Korean J Med.  2015 Nov;89(5):506-514. 10.3904/kjm.2015.89.5.507.

Endoscopic Ultrasound Guided Intervention

Affiliations
  • 1Division of Gastroenterology, Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. drsong@amc.seoul.kr

Abstract

Endoscopic ultrasound (EUS) has recently become widely used for the diagnosis and treatment of gastrointestinal disease. With applications of linear EUS and EUS-guided fine needle aspiration, many EUS-guided interventions are now emerging as feasible treatment options for patients with pancreatobiliary disease. EUS-guided drainage from pseudocyst, bile duct, pancreatic duct, and the gallbladder are becoming routine procedure. EUS-guided celiac plexus neurolysis and block can relieve intractable pancreatic pain. Moreover, EUS-guided local tumor therapy (ethanol ablation and radiofrequency ablation) may be feasible in selected patients. Safe EUS-guided intervention requires a good deal of experience but is becoming widely used to treat pancreatobiliary disease.

Keyword

Endosonography; Ultrasonography, Interventional; Biopsy, Fine-needle

MeSH Terms

Bile Ducts
Biopsy, Fine-Needle
Celiac Plexus
Diagnosis
Drainage
Endosonography
Gallbladder
Gastrointestinal Diseases
Humans
Pancreatic Ducts
Ultrasonography*
Ultrasonography, Interventional
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