The steep learning curve for
EUS is one of the main factors preventing the wide acceptance of this method.[5] For
EUS learners, operating skills and the knowledge of illustrating the findings under
EUS are essential.
The specificity, sensitivity, NPV, PPV, and accuracy were 96%, 83%, 86%, 95%, and 90%, respectively, compared to the values of 22-70%, 64-96%, 61-83%, 57-72%, and 60-75%, respectively, that were gained from different criteria of B-mode
EUS [12].
Given the difficulties in making a diagnosis of VCE preoperatively, we believe that in a patient who has endoscopic findings of wart-like mucosal lesions and who is a surgical candidate, an
EUS should be performed followed by an esophagectomy to rule out a possible occult squamous cell carcinoma.
Edinburghborn solicitor Duff, who was jailed for two years in 1993 for his part in a mortgage fraud, became business development manager at
EUS in 2007.
The authors of another study recommend
EUS plus CT, to increase specificity, especially in cases of chronic pancreatitis [10].
"
EUS and MRI-MRP provided the same diagnosis in 21 patients (80.8%).
Artifacts can make MRCP images milky, obscuring visualization of small stones and even sludge depicted clearly on
EUS.
The
EUS allows the doctor to perform an ultrasound using an endoscope inside the body.
In patients who underwent serial
EUS evaluations, only the first examination was included.
The dilated pancreatic duct was punctured anterogradely via the stomach by a 19-gauge needle under
EUS guidance.