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American Journal of Roentgenology, Vol 166, 45-50, Copyright © 1996 by American Roentgen Ray Society

ARTICLES

Endoscopic sonography of the upper gastrointestinal tract and pancreas

AL Zerbey 3rd, MJ Lee, WR Brugge and PR Mueller
Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Boston 02114, USA.

Endoscopic sonography is a new approach to visualizing upper gastrointestinal lesions. The sonographic device, which incorporates a sonographic transducer mounted on a standard fiberoptic endoscope, makes it possible to obtain high-resolution images of mucosal and mural lesions of the gastrointestinal tract, as well as of adjacent masses. This technique has substantially improved preoperative staging of esophageal and gastric cancers. In addition, high-resolution sonographs of the pancreas can be obtained without degradation by overlying bowel gas, making identification of small, previously occult lesions of the pancreatic head possible. We have used endoscopic sonography in staging esophageal, gastric, and pancreatic cancers in more than 200 patients. This essay illustrates our experience with this new technique.
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Copyright © 1996 by the American Roentgen Ray Society.