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By Frank G Gress; et al

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Abbas Fehmi University of California San Diego, La Jolla, CA, USA Introduction In 2005, according to the American Cancer Society, there were 14 520 new cases of esophageal cancer in the United States. Most were adenocarcinoma, and 13 570 deaths were associated with this malignancy. This represents a 300–500% increase in esophageal cancer incidence over the last 30 years. In the last 10 years, the role of endoscopic ultrasound (EUS) has evolved in the management of esophageal cancer with EUS currently essential for accurate loco regional staging and addressing the key management question of operability.

Liver Radial endosonography As the radial probe is advanced through the esophagus into the gastric cardia, the liver is the predominant organ visualized. 1). The aorta, with a dark hypoechoic band which is the diaphragmatic crux, is seen immediately adjacent to the probe. In this position, near the hiatus, the hepatic veins are seen as anechoic structures, entering the inferior vena cava (IVC). In this position, possibly with left tip deflection, the spleen can be seen on the right of the screen.

Savides, Brenna Casey Bounds, John C. Deutsch. © 2012 Blackwell Publishing Ltd. Published 2012 by Blackwell Publishing Ltd. 1 Radial endoscopic ultrasound (EUS): pancreatic body, confluence (PV = portal vein; SMA = superior mesenteric artery; SV = splenic vein). 3 Radial endoscopic ultrasound (EUS): pancreas tail (PD = pancreatic duct; SA = splenic artery; SV = splenic vein). 4 Radial endoscopic ultrasound (EUS): pancreas tail. 2 Radial endoscopic ultrasound (EUS): PV confluence (PV = portal vein; SMA = superior mesenteric artery; SV = splenic vein).

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