| Theme | Future Perspectives of Therapeutic Endoscopy Such as ESD and NOTES | |
|---|---|---|
| Title | Interventional EUS : Present and Future Perspectives | |
| Publish Date | 2011/03 | |
| Author | Atsushi Irisawa | Department of Gastroenterology, Preparatory Office for Aizu Medical Center, Fukushima Medical University / Department of Internal Medicine, Fukushima Prefectural Aizu General Hospital |
| Author | Takuto Hikichi | Department of Endoscopy, Fukushima Medical University Hospital |
| Author | Tadayuki Takagi | Department of Gastroenterology and Rheumatology, Fukushima Medical University School of Medicine |
| Author | Goro Shibukawa | Department of Gastroenterology, Preparatory Office for Aizu Medical Center, Fukushima Medical University / Department of Internal Medicine, Fukushima Prefectural Aizu General Hospital |
| Author | Katsutoshi Obara | Department of Endoscopy, Fukushima Medical University Hospital |
| Author | Hiromasa Ohira | Department of Gastroenterology and Rheumatology, Fukushima Medical University School of Medicine |
| [ Summary ] | In the current decade many therapeutic applications for EUS (endoscopic ultrasonography) have become possible. Therapeutic interventional EUS is divided into three categories; (1) injection / placement, (2) drainage, and (3) assisting with performing NOTES (natural orifice translumenal endoscopic surgery) procedures. Using injection / placement techniques, celiac plexus / ganglia neurolysis and anti-tumoral therapy as a basis, for various procedures are performed. Drainage techniques are used for pancreatic pseudocysts, dilated biliary systems and pancreatic ducts. Moreover, interventional EUS may also provide assistant for NOTES procedures. Interventional EUS-assisted necrosectomy for post-necrotizing pancreatic pseudocysts has recently been developed, and is a breakthrough in technology. | |