Advanced Endoscopy Fellows Program | September 2024-Top Tips Diagnostic Pancreatobiliary EUS

Video Transcription

Video Summary

Dr. Linda Lee, an expert in endoscopic ultrasound (EUS), presented insights on diagnostic EUS at a course in Boston. Emphasizing its significance alongside interventional EUS, she highlighted the challenges of inter-observer variability among expert endosonographers. Dr. Lee shared practical guidance on visualizing anatomical structures like the liver, pancreas, and other abdominal organs during EUS procedures. Techniques included adjusting the frequency for better resolution, strategic scope manipulation, and understanding artifacts to avoid misdiagnoses. She illustrated how to identify and biopsy pancreatic lesions, recommending the use of fine needle biopsy (FNB) over fine needle aspiration (FNA) for better sample adequacy. Dr. Lee stressed the importance of reviewing radiological images and optimizing biopsy yield with anesthesia and systematic techniques. Concluding with advice on minimizing adverse events and correctly identifying artifacts, she provided a comprehensive approach to mastering diagnostic EUS.

Asset Subtitle

Dr. Linda Lee

Keywords

endoscopic ultrasound

diagnostic EUS

inter-observer variability

fine needle biopsy

anatomical visualization

biopsy techniques