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内镜超声引导下胆道介入治疗的最新进展。

Recent advances in endoscopic ultrasonography-guided biliary interventions.

作者信息

Kawakubo Kazumichi, Kawakami Hiroshi, Kuwatani Masaki, Haba Shin, Kawahata Shuhei, Abe Yoko, Kubota Yoshimasa, Kubo Kimitoshi, Isayama Hiroyuki, Sakamoto Naoya

机构信息

Kazumichi Kawakubo, Hiroshi Kawakami, Masaki Kuwatani, Shin Haba, Shuhei Kawahata, Yoko Abe, Yoshimasa Kubota, Kimitoshi Kubo, Naoya Sakamoto, Department of Gastroenterology and Hepatology, Hokkaido University Graduate School of Medicine, Sapporo 0608638, Japan.

出版信息

World J Gastroenterol. 2015 Aug 28;21(32):9494-502. doi: 10.3748/wjg.v21.i32.9494.

Abstract

Interventional endoscopic ultrasonography (EUS) based on EUS-guided fine-needle aspiration has rapidly spread as a minimally invasive procedure. Especially in patients with failed endoscopic retrograde cholangiopancreatography, EUS-guided biliary intervention is reported to be useful as salvage therapy. EUS-guided biliary interventions are carried out using three techniques: EUS-guided bilioenteric anastomosis, EUS-guided rendezvous procedure, and EUS-guided antegrade treatment. Although interventional EUS is not yet a standardized procedure, there have been recent advances in this field that address various biliary diseases. Here, we summarize the indications, techniques, clinical results of previous studies, and future perspectives.

摘要

基于超声内镜引导下细针穿刺的介入性超声内镜检查(EUS)作为一种微创手术已迅速普及。特别是在内镜逆行胰胆管造影失败的患者中,超声内镜引导下胆道介入治疗作为挽救治疗手段据报道是有效的。超声内镜引导下胆道介入治疗采用三种技术:超声内镜引导下胆肠吻合术、超声内镜引导下会师术和超声内镜引导下顺行治疗。尽管介入性超声内镜检查尚未成为标准化程序,但该领域最近已取得进展,可解决各种胆道疾病。在此,我们总结了其适应证、技术、既往研究的临床结果以及未来展望。

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