Abstract: |
ERUS and EAUS are procedures than can be readily performed and interpreted by surgeons in the office setting. Whether used for benign or malignant disease, this modality has been shown to be accurate in identifying pertinent anatomy and anatomic abnormalities. It is well tolerated by patients without the need for more than an enema preparation, and its portability allows it to be used in the office or the operating room. Newer modalities such as 3D-ERUS may further improve the accuracy, sensitivity, and specificity of this modality. Finally, we are beginning to modify the interpretation of ERUS at MSKCC by digitally manipulating the images in the hopes of further improving our ability to stage rectal cancer. As surgeons, the ability to perform and interpret these straightforward diagnostic modalities allows us to simplify the diagnostic process and rapidly determine treatment options for the patient. In an era where time, cost, and convenience often supplant the ability to best evaluate a disease process, ERUS offers the practicing surgeon an accurate, reproducible method to assess and manage diseases of the anorectum. |