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Endoscopic ultrasound: an overview  more information related to this podcast transcript: endoscopic ultrasound: an overview transcript: guest: dr. Joseph romagnuolo – gastroenterology & hepatology host: dr. viagra canada Linda austin – psychiatry dr. Linda austin: i am dr. Linda austin. cost of generic viagra 100mg I am interviewing dr. Joe romagnuolo who is associate professor of medicine at the digestive disease center here at the medical university of south carolina. Dr. pfizer coupon for viagra Romagnuolo, i know one of your areas of real expertise is in the use of endoscopic ultrasound. Can you explain just what that technology is? Dr. Joe romagnuolo: endoscopic ultrasound is a type of endoscopy where a flexible tube with a camera gets passed through the mouth into the stomach, or into the rectum, to be able to take ultrasound images of the inside of the gi tract, to either image those structures better or to image structures that are very nearby, better. pfizer coupon for viagra Dr. Linda austin: under what clinical circumstances would you perform that? Who gets that procedure? Dr. generic viagra canada Joe ramagnuolo: we do it often for cancer staging. viagra pills Because ct scans and mris, really, are not able to see the gut wall with any kind of high resolution, it is very difficult for them to tell how deep into the wall the tumor is penetrating. goldmember quotes viagra Whereas, with ultrasound, because we are able to put that ultrasound probe right against the wall of the esophagus, or the stomach. We can see exactly how many wall layers the tumor has gone through and give you an accurate staging of that tumor. Dr. Linda austin: and, why is staging so important? Dr. viagra 10 mg miglior prezzo Joe romagnuolo: staging has two important uses. order viagra online One is to prognosticate. One is to be able to tell you the prognosis of your tumor, how likely you are to recur, etc. The other is to determine what kind of treatment would be best suited for that tumor. Dr. Linda austin: so, that, is very important? Dr. Joe romagnuolo: in some cases, it makes the difference between whether someone gets chemotherapy before an operation, whether they get an operation at all, etc. viagra generic So, it is very important. Dr. Linda austin: so, typically, then, most of the patients that you would use this on have already been diagnosed as having cancer of, what, of the esophagus, the stomach, of the, how about, intestine? Dr. pfizer coupon for viagra Joe romagnuol.

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