Contrast-enhanced endoscopic ultrasound for pancreatobiliary disease

Gastrointestinal Intervention Pub Date : 2016-10-31 DOI:10.18528/GII160017

Raymond S. Y. Tang

引用次数: 0

Abstract

Endoscopic ultrasound (EUS), with or without fine needle aspiration (FNA), has become an essential tool in the evaluation of pancreatobiliary diseases. Although conventional EUS is superior to multidetector computed tomography in tumor detection and staging, there are situations when characterization of various pancreatobiliary lesions remains difficult. Contrast-enhanced EUS (CE EUS) can further improve the detection and characterization of pancreatic solid lesions such as ductal adenocarcinoma, neuroendocrine tumor, or mass-forming autoimmune pancreatitis based on differences in the enhancement pattern of the target lesions. It is also useful in differentiating between mural nodules and mucous clots in pancreatic cystic neoplasms, and characterizing various lesions in the gallbladder and bile duct. CE EUS is complementary to FNA and has the potential to increase the diagnostic yield on the first FNA needle pass. Copyright © 2016, Society of Gastrointestinal Intervention. All rights reserved.

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内镜超声造影对胰胆道疾病的诊断价值

内镜超声(EUS)，无论是否采用细针穿刺(FNA)，已成为评估胰胆道疾病的重要工具。尽管传统EUS在肿瘤检测和分期方面优于多检测器计算机断层扫描，但仍存在各种胰胆管病变的特征仍然困难的情况。对比增强EUS (CE EUS)可基于靶病变增强模式的差异，进一步提高胰腺实体病变如导管腺癌、神经内分泌肿瘤或团块形成的自身免疫性胰腺炎的检测和表征。它也有助于区分胰腺囊性肿瘤的壁结节和粘液凝块，以及胆囊和胆管的各种病变。CE EUS是FNA的补充，有可能提高第一次FNA针通的诊断率。版权所有©2016，胃肠干预学会。版权所有。

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

Gastrointestinal Intervention

自引率

0.00%

发文量

审稿时长

24 weeks

期刊介绍： IJGII (pISSN 2636-0004, eISSN 2636-0012) was published four times a year on the last day of January, April, July, and October, which has effected from January 1 in 2019. This Journal was first published biannually on June and December, beginning in December 2012 under the title ‘Gastrointestinal Intervention’ (former pISSN 2213-1795, eISSN 2213-1809) and was changed to be published three times a year from 2016. Commencing with the January 2019 issue, the Journal was renamed ‘International Journal of Gastrointestinal Intervention’. As the official journal of the Society of Gastrointestinal Intervention (SGI), International Journal of Gastrointestinal Intervention (IJGII) delivers original, peer-reviewed articles for gastroenterologists, interventional radiologists, surgeons, gastrointestinal oncologists, nurses and technicians who need current and reliable information on the interventional treatment of gastrointestinal and hepatopancreaticobiliary diseases. Regular features also include ‘state-of-the-art’ review articles by leading authorities throughout the world. IJGII will become an international forum for the description and discussion of the various aspects of interventional radiology, endoscopy and minimally invasive surgery.