purpose of the Study:

  • To evaluate the safety, technical success, and clinical impact of EUS in pediatric patients.
  • To discuss current and emerging diagnostic and therapeutic uses of EUS in pediatric gastroenterology.
  • To explore EUS applications in pancreaticobiliary diseases, congenital anomalies, eosinophilic esophagitis, inflammatory bowel disease, and liver disease.

Main Methods:

  • Retrospective review of EUS procedures performed by pediatric gastroenterologists between April 2017 and November 2020.
  • Data collected included patient demographics, procedure indications, technical success, and complications.
  • A literature review was conducted to assess current and future pediatric EUS applications.

Main Results:

  • Ninety-eight EUS procedures were performed, with 15.3% involving fine needle aspiration/biopsy and 9.2% being therapeutic.
  • Common indications included choledocholithiasis (31.6%), pancreatic fluid collections (18.4%), and pancreatitis (14.3% each for chronic/recurrent and acute characterization).
  • All 98 cases (100%) were technically successful with minimal complications, including one instance of post-procedure GI bleeding.

Conclusions:

  • EUS is a safe and highly successful procedure in the pediatric population when performed by trained pediatric endosonographers.
  • The study supports the expanded use of EUS in pediatric practice for a diverse range of indications.
  • EUS shows significant potential for future development in pediatric gastroenterology, including therapeutic interventions.