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内镜超声在评估不明原因胆管狭窄中的应用

Endoscopic ultrasonography in the evaluation of indeterminate biliary strictures.

作者信息

Topazian Mark

机构信息

Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN, USA.

出版信息

Clin Endosc. 2012 Sep;45(3):328-30. doi: 10.5946/ce.2012.45.3.328. Epub 2012 Aug 22.

DOI:10.5946/ce.2012.45.3.328
PMID:22977829
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3429763/
Abstract

Biliary strictures may be due to a variety of benign and malignant processes. Imaging with endoscopic ultrasonography (EUS) often suggests the diagnosis, but is usually not definitive. EUS-guided fine needle aspiration (FNA) facilitates the diagnosis of extrahepatic biliary strictures, although peritioneal metastases due to needle tract seeding may occur after EUS-FNA of cholangiocarcinoma. In addition to diagnosis of strictures, EUS may play an important role in staging of cholangiocarcinoma.

摘要

胆管狭窄可能由多种良性和恶性病变引起。内镜超声检查（EUS）成像常有助于诊断，但通常不能确诊。EUS引导下细针穿刺抽吸（FNA）有助于肝外胆管狭窄的诊断，不过胆管癌进行EUS-FNA后可能会因针道种植发生腹膜转移。除了诊断狭窄外，EUS在胆管癌分期中可能也起重要作用。

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本文引用的文献

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Endoscopic ultrasound staging of cholangiocarcinoma.内镜超声分期诊断胆管癌。
Curr Opin Gastroenterol. 2012 May;28(3):244-52. doi: 10.1097/MOG.0b013e32835005bc.
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EUS-guided FNA for diagnosis of solid pancreatic neoplasms: a meta-analysis.EUS 引导下 FNA 诊断胰腺实体肿瘤：荟萃分析。
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