Rösch T, Classen M
II. Medizinische Klinik, Klinikum rechts der Isar der TU, München, Bundesrepublik Deutschland.
Z Gastroenterol. 1992 Jul;30(7):473-80.
Endoscopic ultrasonography has widened the diagnostic spectrum of gastrointestinal disorders in two respects: For the first time it became possible to visualize the gastrointestinal wall with its layer structure. EUS was shown to be highly accurate in the local staging of gastrointestinal tumors (T and N stage). The clinical relevance of endosonography derives from stage-dependent treatment protocols selecting patients for different forms of tumor therapy. The second advantage of endosonography is a high-resolution imaging of the pancreas enabling the detection of small lesions (e.g. endocrine tumors). Endoscopic ultrasonography is furthermore the most reliable method for local staging of pancreatic and ampullary carcinoma. The role of endosonography in benign gastroenterological disorders is less well established. With the increasing use of laparoscopic surgery endosonography may become even more important in the future.
首次能够可视化具有分层结构的胃肠道壁。内镜超声在胃肠道肿瘤的局部分期（T和N分期）方面显示出高度准确性。内镜超声检查的临床相关性源于根据分期选择不同形式肿瘤治疗患者的治疗方案。内镜超声的第二个优势是对胰腺进行高分辨率成像，能够检测到小病变（如内分泌肿瘤）。此外，内镜超声是胰腺和壶腹癌局部分期最可靠的方法。内镜超声在良性胃肠疾病中的作用尚未得到充分证实。随着腹腔镜手术的使用增加，内镜超声在未来可能会变得更加重要。
