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Echo Endoscopy

Echo endoscopy is a medical procedure that combines ultrasound imaging with endoscopy to visualize the internal structure of the body.
This non-invasive technique allows for detailed examination of organs and tissues, such as the digestive tract, pancreas, and surrounding structures.
Echo endoscopy provides valuable information for diagnosing and monitoring various conditions, including cancer, inflammation, and structural abnormalities.
By leveraging the power of advanced imaging technologies, echo endoscopy enables clinicians to make more informed decisions and deliver personalized, high-quality patient care.
Whether you're a researcher or healthcare professional, understanding the applications and benefits of echo endoscopy can help optimize your clinical practice and drive medical breakthroughs.

Most cited protocols related to «Echo Endoscopy»

1
Endoscopic Ultrasound-Guided FNA Techniques
Patients were randomized to undergo EUS–FNA using either the standard or the fanning technique. At the time of the procedure, the endoscopy nurse opened an envelope containing computer-generated randomization assignments for the study patients. All procedures were performed by one endosonographer (S.V.) using a linear array echoendoscope (Olympus UCT140; Olympus, Tokyo, Japan). Procedures were performed under conscious sedation with patients in the left lateral decubitus position.
Pancreatic masses located in the head or uncinate process were sampled using a 25-G needle (Expect; Boston Scientific Corp., Natick, Massachusetts, USA) via the transduodenal route, and those in the pancreatic body or tail were sampled using a 22-G needle (Expect) via the transgastric route. The 25-G needles for transduodenal passes and 22-G needles for transgastric passes were based on the results of a previous study that demonstrated decreased needle dysfunction using this approach [13 ]. At FNA, suction was not applied in any of the cases, and after the first pass the stylet was not reintroduced into the needle assembly for subsequent FNAs.
Bang J.Y., Magee S.H., Ramesh J., Trevino J.M, & Varadarajulu S. (2013). Randomized trial comparing fanning with standard technique for endoscopic ultrasound-guided fine-needle aspiration of solid pancreatic mass lesions. Endoscopy, 45(6), 445-450.
Publication 2013
Aspiration Biopsy, Fine-Needle Conscious Sedation Echo Endoscopy Endoscopic Ultrasound-Guided Fine Needle Aspiration Endoscopy Head Human Body Needles Nurses Pancreas Patients Suction Drainage Tail
2
EUS-Guided Hot AXIOS™ Stent Placement
All EUS procedures were performed by experienced endoscopists with the patient under conscious or deep sedation, using a conventional therapeutic linear echoendoscope (GF-UC140 T, GF-UC180 T, Olympus Medical Systems Europe, Hamburg, Germany). Once the target structure (i. e. pancreatic fluid collection, gallbladder, bile duct) was identified, Doppler examination was performed to exclude the presence of interposing vessels. The Hot AXIOS™ catheter was then inserted in the working channel of the echoendoscope and the Luer lock secured to the inlet port of the working channel. After unlocking, the tip of the delivery system was advanced outside the working channel by moving the catheter control hub downwards until contact with the gut wall was demonstrated by EUS. The delivery system was connected to the electrosurgical generator (settings: pure cut mode, 100 Watts, ICC 200, ERBE [AUTOCUT mode, effect 5; ERBE Electrosurgery, Tübingen, Germany]) and penetration of the target structure accomplished by applying pure cut current, while further advancing the catheter control hub downwards. After the catheter was fully inside the target structure, the distal flange of the stent was deployed under EUS by moving the deployment hub upwards. When fully opened, the distal flange becomes visible inside the target structure and appears completely flat like a disc or “Frisbee” (Fig. 1 and Fig. 2). The maneuver for the deployment of the proximal flange started by pulling the distal flange back, toward the gut wall by moving the catheter control hub upwards until the shape of the flange changed from flat to oval. When this change in the shape of the distal flange occurs, the proximal flange can be deployed safely. The deployment was then accomplished by moving the deployment hub fully upwards and this occurred inside the working channel without the assistance of endoscopic view. The scope was then gently withdrawn while the catheter control hub was slowly pushed downwards, to allow for the exit of the proximal flange (Fig. 3) from the working channel to complete the release of the stent (Video 1).
Anderloni A., Attili F., Carrara S., Galasso D., Di Leo M., Costamagna G., Repici A., Kunda R, & Larghi A. (2017). Intra-channel stent release technique for fluoroless endoscopic ultrasound-guided lumen-apposing metal stent placement: changing the paradigm. Endoscopy International Open, 5(1), E25-E29.
Publication 2017
Blood Vessel Catheters Consciousness Deep Sedation Diathermy Duct, Bile Echo Endoscopy Endoscopy Gallbladder Obstetric Delivery Pancreatic Juice Patients Stents Therapeutics
3
EUS-FNA Diagnostic Technique for Solid Masses
At individual passes, the needle was positioned at four different areas within the mass and then moved back and forth four times in each area to procure tissue (4 × 4). The needle was positioned at different areas within the mass by using the “up-down” dial of the echoendoscope and with minimal use of the elevator to avoid needle dysfunction. Aspiration was initiated at the left margin and then “fanned” (Video 2) until the right margin of the mass was sampled (Fig.2).
Following each pass, the procured material was placed onto slides for immediate interpretation by an on-site cytopathologist who was blinded to the procedural technique. Three maximum passes were performed with the initial technique until either the procured specimen was deemed to be of satisfactory diagnostic quality or technical failure occurred. Technical failure was defined as malfunction of the needle apparatus prior to establishing a diagnosis with the original sampling technique. If a definitive diagnosis was established within three passes, the procedure was terminated and the number of passes performed was documented. If no diagnosis was established after three passes (defined as diagnostic failure) or if technical failure occurred, the patient was crossed over and up to three further passes were performed using the alternative sampling method. If diagnostic or technical failure occurred again with the alternative technique, the procedure was aborted and a repeat EUS–FNA was arranged for a different day. The occurrence of any immediate complication was noted at the time of the procedure and late complications were documented with follow-up telephone calls 72 hours post-procedure.
Bang J.Y., Magee S.H., Ramesh J., Trevino J.M, & Varadarajulu S. (2013). Randomized trial comparing fanning with standard technique for endoscopic ultrasound-guided fine-needle aspiration of solid pancreatic mass lesions. Endoscopy, 45(6), 445-450.
Publication 2013
allobarbital Crossing Over, Genetic Diagnosis Echo Endoscopy Endoscopic Ultrasound-Guided Fine Needle Aspiration Needles Patients Tissues
4
Comprehensive Evaluation of Pancreatic Lesions

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Publication 2012
Aspiration Biopsy, Fine-Needle Biological Assay Carcinoembryonic Antigen Congenital Abnormality Cyst Fluid Echo Endoscopy Endoscopic Retrograde Cholangiopancreatography Endoscopy Gastroenterologist Pancreatic Cyst Sedatives Tissues
5
Comprehensive EUS-guided Interventional Procedures
I-EUS includes EUS-BD, HGS, hepaticojejunostomy (HJS), and CDS, EUS-AG, EUS-GBD, EUS-RV, EUS-PD, EUS-PCD, and EUS-AD. Both abdominal X-rays and P-CT are routinely taken the day after I-EUS at Juntendo University Hospital.
The convex-type echoendoscope and EUS systems used in this study were the EG-580UT and SU-1 (Fujifilm Corp., Tokyo, Japan). All procedures were performed with patients in the prone position and sedated with pethidine hydrochloride and midazolam. Propofol was added if needed. A 19-G EUS-FNA needle (EZ Shot 3; Olympus Medical Systems, Tokyo, Japan. or Expect Flex; Boston Scientific Japan, Tokyo, Japan) was used. A guidewire (0.025-inch, angled type Visiglide2; Olympus Medical Systems, Tokyo, Japan) was inserted after successfully puncturing the bile duct, pancreatic duct, or cystic cavity. In 53 cases of the double guidewire technique, a double lumen catheter was used for the 0.025- and 0.035-inch guidewires (uneven catheter; Piolax Medical Devices Inc., Kanagawa, Japan), and other guidewire types (0.025 and 0.035 inches, angled type Revowave; Piolax Medical Devices) were employed. The fistula dilation devices used in this study were a bougie dilator (7 Fr ES dilator; Zeon Medical Co., Ltd., Tokyo, Japan), a cautery dilator (6 Fr Cysto-gastro-set; ENDO-FLEX, Voerde, Germany), and a balloon dilator (4 or 6 mm REN; Kaneka Medix Corp., Osaka, Japan) in combination as necessary. Covered self-expandable metallic stents (partially or fully covered) or plastic stents were placed as needed.
Kiyanagi A., Fujisawa T., Ishii S., Tomishima K., Takasaki Y., Suzuki A., Ushio M., Takahashi S., Yamagata W., Okawa Y., Ochiai K., Saito H, & Isayama H. (2021). Usefulness of Routine Plain CT the Day After an Interventional EUS Procedure. Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association, 27(5), 275-282.
Publication 2021
Catheters Cauterization Cyst Dental Caries Duct, Bile Echo Endoscopy Endometriosis Endoscopic Ultrasound-Guided Fine Needle Aspiration Fistula Medical Devices Meperidine Midazolam Needles Pancreatic Duct Pathological Dilatation Patients Propofol Radiography, Abdominal Self Expandable Metallic Stents Stents Stomach

Most recents protocols related to «Echo Endoscopy»

1
EUS-Guided Fine-Needle Biopsy Protocol for Pancreatic Lesions
All procedures were performed with a linear array echoendoscope (EG-530UT2, Fujifilm Medical Systems, Tokyo, Japan or UCT 260, Olympus Medical Systems, Tokyo, Japan) by experienced endosonographers (M.J.Y, J.K, and S.W.P) with more than 100 cases of EUS-FNA or FNB per year under a well-established standard protocol7 (link). EUS-FNB was attempted with a biopsy needle (Franseen needle; Acquire; Boston Scientific (Fig. 1A) or Reverse-bevel needle; EchoTip ProCore; Cook Endoscopy (Fig. 1B)) or EUS-FNA with a Menghini-tip needle (EZ shot3, Olympus Medical Systems, Tokyo, Japan (Fig. 1C)) as directed by the characteristics and location of pancreatic tumors and endosonographer’s preference. Furthermore, the size of the needle used (22-gauge or 25-gauge) was chosen at the discretion of the endosonographers. After confirming the absence of intervening vasculature on the expected needle track using the color Doppler, a needle mounted with a stylet was used to create a puncture at either the stomach for body/tail lesions or the duodenum for head/uncinate process lesions. After puncturing the lesion, the stylet was withdrawn, and approximately 10–20 back-and-forth movements were performed within the lesion during each needle passage with continuous suction using a 10–20 mL syringe provided by the manufacturers. Detailly, 10 mL negative suction was applied to the Reverse-bevel needle, while 20 mL negative suction was applied to the EZ shot3 and Franseen needles. In addition, EUS-FNA or FNB was repeated until sufficient visible core tissue was obtained, although the optimal number of needle passes was decided at the discretion of the endosonographers8 (link). ROSE was not available in any institution.

(A) The Franseen needle has a novel design of a crown tip with three-plane symmetric cutting edges. (B) The Reverse-bevel needle has a reversed-bevel system as a side-fenestrated opening on the needle shaft. (C) The Menghini-tip needle has a tapered bevel edge that facilitates the tissue being withdrawn into the lumen. Although it has a side port, it is classified as FNA needles because the side port of this needle system does not have any reinforcement geometries for cutting the tissue.

Yang M.J., Kim J., Park S.W., Cho J.H., Kim E.J., Lee Y.N., Lee D.W., Park C.H, & Lee S.S. (2023). Comparison between three types of needles for endoscopic ultrasound-guided tissue acquisition of pancreatic solid masses: a multicenter observational study. Scientific Reports, 13, 3677.
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Publication 2023
Duodenum Echo Endoscopy Endoscopic Ultrasound-Guided Fine Needle Aspiration Endoscopy Head Human Body Movement Needle Biopsies Needles Neoplasms by Site Pancreas Portal System Reinforcement, Psychological Stomach Suction Drainage Syringes Tail Tissues
2
Postpartum Perineal Examination and Imaging
Participants were clinically examined shortly after giving birth by the midwife or a doctor in eligible cases following current operative routines (including rectal examination). If the responsible midwife or a junior obstetrician was uncertain about the extent of the tear, a second opinion was obtained from a senior obstetrician. The findings were documented in a study protocol and lacerations to the perineum were classified. Whether or not episiotomy had been performed was also recorded. The clinical grades of perineal tears were determined in accordance with international guidelines.15 Only mediolateral episiotomy was performed. A trained midwife on duty performed 3D‐EAUS immediately after delivery before any perineal or vaginal lacerations were sutured. The person performing the clinical examination was blinded to the 3D‐EAUS results. Doctors and midwives were trained to perform 3D‐EAUS. Training was conducted by the colorectal surgeon and obstetrician responsible for the study. Training comprised a 2‐hour lecture and repeated hands‐on training using a rectal examination trainer as well as assistance in acquiring the right position and level during the first patient examinations. A pilot study of 30 patients was conducted before the study start to ensure that the new routines worked. Follow up consisted of clinical examination and complimentary 3D‐EAUS recording performed by a trained midwife in a specialized outpatient clinic at 3 months postpartum. Patient with OASI were offered additional follow up using questionnaires in a national quality register,16 which is part of the standard care of OASI in Sweden. When judged necessary, additional care was offered by doctors, physiotherapists, and/or urotherapists.
All 3D‐EAUS recordings were performed using a Flex focus 500 Ultrasound scanner (BK Medical) with an 8838 axial endoscopic probe at 12 MHz. The recordings were standardized by following easy step‐by‐step instructions. The scanner was pre‐set and ready. Digital examination and 3D‐EAUS recordings were performed with the patient in the lithotomy position. All recorded volumes were independently assessed by a colorectal surgeon who specialized in proctology and had substantial experience in 3D‐EAUS. Archived 3D‐EAUS volume data sets were analyzed using proprietary software (BK viewer) on a personal computer by one of the authors (colorectal surgeon), who was blinded to all clinical, demographic, and delivery data. An endosonographic sphincter defect was defined as a discontinuity in the endosonographic image of the internal anal sphincter (IAS, hypoechoic ring) or external anal sphincter (EAS, mixed echoic ring), and/or characterized by the loss of the normal architecture in the appearance of the IAS and/or EAS on ultrasonography.17 Results were presented as “defect”, “no defect”, or “assessment not possible”. The reviewer also had the option to leave comments on the recorded volume. The intra‐observer agreement in the diagnosis of any sphincter defects (internal and/or external) was based on repeated interpretation of 30 randomly chosen stored 3D volumes. To minimize recall bias, the interpreter was blinded to the repeated interpretation, and a minimum of 3 months was permitted between readings. Background and delivery data were gathered from the patient's medical records.
Huber M., Larsson C., Harrysson M., Strigård K., Lehmann J., Nordin P, & Tunón K. (2023). Use of endoanal ultrasound in detecting obstetric anal sphincter injury immediately after birth. Acta Obstetricia et Gynecologica Scandinavica, 102(3), 389-395.
Publication 2023
Childbirth Diagnosis Echo Endoscopy ECHO protocol Endoscopy Episiotomy External Anal Sphincter Fingers Internal Anal Sphincter Laceration Mental Recall Midwife Obstetric Delivery Obstetrician Patients Perineum Physical Examination Physical Therapist Physicians Rectum Surgeons Tears Ultrasonics Ultrasonography Vagina
3
Endoscopic Assessment of Gastric Varices
Before endoscopy, all patients were subjected to clinical assessment including history taking and physical examination, routine laboratory investigations including complete blood count, liver function profile and serum creatinine, and assessment of the severity of underlying disease by Child-Turcotte-Pugh (CTP) score and Model for End-Stage Liver Disease (MELD) score. All procedures were performed under deep sedation or general anesthesia in the left lateral position. Standard diagnostic upper endoscopy was performed with Pentax EG2990i (PENTAX medical, Tokyo, Japan) to classify the varices according to the classification of Sarin and Kumar. EUS examination was done in all patients with a Pentax linear Echoendoscope EG3870UTK (PENTAX medical, Tokyo, Japan) attached to a Hitachi Avius ultrasound system (Hitachi Medical Systems, Tokyo, Japan). All EUS examinations were done by single endosonographer. The echoendoscope was positioned in the distal esophagus at the level of the cardia to visualize the gastric fundus and to display the vascular anatomy including the size of the varix, color Doppler flow inside the varix and identification of the perforator feeding vein (one or more vein crossing the gastric wall to feed the GV from the peri-gastric veins).
Sabry F., Seif S., Eldesoky A., Hakim H, & Altonbary A.Y. (2023). EUS-guided cyanoacrylate injection into the perforating vein versus direct endoscopic injection in the treatment of gastric varices. Endoscopy International Open, 11(2), E202-E210.
Publication 2023
Blood Vessel Cardia Child Complete Blood Count Creatinine Deep Sedation Diagnosis Echo Endoscopy Endoscopy End Stage Liver Disease Esophagus Gastric Fundus General Anesthesia Liver Patients Physical Examination Sarin Serum Stomach Ultrasonics Varices Veins
4
EUS-Guided Sampling of Lung Masses
EUS-guided sampling from lung masses was planned after a multidisciplinary team discussion consisting of thoracic surgeons, pulmonologists, endoscopists and radiologists, based on location and possible approach to increase yield. After informed consent had been obtained, EUS procedures were performed by experienced endosonographers who had performed at least 500 independent EUS procedures. The procedures were performed under total intravenous or general anesthesia using linear echoendoscopes (Olympus GF-UCT 180, Tokyo, Japan). An EUS-FNA/FNB needle of 22-G (Expect needle/Acquire needle, Boston Scientific Ltd., USA) with slow stylet pull through and fanning technique was used. A minimum of 2 passes with at least 10 actuations per pass were used for all procedures. Rapid on-site evaluation (ROSE) could not be performed because in-house pathologists were not available. Macroscopic on-site evaluation was performed for all patients, and the sample was deemed adequate with at least one whitish core of tissue of 4 mm in length. For macroscopic visualization of the sample, it was placed on a glass slide after each pass. The observed tissue fragment was transferred immediately to a 10% formalin fixative for histopathological evaluation. In the case of drop-like material, it was smeared between 2 glass slides. Half of the slides were air-dried, half fixed with absolute alcohol, and all were sent for cytological examination.
Giri S., Angadi S., Afzalpurkar S., Nanjegowda S.K., Bhrugumalla S, & Sundaram S. (2023). Transesophageal endoscopic ultrasound-guided tissue acquisition of lung masses: a case series with systematic review and meta-analysis. Annals of Gastroenterology, 36(2), 185-194.
Publication 2023
Absolute Alcohol AH 22 Echo Endoscopy Endoscopic Ultrasound-Guided Fine Needle Aspiration Fixatives Formalin General Anesthesia Lung Needles Pathologists Patients Pulmonologists Radiologist Rapid On-site Evaluation Surgeons Tissues
5
Gastric Submucosal Tumor Management
A total of 78 cases of pathologically diagnosed gastric wall submucosal tumors were treated by endoscopic ultrasonic-guidedfine-needle puncture or endoscopic/surgical resection from June 2018 to June 2021. Among them, there were 35 cases of GISTs, 31 cases of GLMs, 5 cases of gastric schwannoma, 4 cases of ectopic pancreas, 1 case of gastric polyp, 1 case of gastric cancer, and 1 case of glomus tumor. GISTs and GLMs with a diameter of ≤3 cm were included in this study, and cases without preoperative CT enhancement or poor image quality were excluded. Finally, 45 cases were included, including 22 cases of GISTs and 23 cases of GLMs.
Yan M., Liu Y., You H., Zhao Y., Jin J, & Wang J. (2023). Differentiation of Small Gastrointestinal Stromal Tumor and Gastric Leiomyoma with Contrast-Enhanced CT. Journal of Healthcare Engineering, 2023, 6423617.
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Publication 2023
Echo Endoscopy Gastric Cancer Gastrointestinal Stromal Tumors Glioma of Brain, Familial Glomus Tumor Needles Neurilemmoma Pancreas Polyposis, Gastric Punctures Stomach Stomach Neoplasms Surgical Endoscopy

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Gf uct260 by Olympus
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2
Gf uct180 by Olympus
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The GF-UCT180 is an Olympus laboratory microscope designed for high-resolution imaging. It features a 180x magnification capability and utilizes an ultra-compact design.
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Eu me2 by Olympus
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Eg 3870utk by Pentax
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The EG-3870UTK is a laboratory equipment product manufactured by Pentax. It is designed for specific technical functions, but a detailed description cannot be provided in an unbiased and factual manner without extrapolation on its intended use.
5
Gf uct240 by Olympus
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The GF-UCT240 is a high-performance, versatile upright compound microscope designed for a wide range of laboratory applications. It features a UIS2 (Universal Infinity-Corrected) optical system, providing superior image quality and clarity. The microscope is equipped with a quadruple nosepiece, allowing for the use of multiple objectives for different magnification needs. It also includes a stage with a coaxial coarse and fine focusing mechanism for precise and smooth adjustments. The GF-UCT240 is a reliable and efficient tool for various laboratory tasks that require high-quality microscopic observation and analysis.
6
Gf um2000 by Olympus
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Eu me1 by Olympus
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Echotip by Cook Medical
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The Echotip is a laboratory equipment product designed for ultrasound-guided procedures. It provides real-time visualization of needle placement during procedures to assist healthcare professionals.
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More about "Echo Endoscopy"

Echo endoscopy, also known as endoscopic ultrasound (EUS) or echo-endoscopy, is a powerful diagnostic tool that combines the benefits of endoscopy and ultrasound imaging.
This non-invasive procedure allows healthcare professionals to visualize the internal structures of the body, including the digestive tract, pancreas, and surrounding organs, in great detail.
Using specialized endoscopes equipped with ultrasound transducers, such as the GF-UCT260, GF-UCT180, EU-ME2, EG-3870UTK, GF-UCT240, GF-UM2000, and EU-ME1, echo endoscopy enables clinicians to obtain high-quality images and valuable information about the size, shape, and texture of various organs and tissues.
This advanced imaging technique, often referred to as Echotip or GF-UE260, is particularly useful for diagnosing and monitoring conditions like cancer, inflammation, and structural abnormalities.
By leveraging the power of the EZ Shot 3 Plus and other specialized tools, echo endoscopy allows healthcare professionals to make more informed decisions, deliver personalized patient care, and drive medical breakthroughs.
Whether you're a researcher or a healthcare provider, understanding the applications and benefits of this cutting-edge technology can help optimize your clinical practice and advance the field of diagnostic imaging.