Endoscopic ultrasound-guided interventions in specialsituations

• 作者: Pitulak Aswakul Varayu Prachayakul
• 来源期刊: 世界胃肠内镜杂志：英文版（电子版）
• 学科: 医学
• 关键词: Children ENDOSCOPIC ULTRASONOGRAPHY Intraabdominalabscesses Pregnancy Special situation Surgically ALTERED ANATOMY Therapeutic UNCOMMON
• 年，卷（期）: 2016,（2）
• 页码范围: 104-112
• 页数: 9页
• 分类号: R

摘要

Endoscopic ultrasound （EUS） was introduced in 1982and has since become a popular advanced procedure fordiagnosis and therapeutic intervention. Initially, EUS wasmost commonly used for the diagnosis of pancreatobiliarydiseases and tissue acquisition. EUS was first used forguided cholangiography in 1996, followed by EUS-guidedbiliary drainage in 2001. Advancements in equipmentand endoscopic accessories have led to an expansion ofEUS-guided procedures, which now include EUS-guideddrainage of intra-abdominal abscesses or collections, intravasculartreatment of refractory variceal and nonvaricealbleeding, transmural pancreatic drainage, common bileduct stone clearance, enteral feeding tube placementand entero-enteric anastomosis. Patients with surgicallyaltered upper gastrointestinal anatomies have greatlybenefited from EUS also. This systematic review describesand discusses EUS procedures performed in uncommondiseases and conditions, as well as applications on morevulnerable patients such as young children and pregnantwomen. In these cases, routine approaches do not alwaysapply, and thus may require the use of innovative andunconventional techniques. Increased knowledge of suchspecial applications will help increase the success rates ofthese procedures and provide a foundation for additionaladvances and utilizations of the technique.