| Theme |
Future Perspectives of Therapeutic Endoscopy Such as ESD and NOTES |
| Title |
Interventional EUS : Present and Future Perspectives |
| 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. |