Department of Gastroenterology, Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, India.
Expert Rev Gastroenterol Hepatol. 2022 Oct;16(10):953-965. doi: 10.1080/17474124.2022.2138856. Epub 2022 Oct 28.
Endoscopic ultrasound (EUS) provides high-resolution images of both pancreatic parenchyma and duct and therefore is an integral component of evaluating and treating patients with pancreatitis and its complications. The development of enhanced EUS imaging techniques and newer EUS-specific accessories has expanded the diagnostic and therapeutic role of EUS in patients with acute and chronic pancreatitis (CP).
This review discusses the current diagnostic and therapeutic role of EUS in acute pancreatitis (AP), CP, and autoimmune pancreatitis (AIP).
EUS plays a vital role in patients with AP by confirming the presence of common bile duct (CBD) stones in patients with acute biliary pancreatitis and intermediate probability of CBD stones. It plays an important role in the etiological evaluation of patients with idiopathic acute and recurrent pancreatitis. EUS is also an essential modality for diagnosing and managing pancreatico-biliary as well as gastroduodenal complications associated with CP. EUS-guided FNB using newer generation core biopsy needles has made possible accurate diagnosis of AIP by providing tissue samples with preserved architecture.
内镜超声（EUS）可提供胰腺实质和胰管的高分辨率图像，因此是评估和治疗胰腺炎及其并发症患者的重要组成部分。增强型 EUS 成像技术和新型 EUS 专用附件的发展，扩大了 EUS 在急性和慢性胰腺炎（CP）患者中的诊断和治疗作用。
本文讨论了 EUS 在急性胰腺炎（AP）、CP 和自身免疫性胰腺炎（AIP）中的当前诊断和治疗作用。
EUS 通过在急性胆源性胰腺炎患者中确认胆总管（CBD）结石的存在，并在 CBD 结石可能性中等的患者中确认其存在，在 AP 患者中发挥着重要作用。它在病因学评估方面也发挥着重要作用，可用于诊断和治疗与 CP 相关的胰胆和胃十二指肠并发症。使用新一代核心活检针进行的 EUS 引导下细针穿刺（FNB），通过提供具有保存结构的组织样本，使 AIP 的准确诊断成为可能。
