治疗内镜超声波:当前的指示和未来的前景
Andrew Canakis1, Todd H Baron2
1Division of Gastroenterology and Hepatology, University of Maryland School of Medicine, Baltimore, Maryland, USA.
GE Portuguese journal of gastroenterology
|October 11, 2023
概括
内镜超声波 (EUS) 已经发展成为一种治疗工具,为胰腺胆道阻塞,胆囊排水和胃出口阻塞提供最小侵入性的替代方案. 本综述详细介绍了当前的EUS应用和胃肠病学方面的创新.
科学领域:
- 胃肠病学 胃肠病学
- 干预性内镜检查是干预性的内镜检查.
- 医疗成像医学成像
背景情况:
- 内镜超声波 (EUS) 从纯粹的诊断模式转变为一种多功能治疗仪器.
- 这种演变在胃肠病学中显著扩大了微创性治疗选择.
研究的目的:
- 为治疗性EUS提供当前指示的全面审查.
- 突出最近在EUS指导干预方面的创新和进步.
主要方法:
- 对治疗性内镜超声波的当前文献的综述.
- 分析EUS在治疗胰腺胆道阻塞,胆囊问题和胃出口阻塞方面的应用.
- 讨论胰腺囊性病变的EUS导向性切除.
主要成果:
- 在胰腺胆道阻塞方面,EUS为外科手术和皮肤穿方法提供了可行的替代方案.
- 在高风险的手术患者中,EUS促进了胆囊排水.
- EUS可使胃出口阻塞的排水和胰腺囊切除的入口.
结论:
- 治疗性EUS正在通过提供最少的侵入性选择来彻底改变胃肠道管理.
- 持续的技术进步正在通过EUS扩大干预性胃肠病学的范围.
- 在复杂的胃肠道疾病的多学科方法中,EUS起着至关重要的作用.
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