Endoscopic ultrasound EUS Updated.

1. Endoscopic Ultrasound (EUS) A Survey of Typical Applications Klaus Gottlieb, MD Clinical Associate Professor; University of Washington Vadim Brjalin Lääne-Tallinna Keskhaigla Updated by: Dr.Mohammad Shaikhani, Asistan profesor. Sulaymanyiah University, College of Medicine. Department of Medicine. Sulaymanyiah GIT/Hepaatology center.

2. EUS

4. EUS Indications

17. Celiac LN in T3 Esophageal Cancer

18. T3 Esophageal Cancer Aorta <invasion <Muscularis Propria LN Azv

22. Normal stomach

23. MALTOMA in stomach:

24. MALTOMA in stomach: MALT involving Muscularis

25. Bi-lobed leomyma in stomach: MALT involving Muscularis

26. Gastric Cancer: T1

27. Gastric Cancer: T1

28. Gastric Cancer: T2

29. Gastric Cancer: T3

31. Rectum: normal

32. Rectal Cancer:T2N0

33. Same Rectal Cancer T3N1: Untreated, 4 months later

34. Rectal ca

35. A large perirectal mass is seen invading the rectal wall. FNA biopsy (Pentax FG-32UA) of the mass confirmed recurrence of prostatic cancer (inset).

37. Submucosal Gastric Tumor

38. Biopsy this?

39. Gastric Varix: Biopsy not recommended

41. Linitis Plastica

42. MALT Lymphoma

43. Diagnosis and Staging of Pancreatic Cancer

44. Periduodenal Collaterals

45. The Cause: Pancreatic Cancer

46. Rapidly Growing Pancreatic Mass

47. EUS FNA

48. Evaluation of Pancreatic Abnormalties

49. Evaluation of Pancreatic Abnormalties

50. Evaluation of Pancreatic Abnormalties

51. Evaluation of Pancreatic Abnormalties

52. Pancreatic Pseudocyst

53. Chronic Pancreatitis

54. Fatty Infiltration of the Pancreas

55. Pancreatic mass?

60. Benign Adrenal Adenoma !

61. Evaluation of Ampullary Neoplasms

62. Ampullary Carcinoma

63. Ampullary Carcinoma (cont.)

64. Ampullary Adenoma

65. Ampullary Adenoma

66. Diagnosis and Staging of Cholangiocarcinoma

67. Cholangiocarcinoma

68. Another Cholangiocarcinoma

69. Suspected Choledocholithiasis

70. Choledocholithiasis

71. Choledocholithiasis (cont.)

72. Choledocholithiasis (cont.)

73. CBD < < STONE <PD HOP

74. <CBD stone Duod

75. CBD Sludge PV HOP GB Sludge

76. Gallbladder sludge and stone

78. Injection Therapy

79. Celiac Plexus Block

80. Tumor Therapy

81. Alcohol Injection into a Mediastinal Metastasis compressing the Esophagus

82. Lung Cancer

83. ATS Lymph Node Map

84. Surgery and then Recurrence?

85. EUS guided FNA of Area 7 LN

105. Keep in touch!