臨牀消化器内科 Vol.26 No.9(9-2)


特集名 腹部超音波検査 up-to-date
題名 超音波内視鏡 (2) 胆膵疾患に対する超音波内視鏡検査
発刊年月 2011年 08月
著者 今津 博雄 東京慈恵会医科大学内視鏡科科
著者 田尻 久雄 東京慈恵会医科大学内視鏡科/東京慈恵会医科大学消化器・肝臓内科
【 要旨 】 膵腫瘍におけるEUSの役割と最近の進歩について解説した.超音波内視鏡は膵腫瘍の診断,膵癌のT-stagingにおいてもっとも診断精度の高い検査法といえる.しかし,慢性膵炎合併膵癌の診断には限界があり,造影EUSは,この問題を克服する検査法として期待できる.
Theme Abdominal Ultrasonography up-to-date
Title Endosonography for Pancreaticobiliary Pathology
Author Hiroo Imazu Department of Endoscopy, Jikei University School of Medicine
Author Hisao Tajiri Department of Endoscopy, Jikei University School of Medicine / Department of Gastroenterology and Hepatology, Jikei University School of Medicine
[ Summary ] We review the utility of EUS for the diagnosis and staging of pancreatic cancer. The accuracy of EUS in terms of detecting pancreatic tumors is superior to other imaging techniques. In addition, the accuracy of EUS for locoregional staging of pancreatic cancer is superior or equivalent to other imaging modalities. However, EUS/EUS-FNA of the pancreas can be technically challenging in patients with chronic pancreatitis. Recent development of contrast-enhanced harmonic EUS may help overcome the limitations of EUS or EUS-FNA.
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