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Progress in research of endoscopic ultrasound-guided interventional therapy

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Author:
No author available
Journal Title:
World Chinese Journal of Digestology
Issue:
26
DOI:
10.11569/wcjd.v25.i26.2353
Key Word:
超声内镜引导下介入治疗;EUS引导下腹腔神经丛阻滞术;EUS引导下胰腺假性囊肿引流;EUS引导下胆管引流;EUS引导下肿瘤注射治疗;EUS-guided interventional therapy;EUS-guided celiac plexus neurolysis;EUS-guided pseudocyst drainage;EUS-guided biliary drainage;EUS-guided fine needle injection

Abstract: Endoscopic ultrasound (EUS)-guided interventional therapy is an important research direction of EUS,and it mainly includes EUS-guided celiac plexus neurolysis (EUS-CPN),EUS-guided pseudocyst drainage,EUS-guided biliary drainage (EUS-BD),and EUS-guided fine needle injection (EUS-FNI).The therapeutic effect of EUS-CPN was superior to that of traditional analgesic therapy.No matter whether the first CPN therapy is effective,the effect of a second CPN is limited.Choosing unilateral or bilateral injection is related to operators' habits and proficiency,and there is no obvious difference in therapeutic effect.EUS-guided pseudocyst drainage is the best choice for patients who have the indications for drainage.The efficacy and safety of EUS-BD have been confirmed.EUS-guided ethanol injection is currently the best therapeutic method for patients with pancreatic neuroendocrine tumors who are not suitable for or unwilling to undergo surgery.The therapeutic value of EUS-RFA and EUS-FNI for pancreatic cancer remains to be further confirmed.

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