Impellizzeri Giovanna, Donato Giulio, De Angelis Claudio, Pagano Nico
Gastroenterology Unit, Department of Oncological and Specialty Medicine, Azienda Ospedaliero-Universitaria Maggiore della Carità, 28100 Novara, Italy.
Diagnostics (Basel). 2024 May 11;14(10):996. doi: 10.3390/diagnostics14100996.
The purpose of this review is to focus on the diagnostic endoscopic ultrasound of the gastrointestinal tract. In the last decades, EUS has gained a central role in the staging of epithelial and sub-epithelial lesions of the gastrointestinal tract. With the evolution of imaging, the position of EUS in the diagnostic work-up and the staging flow-chart has continuously changed with two extreme positions: some gastroenterologists think that EUS is absolutely indispensable, and some think it is utterly useless. The truth is, as always, somewhere in between the two extremes. Analyzing the most up-to-date and strong evidence, we will try to give EUS the correct position in our daily practice.
本综述的目的是聚焦于胃肠道诊断性内镜超声检查。在过去几十年中,内镜超声检查在胃肠道上皮和上皮下病变的分期中发挥了核心作用。随着影像学的发展,内镜超声检查在诊断评估和分期流程图中的地位不断变化,出现了两种极端观点:一些胃肠病学家认为内镜超声检查绝对不可或缺,而另一些人则认为它完全无用。事实上,一如既往,真相介于这两种极端观点之间。通过分析最新的有力证据,我们将努力在内镜超声检查在日常实践中给出其正确定位。