Interventional endoscopic ultrasound and advanced endoscopic retrograde cholangiopancreatography access techniques

Techniques in Gastrointestinal Endoscopy Pub Date : 2017-07-01 DOI:10.1016/j.tgie.2017.08.004

Abdul El Chafic MD, Ricardo V. Romero MD, Janak N. Shah MD

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引用次数: 0

Abstract

Advanced endoscopic retrograde cholangiopancreatography (ERCP) ductal access techniques require a higher level of skill compared to standard ERCP access maneuvers. These techniques are used in cases of standard ERCP access failures and include dual-wire techniques and precut papillotomy. Interventional endoscopic ultrasound (EUS) procedures requiring a higher level of technical skill as compared to more basic EUS procedures (eg, diagnostic EUS and EUS-fine needle aspiration) include EUS-guided drainage of pancreatic fluid collections, EUS-guided pancreaticobiliary ductal access and drainage, and EUS-guided vascular interventions. In this article, we review techniques and outcomes of advanced ERCP access techniques and of interventional EUS procedures. Issues related to training in these techniques, assessing competency in these procedures, and incorporating these highly complex and higher-risk procedures into endoscopic practice are also discussed.

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介入性内镜超声和先进的内镜逆行胰胆管造影入路技术

先进的内窥镜逆行胆管造影(ERCP)导管进入技术与标准的ERCP进入操作相比，需要更高水平的技能。这些技术用于标准ERCP访问失败的情况，包括双线技术和预切乳头切开术。与更基本的EUS操作(如诊断性EUS和EUS细针穿刺)相比，介入内镜超声(EUS)操作需要更高水平的技术技能，包括EUS引导下的胰液收集引流，EUS引导下的胰胆管通路和引流，以及EUS引导下的血管介入。在本文中，我们回顾了先进的ERCP通路技术和介入EUS手术的技术和结果。与这些技术的培训、评估这些程序的能力以及将这些高度复杂和高风险的程序纳入内镜实践有关的问题也进行了讨论。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Techniques in Gastrointestinal Endoscopy GASTROENTEROLOGY & HEPATOLOGY-

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期刊介绍： The purpose of each issue of Techniques in Gastrointestinal Endoscopy is to provide a comprehensive, current overview of a clinical condition or surgical procedure in gastrointestinal endoscopy, combining the effectiveness of an atlas with the timeliness of a journal. Each issue places a vigorous emphasis on diagnosis, rationale for and against a procedure, actual technique, management, and prevention of complications. The journal features abundant illustrations, line drawings and color artwork to guide readers through even the most complicated procedure.