Do we need contrast agents for EUS?

Adrian Saftoiu¹, Bertrand Napoleon², Paolo Giorgio Arcidiacono³, Barbara Braden⁴, Sean Burmeister⁵, Silvia Carrara⁶, Xin Wu Cui⁷, Pietro Fusaroli⁸, Uwe Gottschalk⁹, Michael Hocke¹⁰, Stephan Hollerbach¹¹, Julio Iglesias-Garcia¹², Christian Jenssen¹³, Masayuki Kitano¹⁴, Alberto Larghi¹⁵, Kofi W Oppong¹⁶, Anand V Sahai¹⁷, Siyu Sun¹⁸, Eike Burmester¹⁹, Milena Di Leo⁶, Maria Chiara Petrone³, Erwin Santos²⁰, Anthony Y B Teoh²¹, Joo Ha Hwang²², Mihai Rimbas²³, Malay Sharma²⁴, Rajesh Puri²⁵, Michel Kahaleh²⁶, Christoph F Dietrich²⁷

Affiliations

¹ Department of Gastroenterology, Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova, Craiova, Romania.
² Digestive Endoscopy Unit, Hopital Privé J Mermoz Ramsay Générale de Santé, Lyon, France.
³ Pancreatico/Biliary Endoscopy & Endosonography Division, Pancreas Translational & Clinical Research Center, San Raffaele Scientific Institute, Vita Salute San Raffaele University, Milan, Italy.
⁴ Johann Wolfgang Goethe University Frankfurt, Germany; Translational Gastroenterology Unit I John Radcliffe Hospital I Oxford OX3 9DU UK.
⁵ Surgical Gastroenterology unit, Groote Schuur Hospital, Cape Town, South Africa.
⁶ Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Clinical and Research Center, Milan, Italy.
⁷ Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China.
⁸ Department of Medical and Surgical Sciences, Gastroenterology Unit, University of Bologna/Imola Hospital, Imola, Italy.
⁹ Department of Medical, Dietrich Bonhoeffer Klinikum, Neubrandenburg, Germany.
¹⁰ Medical Department, Helios Klinikum Meiningen, Germany.
¹¹ Department of Gastroenterology, Allgemeines Krankenhaus Celle, Celle, Germany.
¹² Department of Gastroenterology and Hepatology, Health Research Institute of Santiago de Compostela (IDIS), University Hospital of Santiago de Compostela, Santiago de Compostela, Spain.
¹³ Department of Internal Medicine, Krankenhaus Märkisch Oderland Strausberg/Wriezen; Brandenburg Institute of Clinical Ultrasound, Medical University Brandenburg, Neuruppin, Germany.
¹⁴ Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan.
¹⁵ Digestive Endoscopy Unit, Fondazione Policlinico A. Gemelli IRCCS, Rome, Italy.
¹⁶ HPB Unit, Freeman Hospital, Newcastle upon Tyne, UK.
¹⁷ Center Hospitalier de l'Université de Montréal, Montreal, Canada.
¹⁸ Endoscopy Center, ShengJing Hospital of China Medical University, Shenyang, Liaoning province, China.
¹⁹ Sana Kliniken Lübeck, Germany.
²⁰ Department of Gastroenterology and Liver Diseases, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
²¹ Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, China.
²² Division of Gastroenterology and Hepatology, Stanford University, Stanford, CA 94305, USA.
²³ Gastroenterology Department, Colentina Clinical Hospital Internal Medicine Department, Carol Davila University of Medicine Bucharest, Romania.
²⁴ Department of Gastroenterology, Jaswant Rai Speciality Hospital, Meerut, Uttar Pradesh, India.
²⁵ Interventional Gastroenterology, Institute of Digestive and Hepatobiliary Sciences Medanta the Medicity Gurugram, Haryana, India.
²⁶ Department of Gastroenterology, The State University of New Jersey, New Jersey, USA.
²⁷ Johann Wolfgang Goethe University Frankfurt, Germany; Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China; Department Allgemeine Innere Medizin, Kliniken Hirslanden, Beau Site, Salem und Permanence, Bern, Switzerland.

PMID: 32675463
PMCID: PMC7811706
DOI: 10.4103/eus.eus_20_20

Review

Do we need contrast agents for EUS?

Adrian Saftoiu et al. Endosc Ultrasound. 2020 Nov-Dec.

. 2020 Nov-Dec;9(6):361-368.

doi: 10.4103/eus.eus_20_20.

Authors

Affiliations

¹ Department of Gastroenterology, Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova, Craiova, Romania.
² Digestive Endoscopy Unit, Hopital Privé J Mermoz Ramsay Générale de Santé, Lyon, France.
³ Pancreatico/Biliary Endoscopy & Endosonography Division, Pancreas Translational & Clinical Research Center, San Raffaele Scientific Institute, Vita Salute San Raffaele University, Milan, Italy.
⁴ Johann Wolfgang Goethe University Frankfurt, Germany; Translational Gastroenterology Unit I John Radcliffe Hospital I Oxford OX3 9DU UK.
⁵ Surgical Gastroenterology unit, Groote Schuur Hospital, Cape Town, South Africa.
⁶ Digestive Endoscopy Unit, Division of Gastroenterology, Humanitas Clinical and Research Center, Milan, Italy.
⁷ Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China.
⁸ Department of Medical and Surgical Sciences, Gastroenterology Unit, University of Bologna/Imola Hospital, Imola, Italy.
⁹ Department of Medical, Dietrich Bonhoeffer Klinikum, Neubrandenburg, Germany.
¹⁰ Medical Department, Helios Klinikum Meiningen, Germany.
¹¹ Department of Gastroenterology, Allgemeines Krankenhaus Celle, Celle, Germany.
¹² Department of Gastroenterology and Hepatology, Health Research Institute of Santiago de Compostela (IDIS), University Hospital of Santiago de Compostela, Santiago de Compostela, Spain.
¹³ Department of Internal Medicine, Krankenhaus Märkisch Oderland Strausberg/Wriezen; Brandenburg Institute of Clinical Ultrasound, Medical University Brandenburg, Neuruppin, Germany.
¹⁴ Second Department of Internal Medicine, Wakayama Medical University, Wakayama, Japan.
¹⁵ Digestive Endoscopy Unit, Fondazione Policlinico A. Gemelli IRCCS, Rome, Italy.
¹⁶ HPB Unit, Freeman Hospital, Newcastle upon Tyne, UK.
¹⁷ Center Hospitalier de l'Université de Montréal, Montreal, Canada.
¹⁸ Endoscopy Center, ShengJing Hospital of China Medical University, Shenyang, Liaoning province, China.
¹⁹ Sana Kliniken Lübeck, Germany.
²⁰ Department of Gastroenterology and Liver Diseases, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
²¹ Department of Surgery, The Prince of Wales Hospital, The Chinese University of Hong Kong, China.
²² Division of Gastroenterology and Hepatology, Stanford University, Stanford, CA 94305, USA.
²³ Gastroenterology Department, Colentina Clinical Hospital Internal Medicine Department, Carol Davila University of Medicine Bucharest, Romania.
²⁴ Department of Gastroenterology, Jaswant Rai Speciality Hospital, Meerut, Uttar Pradesh, India.
²⁵ Interventional Gastroenterology, Institute of Digestive and Hepatobiliary Sciences Medanta the Medicity Gurugram, Haryana, India.
²⁶ Department of Gastroenterology, The State University of New Jersey, New Jersey, USA.
²⁷ Johann Wolfgang Goethe University Frankfurt, Germany; Department of Medical Ultrasound, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, Hubei, China; Department Allgemeine Innere Medizin, Kliniken Hirslanden, Beau Site, Salem und Permanence, Bern, Switzerland.

PMID: 32675463
PMCID: PMC7811706
DOI: 10.4103/eus.eus_20_20

Abstract

We recently introduced a series of articles that dealt with controversies in EUS. In Part I, the authors discussed which clinical information is necessary prior to EUS and whether other imaging modalities are required before embarking on EUS examinations. Part II focuses on technical details and controversies about the use of EUS in special situations. In this article, important practical issues regarding the application of contrast-enhanced EUS in various clinical settings are raised and controversially discussed from different points of view.

Keywords: contrast agents; contrast enhacement; guidelines; pancreas.

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Conflict of interest statement

None

References

1. Fusaroli P, Saftoiu A, Dietrich CF. Contrast-enhanced endoscopic ultrasound: Why do we need it. A foreword? Endosc Ultrasound. 2016;5:349–50. - PMC - PubMed
1. Dietrich CF. The potential of contrast-enhanced ultrasonography to evaluate lymphadenopathy. Gastrointest Endosc. 2019;90:251–3. - PubMed
1. Dietrich CF. Contrast-enhanced ultrasound of benign focal liver lesions. Ultraschall Med. 2019;40:12–29. - PubMed
1. Dietrich CF, Averkiou M, Nielsen MB, et al. How to perform contrast-enhanced ultrasound (CEUS) Ultrasound Int Open. 2018;4:E2–15. - PMC - PubMed
1. Reddy NK, Ioncică AM, Săftoiu A, et al. Contrast-enhanced endoscopic ultrasonography. World J Gastroenterol. 2011;17:42–8. - PMC - PubMed

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Do we need contrast agents for EUS?

Affiliations

Do we need contrast agents for EUS?

Authors

Affiliations

Abstract

Conflict of interest statement

References

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