Widmer Jessica, Sharaiha Reem Z, Kahaleh Michel
Division of Gastroenterology & Hepatology, Department of Medicine, Weill Cornell Medical College, 1305 York Avenue, 4th Floor, New York, NY 10021, USA.
Gastrointest Endosc Clin N Am. 2013 Oct;23(4):847-61. doi: 10.1016/j.giec.2013.06.011. Epub 2013 Aug 3.
Over the last 2 decades there has been continuing development in endoscopic ultrasonography (EUS). EUS-guided pancreatic drainage is an evolving procedure that can be offered to patients who are high-risk surgical candidates and in whom the pancreatic duct cannot be accessed by endoscopic retrograde pancreatography. Although EUS-guided pancreatic drainage is a minimally invasive alternative option to surgery and interventional radiology, owing to its complexity and potential for fulminant complications it is recommended that these procedures be performed by highly skilled endoscopists. Additional data are needed to define risks and long-term outcomes more accurately via a dedicated prospective registry.
在过去20年里，内镜超声检查（EUS）不断发展。EUS引导下的胰腺引流是一种不断演进的操作，可用于手术高风险候选患者以及无法通过内镜逆行胰胆管造影术进入胰管的患者。尽管EUS引导下的胰腺引流是手术和介入放射学的一种微创替代选择，但由于其操作复杂且有发生暴发性并发症的可能性，建议由技术娴熟的内镜医师来实施这些操作。需要更多数据通过专门的前瞻性登记来更准确地界定风险和长期结果。
