Alasadi Rameez, Chang Kenneth J
Division of Gastroenterology, Northwestern University, Chicago, Illinois, USA.
Curr Opin Gastroenterol. 2002 Sep;18(5):574-80. doi: 10.1097/00001574-200209000-00009.
Endoscopic ultrasound is an established modality for staging gastrointestinal and pancreatic malignancies. Since the development of the linear array echoendoscope, the field of interventional endoscopy has continued to evolve as an adjunctive method to standard endosonography. The ability to sample extraluminal lesions or lymph nodes has overcome the initial limitations of endoscopic ultrasound and provided a list of attractive endoscopic ultrasound-guided therapeutic applications.This review focuses on recent advancements in the field of interventional endosonography related to the diagnosis and therapy of pancreatic diseases. In particular, the article reviews the role of endoscopic ultrasound-guided fine-needle aspiration in diagnosing various pancreatic diseases; the role of endoscopic ultrasound-guided fine-needle injection in delivering neurolytic, chemotherapeutic, or biologic agents; and emerging procedures like endoscopic ultrasound-assisted biliary bypass in the setting of malignant biliary obstruction.
内镜超声是一种用于胃肠道和胰腺恶性肿瘤分期的既定方法。自从线性阵列超声内镜问世以来，介入性内镜领域作为标准超声内镜检查的辅助方法一直在不断发展。对腔外病变或淋巴结进行采样的能力克服了内镜超声最初的局限性，并提供了一系列有吸引力的内镜超声引导下的治疗应用。本综述重点关注介入性超声内镜领域在胰腺疾病诊断和治疗方面的最新进展。特别是，本文回顾了内镜超声引导下细针穿刺抽吸在诊断各种胰腺疾病中的作用；内镜超声引导下细针注射在输送神经溶解剂、化疗药物或生物制剂中的作用；以及在恶性胆道梗阻情况下新兴的内镜超声辅助胆道旁路手术。
