Believing and investing in new technology requires great audacity and perseverance. In 1980, the hottest innovation in endoscopy was endoscopic retrograde cholangiopancreatography (ERCP), being rapidly popularized by giants in the field including Peter Cotton and others.1 Very few people took notice of another key innovation that was about to disrupt our field: endoscopic ultrasound (EUS). In fact, for many leading endoscopists, the concept of EUS was simultaneously mysterious and intimidating.
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Sivak et al. (2026) studied this question.
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