Department of Internal Medicine, Division of Gastroenterology, University of Ulsan, College of Medicine, Asan Medical Center, Seoul, South Korea.
Endosc Ultrasound. 2015 Oct-Dec;4(4):293-8. doi: 10.4103/2303-9027.170414.
Pancreatic cysts are being encountered frequently because of rapid advances in radiologic technology and an increased cross-sectional imaging demand. Management of pancreatic cystic tumors is challenging because most of them are asymptomatic; they are potentially malignant, and surgery has substantial morbidity and mortality. Endoscopic ultrasound (EUS)-guided fine-needle aspiration of pancreatic cystic tumors is accepted as a minimally invasive technique, which also enables injection of ablative agents into cysts under EUS guidance. In this review, the basic procedural steps and technical considerations of cyst ablation and their clinical issues including safety, feasibility, and therapeutic outcome will be summarized.
由于放射技术的快速进步和横截面成像需求的增加,胰腺囊肿的检出率越来越高。胰腺囊性肿瘤的治疗具有挑战性,因为大多数胰腺囊性肿瘤没有症状;它们具有潜在的恶性,手术有很高的发病率和死亡率。超声内镜(EUS)引导下细针抽吸胰腺囊性肿瘤被认为是一种微创技术,它还可以在 EUS 引导下向囊肿内注射消融剂。在这篇综述中,将总结囊肿消融的基本操作步骤和技术注意事项及其临床问题,包括安全性、可行性和治疗效果。