The role of therapeutic endoscopic ultrasound now and for the future.
Therapeutic endoscopic ultrasound (EUS) became possible after the advent of the linear echoendoscope and the EUS guided fine needle aspiration. Over the past two decades, the indications for therapeutic EUS have expanded and evidence regarding its utility has been steadily accumulating. Randomized studies have shown EUS to be effective for cancer pain relief (celiac plexus neurolysis), pancreatic fluid collection drainage, and biliary drainage. Prospective studies have shown EUS-guided biliary drainage to be safe and effective in patients with failed ERCP. There is evidence to suggest that EUS is effective for pancreatic duct drainage, gallbladder drainage, and drainage of pelvic collections. EUS may also be useful for targeted cancer treatment via brachytherapy, radiofrequency ablation, or injection therapy. Therapeutic EUS is likely to play an increasingly important role in endoscopic therapy of gastrointestinal diseases in the near future.
Department of Endoscopy and Endosonography, Baldota Institute of Digestive Sciences, Global Hospitals, Parel, Mumbai 400012, India.
Vinay
V
Dhir
Rajesh Kumar
RK
Paramasivam
Josef Carlo
JC
Lazaro
Amit
A
Maydeo
D001918:Brachytherapy / Q000379:methods; D017115:Catheter Ablation / Q000379:methods; D004322:Drainage / Q000379:methods; D019160:Endosonography / Q000639:trends*; D005767:Gastrointestinal Diseases / Q000000981:diagnostic imaging* / Q000628:therapy*; D006801:Humans; D009407:Nerve Block / Q000379:methods
biliary drainage; endoscopy; endosonography; pseudocyst; therapeutic