Papanikolaou Ioannis S, Karatzas Pantelis S, Triantafyllou Konstantinos, Adler Andreas
Ioannis S Papanikolaou, Pantelis S Karatzas, Konstantinos Triantafyllou, Hepatogastroenterology Unit, 2nd Department of Internal Medicine-Propaedeutic, Attikon University General Hospital, Medical School, University of Athens, Athens 12462, Greece.
World J Gastrointest Endosc. 2010 Oct 16;2(10):335-43. doi: 10.4253/wjge.v2.i10.335.
Endoscopic ultrasonography (EUS) was introduced 25 years ago aiming at better visualization of the pancreas compared to transabdominal ultrasonography. This update discusses the current evidence in 2010 concerning the role of EUS in the clinical management of patients with pancreatic disease. Major indications of EUS are: (1) Detection of common bile duct stones (e.g. in acute pancreatitis); (2) Detection of small exo- and endocrine pancreatic tumours; and (3) Performance of fine needle aspiration in pancreatic masses depending on therapeutic consequences. EUS seems to be less useful in cases of chronic pancreatitis and cystic pancreatic lesions. Moreover the constant improvement of computed tomography has limited the role of EUS in pancreatic cancer staging. On the other hand, new therapeutic options are available due to EUS, such as pancreatic cyst drainage and celiac plexus neurolysis, offering a new field in which new techniques may arise. So the main goal of this review is to determine the exact role of EUS in a number of pancreatic and biliary diseases.
25年前，为了比经腹超声更好地观察胰腺，内镜超声（EUS）应运而生。本综述探讨了2010年关于EUS在胰腺疾病患者临床管理中作用的现有证据。EUS的主要适应证包括：（1）检测胆总管结石（如在急性胰腺炎中）；（2）检测胰腺小的外分泌和内分泌肿瘤；（3）根据治疗结果对胰腺肿块进行细针穿刺抽吸。在慢性胰腺炎和胰腺囊性病变中，EUS似乎用处较小。此外，计算机断层扫描技术的不断改进限制了EUS在胰腺癌分期中的作用。另一方面，由于EUS，出现了新的治疗选择，如胰腺囊肿引流和腹腔神经丛松解术，这为新技术的出现提供了一个新领域。因此，本综述的主要目的是确定EUS在一些胰腺和胆道疾病中的确切作用。
