Endoscopic ultrasonography-guided pancreatic drainage.
Endoscopic ultrasonography-guided pancreatic drainage.
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DOI：
10.1016/j.giec.2012.04.004
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发表时间：
2012-04-01
影响因子：
--
通讯作者：
Giovannini, Marc
中科院分区：
文献类型：
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作者：
Giovannini, Marc
胰腺假性囊肿的手术可能与高并发症率和死亡率有关。自20世纪80年代末引入以来，PPC的内镜引流已成为一种替代的非手术方法。这种技术的明显局限性在于其相对盲目的方法。PPC穿刺的理想方法是将内窥镜检查与使用介入性超声内窥镜的实时超声内镜检查相结合。内镜超声纵向扫描仪可用于指导透壁穿刺和引流手术，以及在胰管完全梗阻无法通过常规方法引流时进入扩张的胰管。在本章中，我们将回顾EUS引导下假性囊肿引流和胰胃吻合术的适应证、技术和临床操作。
Surgery for pancreatic pseudocysts (PPCs) may be associated with high rates of complication and mortality. Since its introduction in the late 1980s, endoscopic drainage of PPCs has become established as an alternative nonsurgical approach. The obvious limitation of this technique is its relatively blind approach. The ideal approach for PPC puncture combines endoscopy with real-time endosonography using an interventional echoendoscope. Endoscopic ultrasonographic longitudinal scanners can be used for guidance of transmural punctures and drainage procedures, as well as to access a dilated pancreatic duct if the duct cannot be drained by conventional methods because of complete obstruction. In this chapter, we will review the indications, techniques and clinical algorithm for EUS-guided pseudocyst drainage and pancreaticogastrostomy.