Therapeutic Endoscopic Ultrasound: Current Indications and Future Perspectives.

IF 1 Q4 GASTROENTEROLOGY & HEPATOLOGY GE Portuguese Journal of Gastroenterology Pub Date : 2023-02-20 eCollection Date: 2023-09-01 DOI:10.1159/000529089
Andrew Canakis, Todd H Baron
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Abstract

The transcendence of endoscopic ultrasound (EUS) from diagnostic to therapeutic tool has revolutionized management options in the field of gastroenterology. Through EUS-guided methods, pancreaticobiliary obstruction can now be utilized as an alternative to surgical and percutaneous approaches. This modality also allows for gallbladder drainage in patients who are not ideal operative candidates. By utilizing its unique imaging capabilities, EUS also allows for drainage access points in cases of gastric outlet obstruction as well as windows to ablate pancreatic cystic lesions. As technical progress continues to evolve, interventional gastroenterology continues to push the envelope of minimally invasive therapeutic procedures in a multidisciplinary setting. In this comprehensive review, we set out to describe current indications and innovations through EUS.

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治疗性内镜超声:当前适应症和未来展望。
内镜超声(EUS)从诊断工具到治疗工具的超越,彻底改变了胃肠病领域的管理选择。通过EUS引导的方法,胰胆管梗阻现在可以作为手术和经皮入路的替代方法。这种方式也允许对不理想的手术候选人进行胆囊引流。通过利用其独特的成像能力,EUS还允许在胃出口梗阻的情况下提供引流接入点,以及消融胰腺囊性病变的窗口。随着技术进步的不断发展,介入胃肠病学在多学科环境中继续突破微创治疗程序的极限。在这篇全面的综述中,我们开始通过EUS描述当前的适应症和创新。
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来源期刊
GE Portuguese Journal of Gastroenterology
GE Portuguese Journal of Gastroenterology GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
1.60
自引率
11.10%
发文量
62
审稿时长
21 weeks
期刊介绍: The ''GE Portuguese Journal of Gastroenterology'' (formerly Jornal Português de Gastrenterologia), founded in 1994, is the official publication of Sociedade Portuguesa de Gastrenterologia (Portuguese Society of Gastroenterology), Sociedade Portuguesa de Endoscopia Digestiva (Portuguese Society of Digestive Endoscopy) and Associação Portuguesa para o Estudo do Fígado (Portuguese Association for the Study of the Liver). The journal publishes clinical and basic research articles on Gastroenterology, Digestive Endoscopy, Hepatology and related topics. Review articles, clinical case studies, images, letters to the editor and other articles such as recommendations or papers on gastroenterology clinical practice are also considered. Only articles written in English are accepted.
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