Clinical Gastroenterology Vol.20 No.11(10)

Theme Present Status and Future Aspects of EUS
Title EUS-guided Pancreatic Pseudocyst Drainage and Celiac Plexus Injection
Publish Date 2005/10
Author Shomei Ryozawa Department of Gastroenterology and Hepatology, Yamaguchi University School of Medicine
Author Sayaka Mori Department of Gastroenterology and Hepatology, Yamaguchi University School of Medicine
Author Megumi Harano Department of Gastroenterology and Hepatology, Yamaguchi University School of Medicine
Author Kuniko Yamamoto Department of Gastroenterology and Hepatology, Yamaguchi University School of Medicine
Author Hirotoshi Iwano Department of Gastroenterology and Hepatology, Yamaguchi University School of Medicine
Author Naoki Urayama Department of Gastroenterology and Hepatology, Yamaguchi University School of Medicine
[ Summary ] Recent reports have described techniques interventional endoscopic ultrasonography (EUS) applications. In these techniques for interventional EUS, EUS-guided pancreatic pseudocyst drainage and celiac plexus injection are the most established techniques. These therapies have traditionally relied on surgical and percutaneous approaches. Convex or linear array EUS has ushered in the potential for interventional applications of EUS analogous to interventional percutaneous procedures with sonographic and CT guidance. These echoendoscopes produce images parallel to those from the long axis, making it possible to follow needle movements in real time. If the Doppler mode is added, it becomes possible to avoid vessels. EUS-guided intervention promises to be a more accurate and safer approach for target organs. In this paper, we described the indications, methods and complications of EUS-guided pancreatic pseudocyst drainage and celiac plexus injection.
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