Role of pancreatic endoscopic ultrasonography in 2010

查看全文 作　　者：Ioannis S [1,2]Papanikolaou;Pantelis S [1]Karatzas;Konstantinos [1]Triantafyllou;Andreas [2]Adler

机构地区：[1]Hepatogastroenterology Unit,2nd Department of Internal Medicine-Propaedeutic,Attikon University General Hospital,Medical School,University of Athens,Athens 12462,Greece;[2]Central Interdisciplinary Endoscopy Unit,Department of Gastroenterology,Hepatology and Metabolic Diseases,Charite University Hospitals,Campus Virchow Clinic,Berlin 13353,Germany

出　　处：《World Journal of Gastrointestinal Endoscopy》索引2010年第2卷第10期,共9页

摘　　要：Endoscopic ultrasonography (EUS) was introduced 25 years ago aiming at better visualization of the pancreas compared to transabdominal ultrasonography. This update discusses the current evidence in 2010 concerning the role of EUS in the clinical management of patients with pancreatic disease. Major indications of EUS are:(1) Detection of common bile duct stones (e.g. in acute pancreatitis); (2) Detection of small exo-and endocrine pancreatic tumours; and (3) Performance of fine needle aspiration in pancreatic masses depending on therapeutic consequences. EUS seems to be less useful in cases of chronic pancreatitis and cystic pan-creatic lesions. Moreover the constant improvement of computed tomography has limited the role of EUS in pancreatic cancer staging. On the other hand,new therapeutic options are available due to EUS,such as pancreatic cyst drainage and celiac plexus neurolysis,offering a new field in which new techniques may arise. So the main goal of this review is to determine the exact role of EUS in a number of pancreatic and biliary diseases. 关键词：Endoscopic ultrasonography Fine needle ASPIRATION Acute BILIARY pancreatitis Chronic pancrea-titis PANCREATIC MASSES Cross-imaging MODALITIES

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Role of pancreatic endoscopic ultrasonography in 2010

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