Home > Journals > Minerva Gastroenterology > Past Issues > Minerva Gastroenterologica e Dietologica 2008 June;54(2) > Minerva Gastroenterologica e Dietologica 2008 June;54(2):151-60

CURRENT ISSUE
 

JOURNAL TOOLS

eTOC
To subscribe
Submit an article
Recommend to your librarian
 

ARTICLE TOOLS

Reprints
Permissions
Share

 

REVIEWS  AN UPDATE ON EUS IN 2008 

Minerva Gastroenterologica e Dietologica 2008 June;54(2):151-60

Copyright © 2008 EDIZIONI MINERVA MEDICA

language: English

Endoscopic ultrasound (EUS) guided access and therapy of pancreatico-biliary disorders

Gleeson F. C., Levy M. J.

Division of Gastroenterology and Hepatology Miles and Shirley Fiterman Centre for Digestive Diseases Mayo Clinic College of Medicine Rochester, MN, USA


PDF


Endoscopic ultrasound (EUS) has evolved from a purely diagnostic imaging modality to one that allows therapeutic intervention. It now serves as a viable alternative, and at times is preferred, to percutaneous and surgical techniques for obtaining biliary and pancreatic duct access and for providing drainage. EUS guided intervention is usually performed following failed endoscopic retrograde cholangiopancreatography (ERCP) or as an option for patients who decline surgical intervention or in poor operative candidates. Published data demonstrate overall technical success in 83% of patients with 12% experiencing a procedure related complication. New techniques and equipment must be developed to simplify and abbreviate the procedures, to limit complications, and improve outcomes. In addition, longitudinal data are needed to determine the long-term outcomes and role of EUS guided pancreaticobiliary intervention.

top of page