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Covering the full spectrum of endoscopic ultrasound, Endosonography, 4th Edition, by Drs. Robert Hawes, Paul Fockens, and Shyam Varadarajulu, is a comprehensive, one-stop resource for mastering both diagnostic and therapeutic EUS procedures. Leading global authorities guide you step by step through both introductory and advanced techniques, covering everything from interpretation and accurate diagnosis to treatment recommendations. High-quality images and an easy-to-navigate format make this updated reference a must-have for both beginning and experienced endosonographers. Features completed updated content throughout, including new sections on high-intensity focused ultrasound, through-the-needle biopsy, benign pancreatic masses, and gastro-jejunostomy. Includes perspectives from new contributors who provide global experience and knowledge. Contains new and enhanced illustrations that correlate with high-quality endoscopic images. Covers cutting-edge techniques for performing therapeutic interventions, such as drainage of pancreatic pseudocysts and EUS-guided anti-tumor therapy, as well as fine needle aspiration (FNA) procedures.
A must-have reference for both beginning and experienced endosonographers, Endosonography, 5th Edition, coves the full spectrum of endoscopic ultrasound (EUS) in a single, convenient resource. Concise, easy-to-navigate chapters keep you abreast of changes in this dynamic field, and nearly 150 procedural videos reinforce techniques of common, clinically relevant procedures. Covering both standard and newer techniques, this authoritative reference covers everything you need to know—from basic applications to advanced interventions. Guides you step by step through both introductory and advanced techniques, covering everything from interpretation and accurate diagnosis to treatment recommendations. Employs a user-friendly, templated format to cover all topics from basic applications to advanced interventions, with procedures organized by body system. Includes a new chapter on Endo-Hepatology, and an increased focus on using EUS for interventions. Features 20 new procedural videos covering topics such as esophageal and gastric cancer; mediastinal lesions and lung cancer; pancreatic tumors; and bile duct, gallbladder, and ampullary lesions. Covers recent improvements and new applications in guided fine-needle EUS for diagnosis and cancer staging. Features high-quality images with correlative illustrations, diagnostic algorithms, examination checklists, and key points boxes throughout. Provides nearly 150 how-to-videos of both diagnostic and therapeutic procedures performed by expert endosonographers that demonstrate effective techniques and the proper use of equipment. Provides practical information on establishing an endoscopic practice, from what equipment to buy to effective cytopathology services.
From diagnostic to therapeutic procedures, Endosonography, 3rd Edition is an easy-to-access, highly visual guide covering everything you need to effectively perform EUS, interpret your findings, diagnose accurately, and choose the best treatment course. World-renowned endosonographers help beginners apply endosonography in staging cancers, evaluating chronic pancreatitis, and studying bile duct abnormalities and submucosal lesions. Practicing endosonographers can learn cutting-edge techniques for performing therapeutic interventions such as drainage of pancreatic pseudocysts and EUS-guided anti-tumor therapy. Videos detailing various methods and procedures—and more—equip you with a complete overview of all aspects of EUS. Consult this title on your favorite e-reader, conduct rapid searches, and adjust font sizes for optimal readability. Get a clear overview of everything you need to know to establish an endoscopic practice, from what equipment to buy to providing effective cytopathology services. Understand the role of EUS with the aid of algorithms that define its place in specific disease states. Gain a detailed visual understanding and mastery of how to perform EUS systematically using illustrations, high-quality endosonography images, and videos. Glean all essential, up-to-date information about endosonography including transluminal drainage procedures, contrast-enhanced EUS, and fine-needle aspiration techniques. Benefit from the extensive knowledge and experience of world-renowned leaders in endosonography, Drs. Robert H. Hawes, Paul Fockens, and Shyam Varadarajulu. Locate information quickly and easily through a consistent chapter structure, with procedures organized by body system.
Following the development of gray-scale imaging, real-time scanning, Doppler examination, and high-frequency sonography, endosonography is one of the latest major breakthroughs in the history of diagnostic ultrasound. Although early attempts at inserting ultrasound transducers in natural cavities of the body can be traced back more than two decades, only in the past few years has technology allowed the development and commercialization of effective, easy-to-use endosono scopic probes. Because the transducer can be placed in direct contact with or close to lesions, high frequencies (up to ~2 MHz) can be used, yielding cross-sectional images of unsurpassed resolution. The availability of specially designed intracorporeal probes for specific natural cavities that are routinely explored by conventional (optical) endoscopy or palpation has significantly expanded the diagnostic applications of sonography. Transrectal and transvaginal examinations are now performed routinely in many institutions, and virtually all sonographic equipment manufac turers have in their line of products at least one endorectal and one endovaginal transducer. Most endosonoscopic probes connect to existing scanners, and for radiology departments, the invest ment for transrectal or transvaginal scanning will usually be limited to the purchase of the specific probe. In this book, clinical applications of endosonography (excluding transesophageal echocardio graphy) are covered by European and North American experts. Current equipment and techniques of examination are described in detail to help newcomers get started in the field of endosonography.
This book brings together lessons learned in the clinical use of anorectal endosonography and manometry in paediatrics. In contrast to adult medicine, where they are virtually indispensable for specialists dealing with colo-proctology, in paediatrics endoanal ultrasound and anorectal manometry are still the prerogative of very few international centres. This book collects the results of a Workshop organised at the Paediatric Surgery Unit of Bologna, entitled "International Seminar on Endosonography and Anorectal Manometry in Paediatrics", and presents contributions from leading European experts. Focusing on the paediatric age group, this volume fills a gap in the paediatric gastroenterology literature, and will benefit all specialists wishing to use these methods in the management and treatment of common clinical problems, e.g. chronic constipation.
More than 25 years ago, when ultrasound diagnostic methods were first intro duced into gynecology and obstetrics, few of the pioneers of these techniques sus pected what importance sonographic diagnosis was destined to assume. It was soon recognized that the organs of the lesser pelvis could be visualized to much greater advantage by inserting probes into the natural bodily orifices than by abdominal sonography. Full exploitation of the physical properties of ultra sound had to wait, as so often in the history of sonography, for technological ad vances. Endosonography in the form available to us today combines the advantages of endoscopy and sonography. The next light-reflecting surface, once the limit of en doscopy, represents no barrier to ultrasound. A whole range of both diagnostic and therapeutic procedures can be sonographically guided. Blood flow in vessels lying deep in the lesser pelvis can now be measured by means of vaginal duplex sonography.
The available textbooks on endoscopic ultrasound (EUS) typically focus on technique and interpretation of commonly observed images and scenarios and are aimed primarily at trainees. However, independent practitioners of EUS are often challenged by unusual cases which they are expected to handle competently despite the absence of authoritative guidance. The Diagnostic Endosonography aims to fill this gap by presenting carefully selected cases that will expand the practitioner’s knowledge base and cover important clinical challenges. The case material is organized principally according to anatomic site. Approximately 170 case reports are included, each of which is accompanied by an average of three to five high-quality EUS images; in addition, CT and PET scans are shown when appropriate. For each case, the case description is followed by helpful “teaching points” as well as up-to-date literature references and suggestions for future research.
Transcutaneous ultrasonography is an established procedure for diagnosis and therapy in gastroenterology. However, ultrasonic images can often be hampered by pulmonary and intestinal gas and by bony and adipose tissue. In 1956 Wild and Reid reported the first results of transrectal ultrasound of the prostate [1]. In 1976 Lutz introduced an A-mode ultrasonic probe which could be introduced via the biopsy channel of an endoscope [2]. In 1978 and 1980 Hisanaga performed echocardiography using an ultrasonic transducer attached to the tip of a flexible instrument [3, 4]. In animal studies and later on in humans Di Magno has used an echoendoscope in which a small transducer was attached at the tip of a fiberoptic endoscope [5, 6]. The purpose was to overcome the limitations of transcutaneous ultrasonography by directly approaching target lesions with a high-frequency ultrasound source via the gastroin testinallumen. SJlbsequently, the first series of endoscopic ultrasonography (EUS) examinations were reported during the European congress in Stockholm [7]. The purpose of this book is: 1. To evaluate the technique and the equipment for endoscopic ultrasonography 2. To evaluate in detail the endosonographic pattern of the normal and abnormal wall structure 3. To analyze a large consecutive series of various gastrointestinal malignancies in order to determine the usefulness and accuracy of EUS in the detection, staging, and therapy of malignant diseases 4. To compare EUS with other imaging techniques References 1.
Since endoscopic ultrasonography was first used approximately 15 years ago, it has become a valuable adjunct tool, supplementing endoscopy, conventional ultrasound, and CT for a large number of specific indications. Features of this book include: physical laws and technology as necessary for an understanding of the imaging technique; indications and clinical value of the method for specific indications; examination technique in normal findings as the basis of evaluation: for example, passage through the esophagus and stomach are shown step by step using more than 30 illustrations. All original photographs are explained with correlated line drawings, aiding the unexperienced examiner to interpret images with confidence. Written by authors who were pioneers in the method, and who have established an international reputation.