Fusaroli P, Caletti G
Gastrointestinal Unit, Castel S. Pietro Terme Hospital, University of Bologna, Bologna, Italy.
Endoscopy. 2003 Feb;35(2):127-35. doi: 10.1055/s-2003-37010.
This review again uses a practical arrangement of the topics of endoscopic ultrasonography (EUS) into clinical categories rather than single diseases. The clinical categories include established indications, such as staging of gastrointestinal tract cancers, differential diagnosis of submucosal tumors, evaluation of solid and cystic pancreatic masses, detection of lymph nodes, evaluation of the biliary tree, and fine-needle aspiration (FNA). In addition to established indications, surgical and investigational techniques are presented, such as fine-needle therapeutic procedures and methods of studying portal hypertension and hepatic, abdominal, and retroperitoneal masses. This year, the new techniques and instruments presented have not included new probes or endoscopes, as these have already gained wide application in published papers and clinical practice. However, new techniques capable of facilitating the use of existing equipment are discussed, such as computer-aided EUS image analysis. Finally, some fascinating studies investigated outcomes with EUS and the cost-effectiveness of the method - stimulating both endosonographers and non-endosonographers to think about current practices and ways of improving them.
本综述再次采用将内镜超声检查（EUS）主题按临床类别而非单一疾病进行的实用编排方式。临床类别包括既定适应证，如胃肠道癌症分期、黏膜下肿瘤的鉴别诊断、实性和囊性胰腺肿块的评估、淋巴结检测、胆管树评估以及细针穿刺抽吸（FNA）。除既定适应证外，还介绍了手术和研究技术，如细针治疗程序以及研究门静脉高压和肝脏、腹部及腹膜后肿块的方法。今年，所介绍的新技术和仪器未包括新探头或内镜，因为这些在已发表的论文和临床实践中已得到广泛应用。然而，讨论了能够促进现有设备使用的新技术，如计算机辅助EUS图像分析。最后，一些引人入胜的研究调查了EUS的结果及其方法的成本效益，促使内镜超声检查人员和非内镜超声检查人员都思考当前的做法以及改进这些做法的方法。
