Digestive Disease Institute, Virginia Mason Medical Center, Seattle, WA 98111, United States.
Dig Liver Dis. 2010 Nov;42(11):749-56. doi: 10.1016/j.dld.2010.05.003. Epub 2010 Jun 15.
Although the common indications for therapeutic pancreatic endoscopy - management of ductal strictures and calculi - have remained constants, the last decade has witnessed the emergence of several new endoscopic techniques for managing pancreatic disorders. While many of the advances in therapeutic pancreatic endoscopy have paralleled the shift of endoscopic ultrasound from a purely diagnostic to therapeutic modality, other new techniques are simply modifications on existing procedures. Despite these exciting times in therapeutic endoscopy, it is important to recognize that the endoscopist is one part of an interdisciplinary team of experts - a model which is essential in the successful management of patients with pancreatic disorders.
尽管治疗性胰腺内镜的常见适应证——胰管狭窄和结石的处理——一直保持不变，但在过去的十年中，已经出现了几种治疗胰腺疾病的新内镜技术。虽然治疗性胰腺内镜的许多进展与超声内镜从纯粹的诊断手段向治疗手段的转变相吻合，但其他新技术只是对现有操作的改进。尽管治疗性内镜领域正处于激动人心的时代，但重要的是要认识到，内镜医生只是多学科专家团队的一部分——这是成功管理胰腺疾病患者的必要模式。
