Techniques in Gastrointestinal Endoscopy
Volume 9, Issue 1 , Pages 55-58, January 2007

EUS-Guided Fine Needle Injection and Brachytherapy

  • Kenneth J. Chang, MD

      Affiliations

    • Corresponding Author InformationAddress reprint requests to Kenneth J. Chang, MD, University of California, Irvine, Director, H. H. Chao Comprehensive Digestive Disease Center, 101 The City Drive, Bldg 23, Rt 81, Orange, CA 92868.

University of California, Irvine, H.H. Chao Comprehensive Digestive Disease Center, Orange, CA.

EUS has evolved from EUS imaging, to EUS-guided FNA, and now to EUS-guided fine needle injection (FNI). This advancement has paved the way for “interventional EUS.” EUS-guided FNI includes delivery of contrast agents with subsequent drainage/anastomosis, pre-EMR solution, botulinum toxin, neurolytic agents (including intraganglion injections), sclerosing solutions/glue, radiofrequency energy, radioactive and inert seeds, light-activating laser, and a growing number of antitumor agents. This chapter will focus on EUS-guided FNI of antitumor agents and antitumor ablative techniques including brachytherapy.

Keywords: interventional EUS, EUS-guided FNI, brachytherapy

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PII: S1096-2883(06)00094-5

doi:10.1016/j.tgie.2006.11.017

Techniques in Gastrointestinal Endoscopy
Volume 9, Issue 1 , Pages 55-58, January 2007