Endoscopic Ultrasound

Endoscopic ultrasound has revolutionized the approach to lesions inside and outside the gastrointestinal tract. It has opened the door for gastroenterologists to explore organs outside of the GI lumen, such as the lymph nodes, lung, pancreas, and liver. E

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Series Editor George Y. Wu University of Connecticut Health Center, Farmington, CT, USA

For further volumes: http://www.springer.com/series/7672

Endoscopic Ultrasound Edited by

Vanessa M. Shami, MD Director of Endoscopic Ultrasound University of Virginia Health System Digestive Health Center, USA and

Michel Kahaleh, MD Director of Pancreatico-Biliary Services University of Virginia Health System Digestive Health Center, USA

Editors Vanessa M. Shami, MD Associate Professor of Medicine Director of Endoscopic Ultrasound Digestive Health Center University of Virginia Health System Charlottesville, VA, USA [email protected]

Michel Kahaleh, MD Associate Professor of Medicine Director of Pancreatico-Biliary Services Digestive Health Center University of Virginia Health System Charlottesville, USA [email protected]

ISBN 978-1-60327-479-1 e-ISBN 978-1-60327-480-7 DOI 10.1007/978-1-60327-480-7 Springer New York Dordrecht Heidelberg London Library of Congress Control Number: 2010930043 © Springer Science+Business Media, LLC 2010 All rights reserved. This work may not be translated or copied in whole or in part without the ­written permission of the publisher (Humana Press, c/o Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks, and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. Printed on acid-free paper Humana Press is part of Springer Science+Business Media (www.springer.com)

Preface Endoscopic ultrasound has revolutionalized the approach to lesions inside and outside the gastrointestinal tract. It has opened the door for gastroenterologists to explore organs outside of the GI lumen, such as the lymph nodes, lung, pancreas, and liver. Few textbooks provide detailed information on the techniques, indications, and the future of EUS, and the technology is advancing rapidly. The purpose of this text is to provide an updated reference on endoscopic ultrasound, as well as focus on new and expanding technologies related to this field. The key to understanding endoscopic ultrasound is the instrumentation and technology, which are addressed in the opening chapters. Following chapters describe the utility of EUS in different parts of the body and compartmentalizing it as is done in practice. At the end of the book, the pioneers in the field summarize new studies and the direction of EUS in practice. By spanning the spectrum of EUS from basics to the new and latest technologies, we believe it will be a valuable resource to physicians and support staff who are beginning EUS, as well as trained ultrasonographers who wish to arm