PT - JOURNAL ARTICLE AU - Yogananda Reddy AU - Robert P Willert TI - Endoscopic ultrasound: what is it and when should it be used? AID - 10.7861/clinmedicine.9-6-539 DP - 2009 Dec 01 TA - Clinical Medicine PG - 539--543 VI - 9 IP - 6 4099 - http://www.rcpjournals.org/content/9/6/539.short 4100 - http://www.rcpjournals.org/content/9/6/539.full SO - Clin Med2009 Dec 01; 9 AB - Endoscopic ultrasound (EUS) is an increasingly available diagnostic and therapeutic tool used within the UK. It has wide applications both in the gastrointestinal tract and mediastinum with its current main uses being in the staging of luminal malignancies and assessment of pancreatic and subepithelial lesions. The emergence of linear EUS has opened up new therapeutic avenues with fine needle aspiration, trucut biopsies, coeliac plexus blocks and transmural pseudocyst drainage all now possible. Future developments include localised brachytherapy/chemotherapy and alcohol ablation of unresectable pancreatic malignancies and EUS-guided endoscopic surgery.