Division of Gastroenterology and Hepatology, Department of Medicine, University of Toronto, Toronto, Canada.
Division of Gastroenterology, Department of Medicine, Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55905-0002, USA.
Gastroenterol Clin North Am. 2024 Dec;53(4):683-707. doi: 10.1016/j.gtc.2024.08.016. Epub 2024 Oct 5.
Therapeutic endoscopic ultrasound (EUS) encompasses an array of procedures to manage pancreaticobiliary and luminal gastrointestinal disorders. Therapeutic EUS procedures include EUS-guided rendezvous of the pancreatic and biliary ducts, as well as direct drainage of the bile duct, pancreatic duct, and gallbladder, drainage of pancreatic fluid collections, and luminal anastomosis creation. These procedures have a range of required equipment, approaches, clinical outcomes, and adverse events dependent on both procedure-related and patient-related factors. In expert hands, these procedures provide patients with less invasive options and can achieve excellent clinical outcomes.
治疗性内镜超声（EUS）涵盖了一系列用于治疗胰胆和腔道胃肠道疾病的操作。治疗性 EUS 操作包括 EUS 引导下的胰腺和胆管会师术，以及直接胆管、胰管和胆囊引流，胰液收集引流和腔道吻合术。这些操作所需的设备、方法、临床结果和不良事件因操作相关和患者相关因素的不同而有所不同。在专家手中，这些操作为患者提供了微创选择，并能获得极好的临床结果。
