关于内镜超声波的第三次巴西共识声明
Ricardo Rangel de Paula Pessoa1, Alexandre Moraes Bestetti2, Victor Lira de Oliveira2
1Hospital Geral Dr César Cals, Fortaleza, CE, Brasil.
Arquivos de gastroenterologia
|October 23, 2024
概括
内镜超声波 (EUS) 现在是一个治疗平台. 该共识更新了基于当前证据的EUS指导干预措施的建议,包括组织采样,胆道排水和胃静脉和瘤治疗.
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.
- 在瘤学瘤学.
背景情况:
- 内镜超声波 (EUS) 从诊断工具演变为治疗平台.
- 技术进步需要对现有的巴西共识建议进行更新.
- 基于证据的审查对于目前的EUS干预至关重要.
研究的目的:
- 对EUS指导干预措施的建议进行审查和更新.
- 为回声内镜学家提供基于证据的指导.
- 解决治疗EUS中的关键临床问题.
主要方法:
- 一个由32名专家组成的小组确定了八个关键话题进行讨论.
- 进行了全面的文献审查,以收集最新的证据.
- 制定了33个共识陈述,并对使用牛津系统进行证据分类进行投票.
主要成果:
- 胰腺病变的EUS指导组织采样不受针特征的显著影响.
- 通过EUS指导的横胸针活检 (TTNB) 有助于区分囊性瘤.
- 通过EUS引导的胆汁排水显示了与恶性阻塞的ERCP类似的结果.
- 在诊断胰腺囊和检测亡时,EUS是有效的.
- 胃肠道切开术 (EUS-GE) 是胃出口阻塞的一个可行的选择.
- 射频除 (RFA) 在治疗神经内分泌瘤 (NETs) 方面得到了高度支持.
结论:
- 在胃肠病学中,EUS是诊断和治疗的多功能工具.
- 更新的共识为最佳EUS指导干预提供了指导.
- 有证据支持EUS用于组织采样,囊分化,胆道排水和瘤治疗.
相关概念视频
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Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
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01:26Endoscopic Procedures V: ERCP
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01:28Endoscopic Procedures III: Video Capsule Endoscopy
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01:30Endoscopic Studies I: Bronchoscopy and Thoracoscopy
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01:20Ultrasound I: Abdominal Ultrasonography
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Introduction:
Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
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Abdominal ultrasonography, commonly known as abdominal ultrasound, is a vital, non-invasive medical imaging technique widely used in healthcare.
Procedure:
This diagnostic tool allows the clinician to visually inspect internal structures within the abdomen, including vital organs such as the liver, gallbladder, pancreas, kidneys, and spleen.
The abdominal ultrasound process begins with applying a special gel to the patient's skin over the abdomen. This gel enhances the...
184