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GENERAL OUTLINE
Two full days of presentation:

• Participants will receive enduring materials related to curvilinear EUS
• Strong focus on teaching a systematic technique using the curvilinear echoendoscope
• Something for all endosonographers with spectrum of presentations covering standard curvilinear anatomy to complex interventional techniques
• Practical models for teaching the basics of EUS FNA and exhibition
• Poster presentations
• Abstracts and lectures to be published in supplement of Gastrointestinal Endoscopy

EQUIPMENT

• Basic functions of curvilinear EUS processor and when to use them
  
• Advanced imaging options – what’s available?
  
• EUS contrast agents – what’s available, how do they work and are they effective?
  
• What’s in the future? (Olympus presentation)
  

• Basic technique of handling the curvilinear scope and how it differs from the radial
  
• The mediastinum
  
• The pancreas and biliary tree
  
• The gut – esophagus, stomach, and rectum
  

• Esophageal cancer
  
• Mediastinal disease
  
• Submucosal lesions
  
• Pancreatic masses
  
• Pancreatic cysts
  
• Chronic pancreatitis
  
• Bile duct lesions
  
• Discussion
  

• Basic technique of FNA
  
• Tricks for improving accuracy and maximizing cellular yield
  
• How I do it and when I use (and don’t use) EUS FNA
  
• Needles – what is available, does size matter?
  
• Techniques for getting to difficult places
  
• What I need to know and what I need to do if I don’t have a cytopathologist present for the procedure?
  
• Technique of pancreatic cyst aspiration
  
• Micrometastasis, molecular markers and their future role with EUS FNA

THE GREAT DEBATE - East versus West

• Imaging alone is sufficient in most circumstances - making the case for limited need for FNA
  
• Imaging is overrated - early and frequent use of FNA
  
• The radial echoendoscope - here to stay or gone tomorrow?
  
• Discussion
  

• Celiac plexus block/neurolysis
  
  • Basic technique
    
  • New approaches including targeting the ganglia
    
  • What is the evidence for EUS-guided celiac plexus block/neurolysis?
    
  • SOA - Putting EUS-guided block/neurolysis into perspective
    
• EUS-guided pseudocyst drainage
  
  • Basic technique and keys to success
    
  • Advanced techniques
    
  • EUS followed by cyst drainage or all in one procedure?
    
  • SOA - Endoscopic pseudocyst drainage in 2008 and beyond
    

• USA
  
• Europe and Asia
  
• Discussion
  

• Technique and status of EUS FNA
  
• EUS-guided choledochoduodenostomy
  
• EUS-guided pancreatogastrostomy
  
• EUS-guided cyst ablation
  
• EUS and NOTES
  
• EUS-guided tumor ablation - heat, cold, microwave, radio frequency - will there be a winner?
  
• Experience with the forward viewing curvilinear scope - is it the therapeutic EUS scope of the future?
  
• Discussion