Dietrich Christoph F, Arcidiacono Paolo Giorgio, Braden Barbara, Burmeister Sean, Carrara Silvia, Cui Xinwu, Di Leo Milena, Dong Yi, Fusaroli Pietro, Gilja Odd Helge, Healey Andrew J, Hocke Michael, Hollerbach Stephan, Garcia Julio Iglesias, Ignee André, Jürgensen Christian, Kahaleh Michel, Kitano Masayuki, Kunda Rastislav, Larghi Alberto, Möller Kathleen, Napoleon Bertrand, Oppong Kofi W, Petrone Maria Chiara, Saftoiu Adrian, Puri Rajesh, Sahai Anand V, Santo Erwin, Sharma Malay, Soweid Assaad, Sun Siyu, Teoh Anthony Yuen Bun, Vilmann Peter, Jenssen Christian
Medical Department 2, Caritas-Krankenhaus, Uhlandstr 7, D-97980 Bad Mergentheim, Germany; Department of Ultrasound, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Pancreatico/Biliary Endoscopy & Endosonography Division, Pancreas Translational & Clinical Research Center, San Raffaele Scientific Institute, Vita Salute San Raffaele University, Milan, Italy.
Endosc Ultrasound. 2019 Jan-Feb;8(1):3-16. doi: 10.4103/eus.eus_54_18.
Direct referral of patients for EUS - instead of preprocedural consultation with the endosonographer - has become standard practice (like for other endoscopic procedures) as it is time- and cost-effective. To ensure appropriate indications and safe examinations, the endosonographer should carefully consider what information is needed before accepting the referral. This includes important clinical data regarding relevant comorbidities, the fitness of the patient to consent and undergo the procedure, and the anticoagulation status. In addition, relevant findings from other imaging methods to clarify the clinical question may be necessary. Appropriate knowledge and management of the patients' anticoagulation and antiplatelet therapy, antibiotic prophylaxis, and sedation issues can avoid unnecessary delays and unsafe procedures. Insisting on optimal preparation, appropriate indications, and clear clinical referral questions will increase the quality of the outcomes of EUS. In this paper, important practical issues regarding EUS preparations are raised and discussed from different points of view.
直接将患者转诊进行超声内镜检查（EUS）——而非在操作前与超声内镜检查医师进行会诊——已成为标准做法（与其他内镜检查程序一样），因为这样既节省时间又具有成本效益。为确保有适当的适应症并进行安全的检查，超声内镜检查医师在接受转诊前应仔细考虑需要哪些信息。这包括有关相关合并症的重要临床数据、患者同意并接受该操作的身体状况以及抗凝状态。此外，可能需要其他影像学方法的相关结果来明确临床问题。对抗凝和抗血小板治疗、抗生素预防以及镇静问题进行适当的了解和管理，可以避免不必要的延误和不安全的操作。坚持最佳准备、适当的适应症以及明确的临床转诊问题将提高超声内镜检查的结果质量。本文从不同角度提出并讨论了有关超声内镜检查准备的重要实际问题。
