Division of Gastroenterology and Hepatology, Thomas Jefferson University, Philadelphia, PA, USA.
Division of Gastroenterology and Hepatology, University of Texas Southwestern Medical Center, Dallas, TX, USA.
Endosc Ultrasound. 2016 May-Jun;5(3):149-56. doi: 10.4103/2303-9027.183969.
The management of pancreaticobiliary disease in patients with surgically altered anatomy is a growing problem for gastroenterologists today. Over the years, endoscopic ultrasound (EUS) has emerged as an important diagnostic and therapeutic modality in the treatment of pancreaticobiliary disease. Patient anatomy has become increasingly complex due to advances in surgical resection of pancreaticobiliary disease and EUS has emerged as the therapy of choice when endoscopic retrograde cholangiopancreatography failed cannulation or when the papilla is inaccessible such as in gastric obstruction or duodenal obstruction. The current article gives a comprehensive review of the current literature for EUS-guided intervention of the pancreaticobiliary tract in patients with altered surgical anatomy.
外科解剖结构改变的患者的胰胆疾病管理是当今胃肠病学家面临的一个日益严重的问题。多年来，内镜超声（EUS）已成为治疗胰胆疾病的一种重要诊断和治疗方式。由于外科切除胰胆疾病的技术进步，患者解剖结构变得越来越复杂，当内镜逆行胰胆管造影术（ERCP）无法进行插管或乳头无法到达时（例如胃或十二指肠梗阻），EUS 已成为首选治疗方法。本文全面回顾了关于外科解剖结构改变的患者的 EUS 引导下胰胆道介入治疗的现有文献。
