Papanikolaou Ioannis S, Triantafyllou Maria, Triantafyllou Konstantinos, Rösch Thomas
Hepatogastroenterology Unit, 2nd Department of Internal Medicine, Attikon University General Hospital, University of Athens, Greece (Ioannis S. Papanikolaou, Maria Triantafyllou, Konstantinos Triantafyllou).
Department of Interdisciplinary Endoscopy, University Hospital Hamburg Eppendorf, Hamburg, Germany (Thomas Rösch).
Ann Gastroenterol. 2011;24(1):9-15.
In this review we summarize latest data on the role of endoscopic ultrasonography (EUS) in the diagnosis and management of gastric carcinoma. Since its initial introduction in clinical practice, EUS has been considered a valuable tool for the diagnosis and locoregional staging of gastric cancer and a method of inarguable value for the assessment of gastric wall involvement and presence of infiltrated paragastric lymph nodes. Moreover, another application of EUS, i.e. its role in the assessment of early gastric cancer has come into focus, especially nowadays in the era of endoscopic mucosal resection and endoscopic submucosal dissection. These topics, together with other aspects of EUS in gastric cancer are discussed. On the other hand, despite its indisputable value, EUS for gastric cancer evaluation is "threatened" nowadays by other modern cross-sectional imaging methods (including trans-abdominal ultrasound, CT, MRI and PET), whose quality has lately improved. A brief comparison between the available imaging methods, attempts to show that their role ismore complementary than competitive.
在本综述中，我们总结了关于内镜超声检查（EUS）在胃癌诊断和管理中作用的最新数据。自其首次引入临床实践以来，EUS一直被视为胃癌诊断和局部区域分期的重要工具，也是评估胃壁受累情况和胃周浸润淋巴结存在与否的一种具有无可争议价值的方法。此外，EUS的另一个应用，即其在早期胃癌评估中的作用已成为焦点，尤其是在当今内镜黏膜切除术和内镜黏膜下剥离术的时代。本文将讨论这些主题以及EUS在胃癌方面的其他方面。另一方面，尽管EUS具有无可争议的价值，但如今它在胃癌评估中受到了其他现代断层成像方法（包括经腹超声、CT、MRI和PET）的“挑战”，这些方法的质量最近有所提高。对现有成像方法进行的简要比较试图表明，它们的作用更多是互补而非竞争。
