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Do we need contrast agents for EUS?


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

Correspondence Address:
Christoph F Dietrich,
Department Allgemeine Innere Medizin, Kliniken Hirslanden, Beau Site, Salem und Permanence, Bern

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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/eus.eus_20_20

PMID: 32675463

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.


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