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endoscopic ultrasound is an endoscopy procedure using a special endoscope with ultrasound capability it is used for the purpose of evaluating internal organs of the chest and abdomen along with the lining of the gastrointestinal tract it can be used in children weighing more than 15 kilograms the flexible echo endoscope is passed through the mouth into the stomach and small intestine it can be used for diagnostic purposes to visualize adjacent organs lymph nodes and blood vessels here we see ultrasound images of the pancreas use of the echo endoscope allows for visualization of the pancreas within close approximation of the stomach wall particularly the tissue and ductal structures in addition eus procedures can obtain tissue from organs or abnormal tissue adjacent to the stomach or small intestine to assist in making a diagnosis in this example a biopsy is obtained from the right lobe of the liver to assist with diagnosis in a patient with elevated liver enzymes in addition to biopsi