Division of Gastroenterology and Hepatology, Weill Cornell Medical College, Presbyterian Hospital, New York, NY 10021, USA.
Endosc Ultrasound. 2012 Jul;1(2):61-8. doi: 10.7178/eus.02.002.
Since the introduction of endoscopic ultrasonography (EUS), many centers have utilized this imaging modality for transmural pancreatic fluid collection (PFC) drainage. The expanded use of EUS has resulted in increased safety and efficacy of endoscopic PFC drainage. The major procedural steps include EUS-guided transgastric or transduodenal fistula creation into the PFC, and stent placement or nasocystic drain deployment to decompress the collection. In this and other applications, EUS has become a major therapeutic advancement in the field of endoscopy and has figured in myriad diagnostic applications. Recent research indicates a number of situations in which EUS-guided PFC drainage is appropriate. These include unusual location of the collection, small window of entry, non-bulging collections, coagulopathy, intervening varices, or failed conventional transmural drainage. In this study, we discuss the EUS-guided technique and review current literatures.
自内镜超声检查（EUS）引入以来，许多中心已利用这种成像方式对穿壁性胰腺液收集（PFC）进行引流。EUS 的广泛应用提高了内镜 PFC 引流的安全性和有效性。主要的操作步骤包括 EUS 引导下经胃或经十二指肠瘘管进入 PFC，并放置支架或鼻囊肿引流管以减压收集物。在这种情况下和其他应用中，EUS 已成为内镜领域的一项重大治疗进展，并在众多诊断应用中发挥了作用。最近的研究表明，EUS 引导下 PFC 引流适用于多种情况。这些情况包括收集物的位置异常、进入窗口小、非膨出性收集物、凝血功能障碍、中间的静脉曲张或经传统穿壁引流失败。在本研究中，我们讨论了 EUS 引导下的技术，并复习了目前的文献。
