Seewald S, Ang T L, Teng K Y, Groth S, Zhong Y, Richter H, Imazu H, Omar S, Polese L, Seitz U, Bertschinger P, Altorfer J, Soehendra N
Center of Gastroenterology, Klinik Hirslanden Zurich, Switzerland.
Endoscopy. 2009 Feb;41(2):166-74. doi: 10.1055/s-0028-1119501. Epub 2009 Feb 12.
Traditionally abdominal abscesses have been treated with either surgical or radiologically guided percutaneous drainage. Surgical drainage procedures may be associated with considerable morbidity and mortality, and serious complications may also arise from percutaneous drainage. Endoscopic ultrasound (EUS)-guided drainage of well-demarcated abdominal abscesses, with adjunctive endoscopic debridement in the presence of solid necrotic debris, has been shown to be feasible and safe. This multicenter review summarizes the current status of the EUS-guided approach, describes the available and emerging techniques, and highlights the indications, limitations, and safety issues.
传统上，腹部脓肿的治疗方法是手术引流或在放射学引导下进行经皮引流。手术引流可能会导致较高的发病率和死亡率，经皮引流也可能引发严重并发症。对于界限清晰的腹部脓肿，内镜超声（EUS）引导下的引流，以及在存在实性坏死碎片时进行辅助内镜清创，已被证明是可行且安全的。这项多中心综述总结了EUS引导方法的现状，描述了现有的和新出现的技术，并强调了适应证、局限性和安全性问题。
