Improved model for teaching interventional EUS.

Abstract:

BACKGROUND:A swine model was previously developed for teaching endoscopic ultrasound (EUS). The purpose of this study was to improve this model and develop a method for creating focal lesions for EUS imaging and intervention. METHODS:Experiments were performed in farm pigs (Sus scrofa) under general anesthesia. Under real-time EUS guidance attempts were made to create a submucosal lesion and a focal mediastinal lesion, to perform EUS-guided fine-needle aspiration of the pancreas, and to confirm the site of injection during "sham" EUS-guided celiac block. RESULTS:A hypoechoic, submucosal mass was created in the stomach, which was then imaged by EUS and punctured trans-gastrically. Injection of saline solution in the mediastinum created a pseudo-mediastinal lymph node. A needle was then advanced trans-esophageally into the mediastinum to mimic EUS-guided fine-needle aspiration of a mediastinal lymph node. Abdominal exploration of the pigs after euthanasia confirmed injection of the sham celiac block around the celiac ganglion. CONCLUSION:The swine model is not only useful for teaching normal EUS anatomy, but it may be a useful model for teaching EUS-guided intervention.

journal_name

Gastrointest Endosc

authors

Bhutani MS,Aveyard M,Stills HF Jr

doi

10.1067/mge.2000.108408

keywords:

subject

Has Abstract

pub_date

2000-09-01 00:00:00

pages

400-3

issue

3

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(00)45407-6

journal_volume

52

pub_type

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