内镜超声，腹痛的一站式解决方案？
Endoscopic ultrasound, the one-stop shop for abdominal pain?
机构信息
Division of Gastroenterology, the Keck School of Medicine of the University of Southern California, USA.
Division of Gastroenterology and Hepatology, American University of Beirut School of Medicine, Lebanon.
出版信息
United European Gastroenterol J. 2013 Oct;1(5):326-8. doi: 10.1177/2050640613502964.
The Endosonography for Right Sided and Acute Upper Intestinal Misery (EFRAIM) study indicates that the yield of endoscopic ultrasound (EUS) is equivalent if not superior to upper endoscopy combined with transabdominal ultrasound in patients presenting with acute discomfort. Furthermore, this strategy may be more cost effective as EUS simultaneously enables assessment of intraluminal disease as well as extra intestinal pathology. These results are in sync with prior studies demonstrating the hegemony of EUS in the assessment of pancreaticobiliary disease and its role in the assessment of enigmatic chronic abdominal pain. Nevertheless, EUS does not permit assessment for appendicitis or genitourinary catastrophe. Thus a careful history and physical examination to localize pain to the right upper quadrant and epigastrium is essential.
经内镜超声（EUS）检查右侧和急性上消化道不适（EFRAIM）研究表明，如果不是优于内镜联合经腹超声检查，那么在出现急性不适的患者中，EUS 的检出率是相等的。此外，这种策略可能更具成本效益，因为 EUS 同时能够评估腔内疾病以及肠外病理学。这些结果与先前的研究一致，这些研究表明 EUS 在评估胰胆疾病方面的主导地位及其在评估疑难性慢性腹痛方面的作用。然而，EUS 不能用于评估阑尾炎或泌尿生殖系统急症。因此，仔细的病史和体格检查以将疼痛定位在上腹部和右上象限是必不可少的。
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