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What should be known prior to performing EUS exams? (Part II)

1 Medical Department 2, Caritas-Krankenhaus, Uhlandstr 7, D-97980 Bad Mergentheim, Neubrandenburg; Department of Ultrasound, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China
2 Pancreatico/Biliary Endoscopy and Endosonography Division, Pancreas Translational and Clinical Research Center, San Raffaele Scientific Institute, Vita Salute San Raffaele University, Rozzano, Milan, Italy
3 Translational Gastroenterology Unit, John Radcliffe Hospital, Oxford OX3 9DU, England
4 Surgical Gastroenterology Unit, Groote Schuur Hospital, Cape Town, South Africa
5 Humanitas Clinical and Research Center- IRCCS- Digestive Endoscopy Unit, Division of Gastroenterology, Rozzano, Milan, Italy
6 Department of Medical Ultrasound, Tongji Medical College, Tongji Hospital, Huazhong University of Science and Technology, Wuhan, China
7 Department of Ultrasound, Zhongshan Hospital, Fudan University, Shanghai, China
8 Department of Medical and Surgical Sciences, Gastroenterology Unit, University of Bologna/Imola Hospital, Imola, Italy
9 Medical Department, Dietrich Bonhoeffer Klinikum, Neubrandenburg, Germany
10 General and HPB Surgery, Royal Infirmary of Edinburgh, Edinburgh, UK
11 Medical Department, Helios Klinikum Meiningen, Meiningen, Germany
12 Department of Gastroenterology, Allgemeines Krankenhaus Celle, Celle, Germany
13 Department of Gastroenterology and Hepatology, Health Research Institute of Santiago de Compostela, University Hospital of Santiago de Compostela, Santiago de Compostela, Spain
14 Medical Department 2, Caritas-Krankenhaus, Uhlandstr 7, D-97980 Bad Mergentheim, Neubrandenburg, Germany
15 Department of Hepatology and Gastroenterology, Charite CCM, Berlin, Germany
16 Department of Gastroenterology, The State University of New Jersey, New Jersey, USA
17 Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan
18 Department of Surgical Gastroenterology, Aarhus University Hospital, Aarhus, Denmark; Department of Surgery and Department of Advanced Interventional Endoscopy, University Hospital Brussels, Brussels, Belgium, France
19 Digestive Endoscopy Unit, IRCCS Foundation University Hospital, Policlinico A. Gemelli, Rome, Italy
20 Medical Department I/Gastroenterology, SANA Hospital Lichtenberg, Berlin, Germany
21 Digestive Endoscopy Unit, Hopital Privé J Mermoz Ramsay Générale de Santé, Lyon, France
22 HPB Unit, Freeman Hospital, Newcastle Upon Tyne, England
23 Department of Gastroenterology, Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova, Craiova, Romania
24 Interventional Gastroenterology, Institute of Digestive and Hepatobiliary Sciences, Medanta the Medicity, Gurugram, Haryana, India
25 Center Hospitalier de l'Université de Montréal, Montreal, Canada
26 Department of Gastroenterology and Liver Diseases, Tel Aviv, Sourasky Medical Center, Tel Aviv, Israel
27 Department of Gastroenterology, Jaswant Rai Speciality Hospital, Meerut, Uttar Pradesh, India
28 Division of Gastroenterology, Endosonography and Advanced Therapeutic Endoscopy, The American University of Beirut, Medical Center, Beirut, Lebanon
29 Endoscopy Center, ShengJing Hospital of China Medical University, Shenyang, Liaoning, China
30 Department of Surgery, Division of Upper Gastrointestinal and Metabolic Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China
31 Department of Surgery, GastroUnit, Copenhagen University Hospital Herlev, Herlev, Denmark
32 Department of Gastroenterology, Klinikum Oldenburg, Oldenburg, Germany
33 Department of Internal Medicine, Krankenhaus Maerkisch-Oderland, D-15344 Strausberg and Brandenburg Institute of Clinical Ultrasound at Medical University Brandenburg, Germany

Correspondence Address:
Christoph F Dietrich,
Medical Department, Caritas-Krankenhaus, Uhlandstr 7, D-97980 Bad Mergentheim, Germany; Department of Ultrasound, The First Affiliated Hospital of Zhengzhou University, Zhengzhou
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/eus.eus_57_19

PMID: 31571619

In “What should be known prior to performing EUS exams, Part I,” the authors discussed the need for clinical information and whether other imaging modalities are required before embarking EUS examinations. Herewith, we present part II which addresses some (technical) controversies how EUS is performed and discuss from different points of view providing the relevant evidence as available. (1) Does equipment design influence the complication rate? (2) Should we have a standardized screen orientation? (3) Radial EUS versus longitudinal (linear) EUS. (4) Should we search for incidental findings using EUS?

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