title: Therapeutic endoscopic ultrasound.
abstract: Endoscopic ultrasound (EUS) is now firmly established as one of the essential tools for diagnosis in most gastrointestinal MDTs across the UK. However, the ability to provide therapy with EUS has resulted in a significant impact on the management of the patients. These include drainage of peripancreatic collections, EUS-guided endoscopic retrograde cholangiopancreatogram, EUS-guided coeliac plexus blocks, etc. The rapid development of this area in endoscopy is a combination of newer tools and increasing expertise by endosonographers to push the boundaries of intervention with EUS. However, the indications are limited and we are at the start of the learning curve for these high-risk procedures. These therapies should, therefore, be confined to centres with a robust multidisciplinary team, including interventional endoscopists, radiologists and surgeons.
authors.affiliation: Department of Gastroenterology and Hepatology , Nottingham University Hospitals NHS Trust , Nottingham , UK.
authors.forename: Suresh
authors.initials: S
authors.lastname: Venkatachalapathy
authors.affiliation: HPB Unit , Freeman Hospital , Newcastle Upon Tyne , UK.
authors.forename: Manu K
authors.initials: MK
authors.lastname: Nayar
keywords: ENDOSCOPIC ULTRASONOGRAPHY; PANCREATIC DISORDERS; PANCREATIC PSEUDOCYST; PANCREATO-BILIARY DISORDERS; THERAPEUTIC ENDOSCOPY