Evolution of interventional endoscopic ultrasound  

作　　者：Mark J.Radlinski Daniel S.Strand Vanessa M.Shami 

机构地区：[1]Division of Gastroenterology and Hepatology,University of Virginia,Charlottesville,VA,USA

出　　处：《Gastroenterology Report》2023年第1期131-139,共9页胃肠病学报道（英文）

摘　　要：Endoscopic ultrasound(EUS)has become an indispensable modality for the assessment of the gastrointestinal tract and adjacent structures since its origin in the 1980s.Following the development of the linear echoendoscope,EUS has evolved from a purely diagnostic modality to a sophisticated tool for intervention,with numerous luminal,pancreaticobiliary,and hepatic applications.Broadly,these applications may be subdivided into three categories:transluminal drainage or access procedures,injection therapy,and EUS-guided liver interventions.Transluminal drainage or access procedures include management of pancreatic fluid collection,EUS-guided biliary drainage,EUS-guided bile duct drainage,EUS-guided pancreatic duct drainage,and enteral anastomosis formation.Injection therapies include therapeutic EUS-guided injections for management of malignancies accessible by EUS.EUS-guided liver applications include EUS-guided liver biopsy,EUS-guided portal pressure gradient measurement,and EUS-guided vascular therapies.In this review,we discuss the origins of each of these EUS applications,evolution of techniques leading to the current status,and future directions of EUS-guided interventional therapy.

关 键 词：endoscopic ultrasound interventional endoscopic ultrasound biliary drainage GASTROJEJUNOSTOMY pancreatic pseudocyst drainage 

分 类 号：R312[医药卫生—基础医学]