Division of Gastroenterology, Department of Internal Medicine, Dankook University College of Medicine, Cheonan, Korea.
Dig Endosc. 2015 Jan;27(1):1-7. doi: 10.1111/den.12386. Epub 2014 Nov 17.
With the evolution of the linear echoendoscope and the improved ability to direct a needle within the field of interest, the therapeutic potential of endoscopic ultrasonography (EUS) has greatly expanded. Endoscopic ultrasonography-guided transmural gallbladder drainage (EUS-GBD) may be the next frontier for therapeutic EUS. Since EUS-GBD was first described in 2007, recent reports have suggested it as an alternative to external gallbladder drainage for acute cholecystitis. EUS-GBD includes EUS-guided transmural nasogallbladder drainage, EUS-guided gallbladder aspiration, and EUS-guided transmural gallbladder stenting. Indications for the EUS-GBD technique as currently practiced, including equipment, technical details, complications, and efficacy are herein reviewed.
随着线性回声内镜的发展和在感兴趣区域内引导针的能力的提高，超声内镜（EUS）的治疗潜力大大扩展。内镜超声引导经壁胆囊引流术（EUS-GBD）可能是治疗性 EUS 的下一个前沿领域。自 2007 年首次描述 EUS-GBD 以来，最近的报告表明，它可以替代急性胆囊炎的外部胆囊引流。EUS-GBD 包括 EUS 引导经壁经鼻胆囊引流、EUS 引导胆囊抽吸和 EUS 引导经壁胆囊支架置入。本文综述了目前实践中 EUS-GBD 技术的适应证、包括设备、技术细节、并发症和疗效。
