The role of therapeutic endoscopic ultrasound now and for the future

Dhir, Vinay; Paramasivam, Rajesh Kumar; Lazaro, Josef Carlo; Maydeo, Amit

doi:10.1586/17474124.2014.917953

Cited by 7 publications

(4 citation statements)

References 86 publications

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“…But linear EUS can be guider for EUS-guided fine needle aspiration (FNA) for pathological and cytological diagnosis, for example, common bile duct stone and tumor. Meanwhile, linear EUS could be therapeutic applications for pancreatic abscess, pseudocyst drainage, gallbladder drainage, celiac plexus neurolysis block, and so on [15]. This can expand the usage of linear EUS in developing area in China.…”

Section: Discussionmentioning

confidence: 99%

The Diagnostic Accuracy of Linear Endoscopic Ultrasound for Evaluating Symptoms Suggestive of Common Bile Duct Stones

Wang¹,

Tian³

et al. 2016

Gastroenterology Research and Practice

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Background. In order to assess the diagnostic accuracy of linear EUS for evaluating clinically suggestive CBD stones in high-risk groups. Methods. 202 patients with clinically suggestive CBD stones in high-risk groups who underwent linear EUS examination between January 2012 and January 2015 were retrospectively reviewed. Endoscopic retrograde cholangiopancreatography (ERCP) with stone extraction or surgical choledochoscopy was only performed when a CBD stone was detected by linear EUS. Cases that were negative for CBD stones were followed up for at least 6 months. Results. Of 202 enrolled patients, 126 were positive for CBD stones according to linear EUS findings. 124 patients successfully underwent ERCP, and ERCP failed in 2 who were later successfully treated by surgical intervention. There were 2 false-positive cases with positive findings for CBD stones on ERCP. Among 76 patients without CBD stones, no false-negative cases were identified during the mean 6-month follow-up. Linear EUS had sensitivity, specificity, and positive and negative predictive values for the detection of CBD stones of 100%, 92.88%, 98.21%, and 100%, respectively. Conclusions. Linear EUS is a safe and efficacious diagnostic tool for evaluating clinically suggestive CBD stones with high risk of choledocholithiasis. Performing linear EUS prior to ERCP in patients with symptoms suggestive of CBD stones can reduce unnecessary ERCP procedures.

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Section: Discussionmentioning

confidence: 99%

The Diagnostic Accuracy of Linear Endoscopic Ultrasound for Evaluating Symptoms Suggestive of Common Bile Duct Stones

Wang¹,

Tian³

et al. 2016

Gastroenterology Research and Practice

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“…Use of endoscopic ultrasound (EUS) in children is increasing but remains limited due to the lack of trained pediatric gastroenterologists and advanced centers with expertise in pediatric EUS 1 2 . The indications for EUS have been expanding in adults, many of which have now been explored in children.…”

Section: Introductionmentioning

confidence: 99%

Usefulness of endoscopic ultrasound in children with pancreatobiliary and gastrointestinal symptoms

et al. 2022

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Background and study aims Endoscopic ultrasound (EUS) is useful in diagnosing and treating childhood pancreatobiliary and gastrointestinal diseases. However, there are limited data on its effectiveness for various indications. Patients and methods This was a retrospective analysis of prospectively collected data of patients who underwent EUS for upper gastrointestinal tract disorders from January 2018 to December 2020 to assess its indications, findings, interventions, and complications. Results Ninety-two procedures were performed in 85 children, (70.5 % male; mean [SD] age 12.1 years [3.9] years) with a mean (SD) symptom duration of 1.1 (0.5) years. The procedures were technically successful in all patients. The primary indication for EUS was abdominal pain in 45(52.9%) and jaundice/cholangitis in 15 patients (17.6 %). General anesthesia was used in 12 (13 %) and TIVA in 80 patients (87 %). The most common diagnostic findings were choledocholithiasis in 21 (24.7 %) and cholelithiasis in 12 patients (14.1 %). Among interventions, EUS-guided cystogastrostomy for pancreatic pseudocyst was done in four patients (4.7 %), and EUS-guided rendezvous for failed ERCP in one patient (1.2 %) with cholangitis. There were no immediate post-procedural complications. Overall, EUS had a meaningful impact on the subsequent clinical management in 69 cases (81.2 %). Conclusions EUS in the pediatric population is safe, effective, and has a meaningful impact in appropriately selected cases. It can act as a rescue in major therapeutic procedures, but adequate care should be taken at the procedural level and during anesthesia.

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“…The development of electronic transducers led to the ability to improve ultrasound imaging, allowing Doppler function, double harmonic and, more recently, elastography and echo contrasts. The evolution of the scopes' lumen working channels and FNA needles caliber, namely the emergence of the 19G needle, has turned EUS into a modality that combines an important diagnostic accuracy, playing a role in locoregional staging of a wide range of malignancies, with an increasing number of therapeutic procedures [3]. These intervention techniques include drainage procedures of biliary and pancreatic ducts, peridigestive collections, interluminal anastomoses and, more recently, antitumor therapies and vascular interventions [3].…”

Section: Introductionmentioning

confidence: 99%

“…The evolution of the scopes' lumen working channels and FNA needles caliber, namely the emergence of the 19G needle, has turned EUS into a modality that combines an important diagnostic accuracy, playing a role in locoregional staging of a wide range of malignancies, with an increasing number of therapeutic procedures [3]. These intervention techniques include drainage procedures of biliary and pancreatic ducts, peridigestive collections, interluminal anastomoses and, more recently, antitumor therapies and vascular interventions [3]. Much of this long and auspicious way was simplified by the fact that EUS procedures share numerous devices and accessories used and developed for ERCP [4].…”

Section: Introductionmentioning

confidence: 99%

Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound: To Be One Traveler in Converging Roads

Moutinho-Ribeiro

Peixoto

Macedo³

2017

GE Port J Gastroenterol

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Background: Endoscopic retrograde cholangiopancreatography (ERCP) and endoscopic ultrasound (EUS) were initially introduced into the world of gastroenterology as purely diagnostic procedures. With progressive evolution of intervention, both these techniques conquered fields in the treatment of many conditions that had once been exclusively surgical domains. Nowadays, more and more clinical situations have an indication to perform both EUS and ERCP, and these two techniques are frequently required at the same time for the same patient. More than competitors, ERCP and EUS are truly complementary, with great ability for mutual aid. They share their main indications, equipment, accessories, and main technical gestures. Objectives and Methods: We review the major indications to perform both techniques, sequentially or complementarily, describe the common things that these two techniques essentially share, and discuss the ERCP-EUS single session. Also, the issues of learning curves and education of upcoming biliopancreatic endoscopists are highlighted. Conclusion: In recent years the complementation between ECRP and EUS has been growing both from a diagnostic and a therapeutic point of view, allowing optimization of the use of these techniques and the creation of a more systematized approach of patients with biliopancreatic pathology. Endoscopists with experience in both techniques will be increasingly important, suggesting a parallel formation in the training plans of future endoscopists with interest in the area.

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The role of therapeutic endoscopic ultrasound now and for the future

Cited by 7 publications

References 86 publications

The Diagnostic Accuracy of Linear Endoscopic Ultrasound for Evaluating Symptoms Suggestive of Common Bile Duct Stones

The Diagnostic Accuracy of Linear Endoscopic Ultrasound for Evaluating Symptoms Suggestive of Common Bile Duct Stones

Usefulness of endoscopic ultrasound in children with pancreatobiliary and gastrointestinal symptoms

Endoscopic Retrograde Cholangiopancreatography and Endoscopic Ultrasound: To Be One Traveler in Converging Roads

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