Iglesias-Garcia Julio, Lariño-Noia Jose, Dominguez-Munoz J Enrique
Servicio de Aparato Digestivo, Fundación para la Investigación en Enfermedades del Aparato Digestivo-FIENAD, Hospital Clínico Universitario de Santiago de Compostela, La Coruña, España.
Gastroenterol Hepatol. 2011 Nov;34(9):629-34. doi: 10.1016/j.gastrohep.2011.06.008. Epub 2011 Sep 23.
Endoscopic ultrasound (EUS) has become an essential tool in the evaluation of pancreatic disease and can be considered the technique of choice for the diagnosis and staging of chronic pancreatitis (CP) and pancreatic cancer (PC). However, EUS has certain limitations, especially in the evaluation of patients with solid pancreatic masses (in the differential diagnosis of CP and PC). Furthermore there is variability in the EUS diagnostic criteria for CP. EUS-guided elastography is emerging as a highly useful tool in this setting. This modality has shown high diagnostic accuracy in the differential diagnosis of solid pancreatic masses, including differentiation between CP and PC. EUS-guided elastography has also been found to be useful in the diagnosis of CP, and can even classify patients according to the severity of their disease.
内镜超声（EUS）已成为评估胰腺疾病的重要工具，可被视为慢性胰腺炎（CP）和胰腺癌（PC）诊断及分期的首选技术。然而，EUS存在一定局限性，尤其是在评估实性胰腺肿块患者（用于CP和PC的鉴别诊断）时。此外，CP的EUS诊断标准存在差异。在这种情况下，EUS引导下的弹性成像正成为一种非常有用的工具。这种方法在实性胰腺肿块的鉴别诊断中，包括CP和PC的鉴别，已显示出较高的诊断准确性。EUS引导下的弹性成像在CP诊断中也被发现是有用的，甚至可以根据疾病的严重程度对患者进行分类。
