EUS interventions S/Es

1. Kurdistan Board GEH/GIT Surgery J Club 2022
Supervised by Professor Dr. Mohamed Alshekhani.

2. Introduction:
 EUS has become a frequently used diagnostic/ therapeutic modality used
by endoscopists.
 Yearly use of EUS increases,>the volume of ERCPs performed.
 Indications for EUS are broad:
 The diagnosis& staging of GI& non-GI malignancies
 Assessment of pancreatobiliary targets.
 Sampling drainage of cystic structures.
 Management of pancreatic fluid collections (PFCs).
 EUS-guided biliary&GB drainage (EUS-BD& EUS-GD respectively),
 Celiac plexus blockade & neurolysis (CPB/CPN)
 Variceal management.
 EUS-guided gastroenterostomy (EUSGE) or enteroenterostomy.

3. Introduction:
 Given the associated skill profile including technical proficiency, image
recognition cognitive skills, additional training beyond a GI fellowship is
generally required to perform EUS safely.
 To optimize the overall quality of EUS procedures, evidence-based
indicators specific to the performance of EUS have been established.
 The adverse event (AE) profile specifically associated with the
performance of EUS must similarly be considered separately from those
associated with other luminal endoscopic procedures.