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Endoskopischer Ultraschall

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Gastroenterologische Endoskopie
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Zusammenfassung

Der endoskopische Ultraschall (EUS) wurde vor ca.15 Jahren in die gastroenterologische Diagnostik eingeführt, um die Grenzen des perkutanen Ultraschalls in der Pankreasdarstellung, wie z. B. Luftüberlagerung und mangelnde Auflösung, zu überwinden. Die Methode verwendet hochfrequente Ultraschallköpfe (5–12 MHz) an der Spitze von Seitblickendoskopen: Die hohen US-Frequenzen bedingen eine limitierte Eindringtiefe, liefern jedoch eine deutlich bessere Detailauflösung als der perkutane Schall. Deswegen ist auch - neben der Pankreasdarstellung - die Wand des Gastrointestinaltrakts mit ihren verschiedenen Schichten das zweite Indikationsgebiet des EUS.

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Rösch, T., Kassem, A.M. (1999). Endoskopischer Ultraschall. In: Frühmorgen, P. (eds) Gastroenterologische Endoskopie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-58391-9_28

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