git endoscopic ultrasound
TRANSCRIPT
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Endoscopic Ultrasound (EUS) A Survey of Typical Applications
Klaus Gottlieb, MDClinical Associate Professor; University of Washington
Vadim Brjalin Vadim Brjalin Lääne-Tallinna KeskhaiglaLääne-Tallinna Keskhaigla
Updated by:Dr.Mohammad Shaikhani, Asistan profesor.
Sulaymanyiah University, College of Medicine.Department of Medicine.
Sulaymanyiah GIT/Hepaatology center.
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EUS
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EUS Indications
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EUS: EUS – a new methode in the diagnosis of oesophageal, gastric, EUS – a new methode in the diagnosis of oesophageal, gastric,
biliopancreatic, anal disorders biliopancreatic, anal disorders and intramural lesions of the and intramural lesions of the gastrointestinal tractgastrointestinal tract;It helps ;It helps stagingstaging of the of the GI GI cancer; cancer;
It also allows to stage the lung cancer and detect lymph nodes in It also allows to stage the lung cancer and detect lymph nodes in the mediastinum; it allows to perform different interventional the mediastinum; it allows to perform different interventional diagnostic (FNA, drainage) and therapeutic procedures(celiac axis diagnostic (FNA, drainage) and therapeutic procedures(celiac axis neurolysis, injection of activated lymphocytes into pancreatic neurolysis, injection of activated lymphocytes into pancreatic tumor).tumor).
Ideally suited to the TNM classification for tumor staging as it can Ideally suited to the TNM classification for tumor staging as it can accurately assess the depth of tumor penetration, the presence of accurately assess the depth of tumor penetration, the presence of locoregional nodal metastases and can detect vascular invasion.locoregional nodal metastases and can detect vascular invasion.
EUS-guided FNA biopsy allows for cytopathological diagnosis of EUS-guided FNA biopsy allows for cytopathological diagnosis of malignant primary tumors and is superior to other imaging malignant primary tumors and is superior to other imaging modalities for confirmation of nodal metastasesmodalities for confirmation of nodal metastases
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EUS Indications (1)• 1. Staging of esophageal, gastric and rectal
cancer • 2. Evaluation of abnormalities of the
gastrointestinal wall or adjacent structures (submucosal masses, extrinsic compression)
• 3. Evaluation of thickened gastric folds • 4. Diagnosis (FNA) and staging of pancreatic
cancer • 5. Evaluation of pancreatic abnormalities
(suspected masses, cystic lesions including pseudocysts, suspected chronic pancreatitis)
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EUS Indications (2)
• 6. Staging of ampullary neoplasms • 7. Diagnosis and staging of
cholangiocarcinoma • 8. Evaluation of suspected
choledocholithiasis • 9. Celiac plexus neurolysis for chronic pain
due to intra-abdominal malignancy or chronic pancreatitis
• 10. Lung cancer diagnosis and staging
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Staging of Esophageal Gastric& Rectal Cancer
• TNM System
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Celiac LN in T3 Esophageal Cancer
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T3 Esophageal Cancer Aorta
<invasion
<Muscularis Propria
LN
Azv
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Normal stomach
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MALTOMA in stomach:
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MALTOMA in stomach:
MALT involving Muscularis
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Bi-lobed leomyma in stomach:
MALT involving Muscularis
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Gastric Cancer: T1
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Gastric Cancer: T1
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Gastric Cancer: T2
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Gastric Cancer: T3
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Rectum: normal
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Rectal Cancer:T2N0
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Same Rectal Cancer T3N1:Untreated, 4 months later
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Rectal ca
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A large perirectal mass is seen invading the rectal wall. FNA biopsy (Pentax FG-32UA) of the mass confirmed recurrence of prostatic cancer (inset).
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Abnormalties of GI tract wall
• The 5 layers
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Submucosal Gastric Tumor
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Biopsy this?
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Gastric Varix: Biopsy not recommended
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Thickened Gastric Folds
• Hyperacidic states• Hypoproteinemia • Lymphoma • Eosinophilic gastroenteritis• Varices• Menetrier’s disease• Crohn’s
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Linitis Plastica
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MALT Lymphoma
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Diagnosis and Staging of Pancreatic Cancer
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Periduodenal Collaterals
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The Cause: Pancreatic Cancer
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Rapidly Growing Pancreatic Mass
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EUS FNA
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Evaluation of Pancreatic Abnormalties
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Evaluation of Pancreatic Abnormalties
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Evaluation of Pancreatic Abnormalties
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Evaluation of Pancreatic Abnormalties
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Pancreatic Pseudocyst
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Chronic Pancreatitis
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Fatty Infiltration of the Pancreas
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Pancreatic mass?
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Benign Adrenal Adenoma !
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Evaluation of Ampullary Neoplasms
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Ampullary Carcinoma
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Ampullary Carcinoma (cont.)
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Ampullary Adenoma
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Ampullary Adenoma
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Diagnosis and Staging ofCholangiocarcinoma
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Cholangiocarcinoma
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Another Cholangiocarcinoma
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Suspected Choledocholithiasis
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Choledocholithiasis
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Choledocholithiasis (cont.)
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Choledocholithiasis (cont.)
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CBD
< < STONE
<PD
HOP
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<CBD stone Duod
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CBD Sludge PV
HOP
GB Sludge
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Gallbladder sludge and stone
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Injection Therapy
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Celiac Plexus Block
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Tumor Therapy
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Alcohol Injection into a Mediastinal Metastasis compressing the Esophagus
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Lung Cancer
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ATS Lymph Node Map
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Surgery and then Recurrence?
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EUS guided FNA of Area 7 LN
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