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Related Concept Videos

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Related Experiment Video

Updated: Apr 10, 2026

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Endoscopic ultrasound guided interventional procedures.

Vishal Sharma1, Surinder S Rana1, Deepak K Bhasin1

  • 1Vishal Sharma, Surinder S Rana, Deepak K Bhasin, Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh 160 012, India.

World Journal of Gastrointestinal Endoscopy
|June 17, 2015
PubMed
Summary

Endoscopic ultrasound (EUS) is a key tool for gastrointestinal diagnosis and therapy. Therapeutic EUS offers minimally invasive treatments for various conditions, including pancreatic fluid collections and biliary drainage.

Keywords:
Abdominal abscessCeliac plexusCholecystostomyCholedochostomyCommon bile ductEndoscopic ultrasound-guided fine needle aspirationEndosonographyPancreatic ductPancreatic pseudocystPhotochemotherapy

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Area of Science:

  • Gastroenterology
  • Interventional Endoscopy
  • Medical Imaging

Background:

  • Endoscopic ultrasound (EUS) is a significant advancement in gastrointestinal endoscopy.
  • It enables visualization and access to organs near the GI tract for diagnosis and therapy.
  • Real-time guidance minimizes damage to adjacent structures.

Purpose of the Study:

  • To review the current evidence for established indications of therapeutic EUS.
  • To highlight the expanding role of interventional EUS in clinical practice.

Main Methods:

  • Review of established and emerging therapeutic EUS procedures.
  • Analysis of clinical applications in managing pancreatic fluid collections, biliary/pancreatic duct issues, gallbladder drainage, celiac plexus neurolysis, and abscess drainage.
  • Focus on EUS-guided interventions as alternatives to traditional methods.

Main Results:

  • Therapeutic EUS is the preferred treatment for pancreatic pseudocysts.
  • Innovations like removable metallic stents improve outcomes for organized necrosis.
  • EUS-guided drainage is effective for biliary/pancreatic ducts with difficult anatomy or failed ERCP.
  • EUS-guided gallbladder drainage is a viable option for non-surgical acute cholecystitis.
  • EUS-guided celiac plexus block is effective and less invasive than percutaneous techniques.

Conclusions:

  • Therapeutic EUS is a rapidly advancing field with established indications.
  • It offers effective, minimally invasive treatment options for a range of gastrointestinal and related conditions.
  • Continued innovation is expanding the scope of interventional EUS.