Digestive and Liver Disease
Volume 42, Issue 1 , Pages 6-15 , January 2010

Endoscopic ultrasound in the evaluation of pancreaticobiliary disorders

  • A. Larghi

      Affiliations

    • Digestive Endoscopy Unit, Catholic University, Rome, Italy
    • Corresponding Author InformationCorresponding author at: Digestive Endoscopy Unit, Università Cattolica del Sacro Cuore, Largo A. Gemelli 8, 00168, Rome, Italy. Tel.: +39 0635511515; fax: +39 0630156581.
  • ,
  • M.C. Petrone

      Affiliations

    • Division of Gastroenterology and Gastrointestinal Endoscopy, Vita-Salute San Raffaele University, Scientific Institute San Raffaele, Milan, Italy
  • ,
  • D. Galasso

      Affiliations

    • Digestive Endoscopy Unit, Catholic University, Rome, Italy
  • ,
  • P.G. Arcidiacono

      Affiliations

    • Division of Gastroenterology and Gastrointestinal Endoscopy, Vita-Salute San Raffaele University, Scientific Institute San Raffaele, Milan, Italy

Received 2 June 2009 ,Accepted 24 June 2009.

  • Image Result

    EUS image of the mid portion of the common bile duct (CBD) just above the portal vein (PV) containing a 5.4mm stone with shadowing.

    EUS image of the mid portion of the common bile duct (CBD) just above the portal vein (PV) containing a 5.4mm stone with shadowing.

  • Image Result

    Unresectable pancreatic mass. (A) Pancreatic uncinate process mass with invasion of the superior mesenteric artery (SMA). (B) EUS-FNA of the mass.

    Unresectable pancreatic mass. (A) Pancreatic uncinate process mass with invasion of the superior mesenteric artery (SMA). (B) EUS-FNA of the mass.

  • Image Result

    Algorithm for the evaluation of suspicious solid pancreatic masses.

    Algorithm for the evaluation of suspicious solid pancreatic masses.

  • Image Result

    EUS image of a pancreatic neuroendocrine tumour after contrast enhancement with Sonovue that enhance tumour vascularisation.

    EUS image of a pancreatic neuroendocrine tumour after contrast enhancement with Sonovue that enhance tumour vascularisation.

  • Image Result

    EUS elastographic image of a pancreatic adenocarcinoma showing mainly hard tissue (in blue) with a soft area (in green) between the lesion and the vessel below.

    EUS elastographic image of a pancreatic adenocarcinoma showing mainly hard tissue (in blue) with a soft area (in green) between the lesion and the vessel below.

  • Image Result

    Common bile duct (CBD) mass at the hilum detected using a newly developed forward viewing therapeutic EUS scope (GF-UCT160J-AL5, Olympus Medical System Europe, Hamburg, Germany).

    Common bile duct (CBD) mass at the hilum detected using a newly developed forward viewing therapeutic EUS scope (GF-UCT160J-AL5, Olympus Medical System Europe, Hamburg, Germany).

  • Image Result

    Mucinous cystic lesion with evidence of wall thickening with solid component that appeared vascularised at Doppler imaging.

    Mucinous cystic lesion with evidence of wall thickening with solid component that appeared vascularised at Doppler imaging.

  • Image Result

    EUS image of a branch-duct intraductal papillary mucinous neoplasm (BD-IPMN) in communication with the Wirsung (W).

    EUS image of a branch-duct intraductal papillary mucinous neoplasm (BD-IPMN) in communication with the Wirsung (W).

  • Image Result

    Fluoroscopic image of a EUS-guided transgastric placed double-pig tail plastic stent for pseudocyst drainage.

    Fluoroscopic image of a EUS-guided transgastric placed double-pig tail plastic stent for pseudocyst drainage.

PII: S1590-8658(09)00292-8

doi: 10.1016/j.dld.2009.06.021

Digestive and Liver Disease
Volume 42, Issue 1 , Pages 6-15 , January 2010