Content material:
Chapter 1 Endoscopic Ultrasonography initially: a private heritage (pages 1–4): Michael V. Sivak
Chapter 2 easy rules and basics of EUS Imaging (pages 5–14): Joo Ha Hwang and Michael B. Kimmey
Chapter three EUS tools, Room Setup and Assistants (pages 15–22): Brian C. Jacobson
Chapter four EUS technique: Consent and Sedation (pages 23–27): younger S. Oh and Michael L. Kochman
Chapter five The EUS file (pages 28–34): Jose G. de los angeles Mora?Levy and Michael J. Levy
Chapter 6 Radial EUS: common Anatomy (pages 35–41): Mohammad Al?Haddad and Michael B. Wallace
Chapter 7 Linear Array EUS: common Anatomy (pages 42–48): Richard A. Erickson
Chapter eight basics of EUS?FNA (pages 49–56): Shailesh Bajaj, Michael J. Levy, Kevin ok. Ho and Maurits J. Wiersema
Chapter nine EUS?FNA Cytology: fabric training and Interpretation (pages 57–62): Cynthia Behling
Chapter 10 High?Frequency Ultrasound Probes (pages 63–69): Nidhi Singh, Alberto Herreros?Tejada and Irving Waxman
Chapter eleven EUS: purposes within the Mediastinum (pages 70–76): David H. Robbins and Mohamad A. Eloubeidi
Chapter 12 EUS for Esophageal melanoma (pages 77–82): Willem A. Marsman and Paul Fockens
Chapter thirteen EUS of the tummy and Duodenum (pages 83–97): Sarah A. Rodriguez and Douglas O. Faigel
Chapter 14 Gastrointestinal Subepithelial lots (pages 98–109): David Owens and Thomas J. Savides
Chapter 15 prognosis and Staging of sturdy Pancreatic Neoplasms (pages 110–128): Shawn Mallery and Kapil Gupta
Chapter sixteen EUS for Pancreatic Cysts (pages 129–137): Kevin McGrath
Chapter 17 Endoscopic Ultrasound for Pancreatitis (pages 138–150): Shireen Andrade Pais and John DeWitt
Chapter 18 Endoscopic Ultrasound for Biliary affliction (pages 151–159): Peter D. Stevens and Shanti Eswaran
Chapter 19 Colorectal Endoscopic Ultrasound (pages 160–171): Manoop S. Bhutani
Chapter 20 healing Endoscopic Ultrasound (pages 172–182): Peter Vilmann and Rajesh Puri
Chapter 21 education in Endoscopic Ultrasound (pages 183–192): Paul Kefalides and Frank G. Gress
Chapter 22 the way forward for Endoscopic Ultrasound (pages 193–196): William R. Brugge

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Sample text

In addition, as endoscopy rooms are cleaned regularly, cords may end up disconnected from equipment that needs to be rolled out of the way. 6). 20 EUS assistants Like any complicated endoscopic procedure, EUS is best viewed as a team effort with the endosonographer providing clear, concise instructions to assistants who help complete the procedure Chapter 3 EUS Instruments, Room Setup and Assistants safely and efficiently. The endosonographer, for example, will be holding the echoendoscope during fine needle aspiration, relying on assistants to prepare the needle and syringe, remove the stylet when appropriate, collect the cytological material from the needle after the aspiration, and perhaps even help a cytopathologist prepare slides for preliminary review.

Fluoroscopy is generally required for intraductal EUS when catheter probes are passed into the biliary or pancreatic ducts [6]. In addition, EUS is often used to assist with, or as the primary instrument for, endoscopic pancreatic pseudocyst drainage, requiring fluoroscopic guidance [10]. In the case of an obstructing esophageal cancer, many endosonographers dilate the stricture with wire-guided bougienage dilators. This requires fluoroscopic guidance for placement of the guidewire. Finally, patients who present with obstructive jaundice will often require both ERCP for biliary stent placement and EUS for fine needle aspiration and staging.

The American Society of Gastrointestinal Endoscopy (ASGE) recommends the administration of prophylactic antibiotics prior to EUS-FNA of pancreatic cystic lesions, although there have been no randomized controlled trials that have supported this approach [12]. The recommended antibiotics for endocarditis prophylaxis in this setting are amoxicillin 2 g by mouth 1 hour prior to the procedure or ampicillin 2 g intravenously or intramuscularly within 30 minutes of the procedure. For penicillin-allergic patients, cephalexin or cefadroxil 2 g by mouth, azithromycin or clarithromycin 500 mg by mouth, or clindamycin 600 mg by mouth 1 hour prior to the procedure can be substituted.

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