進歩の音波:小児胃腸学の内視超音波の進歩

Sumith Roy¹, Rachel Gitter², Jennifer Nguyen³

¹Department of Pediatric Gastroenterology, Cook Children's Health Care System, Fort Worth, TX, United States.

Frontiers in pediatrics

|September 3, 2025

まとめ

内視超音波 (EUS) は,胆道および臓の疾患を有する小児患者にとって安全で有効です. この研究は100%の技術的な成功を示し,EUSを受けた子供には合併症はありません.

科学分野:

小児胃腸内科
医療用イメージング
介入内視鏡検査

背景:

エンドスコピック超音波 (EUS) は,成人の胆管および臓の疾患に対して十分に確立されています.
小児患者のEUSに関するデータは限られているが,使用が増加している.
小児用EUSは,有効性と安全性のさらなる調査が必要である.

研究の目的:

小児患者のEUSの指示,有効性,安全性を評価する.
子どもにおけるEUSの手続きに関する長期データを評価する.
小児のEUSのエビデンスベースに寄与する.

主な方法:

単一のセンターからのアンビスペクティヴな登録データが分析されました.
EUSの手続きは小児胃腸科医によって行われました.
データには,EUSが単独の手順として,またはルメン付属の金属ステントやERCP前評価などの介入が含まれています.

主要な成果:

216人の小児患者に294件のEUS手術が行われました.
患者の平均年齢は15歳 (IQR11. 9~16. 9).
100%の技術的な成功率を達成し,合併症は報告されていません.

結論:

EUSは小児患者の高い技術的成功率を示しています.
小児におけるEUSの手続きは,有害事象のリスクが低い.
この研究は,小児胃腸内科におけるEUSの拡大する役割を支持しています.

キーワード:

EUS についてコレドコリチアシス内視超音波 (EUS)線形EUS 小児胃腸内科医ラディアルEUS

さらに関連する動画

05:50

Author Spotlight: Point-of-Care Ultrasound for Gastric Content Assessment and Risk Stratification in Perioperative Care

Published on: September 22, 2023

3.2K

07:44

Endoscopic Ultrasound-Guided Biliary Drainage: Endoscopic Ultrasound-Guided Hepaticogastrostomy in Malignant Biliary Obstruction

Published on: March 25, 2022

5.9K

関連する概念動画

01:25

Ultrasound II: Endoscopic Ultrasound and FibroScan

198

Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):

198

01:29

Endoscopic Procedures I: Esophagogastroduodenoscopy

346

An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:

346

01:26

Endoscopic Procedures V: ERCP

889

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...

889

01:28

Endoscopic Procedures III: Video Capsule Endoscopy

329

Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...

329

01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

170

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

170

01:30

Endoscopic Studies I: Bronchoscopy and Thoracoscopy

271

Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...

271

関連する実験動画