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Related Experiment Video

Updated: Apr 26, 2026

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Established EUS-guided therapeutic interventions.

J B Chevaux1, P H Deprez

  • 1Hepato‑Gastroenterology Department Cliniques universitaires Saint‑Luc Université catholique de Louvain Brussels, Belgium - pdeprez@uclouvain.be.

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|July 17, 2014
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Summary
This summary is machine-generated.

Endoscopic ultrasound (EUS) has advanced to therapeutic interventions, proving safe and feasible for procedures like celiac plexus neurolysis and drainage in expert centers. Further trials are needed for EUS-guided biliary and pancreatic drainage efficacy.

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Area of Science:

  • Gastroenterology
  • Interventional Endoscopy
  • Medical Imaging

Background:

  • Endoscopic ultrasound (EUS) has transformed from a diagnostic to an interventional tool over 30 years.
  • Advances in expertise, knowledge, equipment, and devices have driven this evolution.
  • EUS-guided therapeutic procedures are feasible and safe in experienced centers.

Purpose of the Study:

  • To review the technical aspects, indications, and outcomes of common EUS-guided therapeutic procedures.
  • To assess the current status and future directions of interventional EUS.
  • To identify areas requiring further research, particularly for complex drainage procedures.

Main Methods:

  • Review of cumulative advances in EUS technology and clinical practice.
  • Analysis of established and emerging EUS-guided therapeutic interventions.
  • Evaluation of existing evidence for safety, feasibility, and efficacy.

Main Results:

  • Celiac plexus neurolysis and collection drainage are well-established, first-line EUS treatments.
  • EUS-guided biliary and pancreatic drainage are more challenging procedures.
  • Insufficient evidence currently supports EUS-guided biliary/pancreatic drainage over standard methods.

Conclusions:

  • EUS-guided interventions are safe and feasible in expert hands.
  • Established EUS procedures offer significant therapeutic benefits.
  • High-quality prospective trials are necessary to validate EUS-guided biliary and pancreatic drainage outcomes compared to conventional techniques.