胰腺病学中的内镜超声：聚焦于炎症性疾病与干预措施
Endoscopic Ultrasound in Pancreatology: Focus on Inflammatory Diseases and Interventions.
作者信息
Vitali Francesco, Zundler Sebastian, Jesper Daniel, Strobel Deike, Wildner Dane, de Pretis Nicoló, Frulloni Luca, Crinó Stefano Francesco, Neurath Markus F
机构信息
Department of Medicine 1, University Hospital Erlangen, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany.
Gastroenterology and Digestive Endoscopy Unit, The Pancreas Institute, G.B. Rossi University Hospital, Verona, Italy.
出版信息
Visc Med. 2023 Oct;39(5):131-139. doi: 10.1159/000533433. Epub 2023 Sep 5.
BACKGROUND
Endoscopic ultrasound (EUS) is a main tool in pancreatology for both diagnosis and therapy. It allows minimally invasive differentiation of various diseases, with a minimal degree of inflammation or anatomic variations. EUS also enables interventional direct access to the pancreatic parenchyma and the retroperitoneal space, the pancreatic duct, the pancreatic masses, cysts, vascular structures for diagnostic and therapeutic purposes.
SUMMARY
This review aimed to summarize the new developments of EUS in the field of pancreatology, with special interest on inflammation and interventions. EUS enables way to perform pseudocyst drainage, necrosectomy, transenteral drainage and transenteric access of the main pancreatic duct, or the direct visualization or therapy of vascular structures adjacent to the pancreas.
KEY MESSAGES
EUS has a deep impact on pancreatology, and the development of new diagnostic and interventional approaches to the retroperitoneal space and the pancreas has increased in the last years exponentially, allowing minimal invasive diagnostics and therapy and avoiding surgery and percutaneous therapy
背景
超声内镜（EUS）是胰腺病学中诊断和治疗的主要工具。它能够对各种疾病进行微创鉴别，炎症程度或解剖变异程度最小。EUS还能通过介入方式直接进入胰腺实质、腹膜后间隙、胰管、胰腺肿块、囊肿及血管结构，以达到诊断和治疗目的。
总结
本综述旨在总结EUS在胰腺病学领域的新进展，特别关注炎症和介入治疗。EUS为假性囊肿引流、坏死组织清除术、经肠引流及主胰管经肠入路、或直接观察及治疗胰腺邻近血管结构提供了途径。
关键信息
EUS对胰腺病学产生了深远影响，近年来，针对腹膜后间隙和胰腺的新诊断及介入方法呈指数级增长，实现了微创诊断和治疗，避免了手术及经皮治疗。
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