Editorial
Obtaining tissue from the mediastinum: endoscopic ultrasound guided transoesophageal biopsy
| The first 150 words of the full text of this article appear below. |
Endoluminal or endoscopic ultrasound (EUS) was first attempted
in 1957 by Wild and Reid who placed a mechanical ultrasound transducer
in the rectum.1 It was not until 1975 that the upper gastrointestinal tract was examined when Rasmussen
et al2 measured the stomach
wall thickness with a 6 MHz transducer passed through the biopsy
channel of a gastroscope. In the 1980s, with the development of a
dedicated endoscope incorporating a mechanical ultrasound transducer,
EUS became important in clinical practice. Accurate local and nodal
staging of oesophageal, gastric, and pancreatic tumours3-6 and assessment of stone disease in the biliary
tract7 established EUS in the investigation of
gastrointestinal disease. The accurate detection of mediastinal lymph
nodes in oesophageal cancer had obvious implications for patients with
lung cancer, and the role of EUS in lung cancer was first described in
Japan in 1988.8 Further work confirmed the superior
accuracy of EUS in the nodal staging of lung
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