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Pitfalls in Endoscopic Ultrasound

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Endoscopic Ultrasound

Part of the book series: Clinical Gastroenterology ((CG))

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Abstract

Endoscopic ultrasound (EUS) has a prolonged learning curve. Essential components include mastery of new endoscopic and radiographic skills as well as becoming familiar with anatomic relationships and variables. Additionally, providers must help train technicians and nurses, refine sedation strategies, and create productive relationships with cytopathologists. Aims of this chapter are to provide practical advice, hopefully to speed progression through the learning curve and to help improve safety and exam quality. Common EUS pitfalls and simple solutions are organized and presented in the following categories: sedation, endoscopic intubation and passage, orientation, technical issues, potential problem indications, choosing the right equipment for each case, and fine needle aspiration. Pitfalls are particularly salient for beginners, but many have pertinence for advanced endosonographers, including those moving to a new practice site. Selected take home points are highlighted with case examples and figures.

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Author information

Authors and Affiliations

  1. Division of Gastroenterology and Hepatology, MS Hershey Medical Center, Penn State College of Medicine, Hershey, PA, USA

    Charles E. Dye MD (Associate Professor of Medicine)

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  1. Charles E. Dye MD
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Editors and Affiliations

  1. Digestive Health Center, University of Virginia Health System, Charlottesville, VA, USA

    Vanessa M. Shami MD (Associate Professor of Medicine Director of Endoscopic Ultrasound) (Associate Professor of Medicine Director of Endoscopic Ultrasound)

  2. Digestive Health Center, University of Virginia Helath System, Charlottesville, USA

    Michel Kahaleh MD (Associate Professor of Medicine Director of Pancreatico-Biliary Services) (Associate Professor of Medicine Director of Pancreatico-Biliary Services)

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Dye, C.E. (2010). Pitfalls in Endoscopic Ultrasound. In: Shami, V.M., Kahaleh, M. (eds) Endoscopic Ultrasound. Clinical Gastroenterology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-60327-480-7_6

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  • DOI: https://doi.org/10.1007/978-1-60327-480-7_6

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  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-60327-479-1

  • Online ISBN: 978-1-60327-480-7

  • eBook Packages: MedicineMedicine (R0)

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