Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2017 Apr;8(2):119-123.
doi: 10.1136/flgastro-2016-100774. Epub 2017 Feb 10.

Therapeutic endoscopic ultrasound

Suresh Venkatachalapathy  1 , Manu K Nayar  2
Affiliations
Review

Therapeutic endoscopic ultrasound

Suresh Venkatachalapathy et al. Frontline Gastroenterol. 2017 Apr.

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.

Keywords: ENDOSCOPIC ULTRASONOGRAPHY; PANCREATIC DISORDERS; PANCREATIC PSEUDOCYST; PANCREATO-BILIARY DISORDERS; THERAPEUTIC ENDOSCOPY.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Endoscopic necrosectomy.
Figure 2
Figure 2
Endoscopic ultrasound-guided gall bladder drainage—lumen apposing metal stents in GB—endoscopic view and CT view—8 days after insertion.
Figure 3
Figure 3
Endoscopic ultrasound (EUS)-guided hepaticogastrostomy—EUS-guided cholangiogram and EUS-guided stent insertion of the intrahepatic ducts.
See this image and copyright information in PMC

References

    1. Rogers BH, Cicurel NJ, Seed RW. Transgastric needle aspiration of pancreatic pseudocyst through an endoscope. Gastrointest Endosc 1975;21:133–4. doi:10.1016/S0016-5107(75)73821-X - DOI - PubMed
    1. Grimm H, Binmoeller KF, Soehendra N. Endosonography-guided drainage of a pancreatic pseudocyst. Gastrointest Endosc 1992;38:170–1. doi:10.1016/S0016-5107(92)70384-8 - DOI - PubMed
    1. Varadarajulu S, Bang JY, Sutton BS, et al. . Equal efficacy of endoscopic and surgical cystogastrostomy for pancreatic pseudocyst drainage in a randomized trial. Gastroenterology 2013;145:583–90.e1. doi:10.1053/j.gastro.2013.05.046 - DOI - PubMed
    1. Sadik R, Kalaitzakis E, Thune A, et al. . EUS-guided drainage is more successful in pancreatic pseudocysts compared with abscesses. World J Gastroenterol 2011;17:499–505. doi:10.3748/wjg.v17.i4.499 - DOI - PMC - PubMed
    1. Charnley RM, Lochan R, Gray H, et al. . Endoscopic necrosectomy as primary therapy in the management of infected pancreatic necrosis. Endoscopy 2006;38:925–8. doi:10.1055/s-2006-944731 - DOI - PubMed

LinkOut - more resources