Endoscopic ultrasonography-guided drainage of the pancreatic duct.
Endoscopic ultrasonography-guided drainage of the pancreatic duct.
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DOI：
10.1016/j.giec.2013.06.011
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发表时间：
2013-10-01
影响因子：
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通讯作者：
Kahaleh, Michel
中科院分区：
文献类型：
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作者：
Widmer, Jessica;Sharaiha, Reem Z;Kahaleh, Michel
过去 20 年来，超声内镜 (EUS) 不断发展。 EUS 引导下的胰腺引流是一种不断发展的手术，可提供给高风险手术候选者以及内镜逆行胰造影术无法到达胰管的患者。尽管 EUS 引导下的胰腺引流是手术和介入放射学的一种微创替代选择，但由于其复杂性和潜在的暴发性并发症，建议这些手术由高技能的内窥镜医师进行。需要额外的数据来通过专门的前瞻性登记册更准确地定义风险和长期结果。
Over the last 2 decades there has been continuing development in endoscopic ultrasonography (EUS). EUS-guided pancreatic drainage is an evolving procedure that can be offered to patients who are high-risk surgical candidates and in whom the pancreatic duct cannot be accessed by endoscopic retrograde pancreatography. Although EUS-guided pancreatic drainage is a minimally invasive alternative option to surgery and interventional radiology, owing to its complexity and potential for fulminant complications it is recommended that these procedures be performed by highly skilled endoscopists. Additional data are needed to define risks and long-term outcomes more accurately via a dedicated prospective registry.