通过通过下部胃肠道进行内镜超声波导向采样进行诊断
Jingyuan Wang1, Yue Liu1, Chang Wu1
1Department of Gastroenterology, Changhai Hospital, Naval Medical University, Shanghai 200433, China.
Diagnostics (Basel, Switzerland)
|January 11, 2024
概括
以超声指导的内镜活检 (EUS-FNA/FNB) 现在对下部胃肠道更安全,更可行. 最近的创新提高了诊断结直肠病变的安全性和方便性.
科学领域:
- 胃肠病学 胃肠病学
- 内镜超声波检查结果
- 干预性内镜检查是干预性的内镜检查.
背景情况:
- 对于上部肠道病变,特别是胰腺病变,通过内镜超声波引导的细针吸血/活检 (EUS-FNA/FNB) 已确定.
- 由于解剖学上的挑战和穿孔风险,在下部消化道的应用是有限的,特别是在西格结肠.
研究的目的:
- 审查内镜超声波 (EUS) 设备和用于下部胃肠道 (GI) 干预的技术的进展.
- 突出安全措施和创新,提高EUS导向直肠穿刺的可行性.
主要方法:
- 对内镜超声波设备最近的代进行审查.
- 讨论下胃肠道穿刺的新技术和保护措施.
- 分析内镜师为提高安全性而开发的策略.
主要成果:
- 新的超声波内镜和灵活的刺针提高了安全性和便利性.
- 已经开发和测试了各种保护措施,增加了临床可行性.
- 在适应EUS-FNA/FNB用于下部肠道应用方面取得了显著进展.
结论:
- EUS-FNA/FNB正在变得越来越可行和安全的下部消化道病变.
- 技术进步和创新技术对于扩大其临床实用性至关重要.
- 进一步采用这些方法可以提高结直肠疾病的诊断率.
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