Kim Tae Hyeon, Chon Hyung Ku
Division of Biliopancreas, Department of Internal Medicine, Wonkwang University Hospital, Iksan, Korea.
Korean J Gastroenterol. 2022 May 25;79(5):203-209. doi: 10.4166/kjg.2022.064.
EUS-guided drainage for gallbladder, bile duct, pancreatic duct, and peripancreatic fluid collection has been performed more frequently in the last decade. The development of dedicated stents and delivery systems for EUS-guided interventions have improved the efficacy and safety of these procedures. Furthermore, the introduction of lumen-apposing metal stents has reduced the complication significantly of endoscopic transmural drainage of pancreatic collections and gallbladder. Recent studies show that EUS-guided drainage of pancreaticobiliary ducts and peripancreatic fluid collection produces good results and low complication rates. This review describes the current position and role of interventional EUS for pancreatobiliary disease in clinical practice.
在过去十年中，超声内镜引导下针对胆囊、胆管、胰管及胰周液体聚集的引流操作更为频繁。用于超声内镜引导介入的专用支架及输送系统的发展提高了这些操作的有效性和安全性。此外，管腔贴附金属支架的引入显著降低了胰腺积液和胆囊内镜下经壁引流的并发症。近期研究表明，超声内镜引导下胰胆管及胰周液体聚集的引流效果良好且并发症发生率低。本综述描述了介入性超声内镜在临床实践中对胰胆疾病的当前地位和作用。
