Clinical Gastroenterology Vol.32 No.8(2-2)

Theme Progress in Endoscopic Ultrasonography for Biliopancreatic Diseases
Title EUS for the Evaluation of Biliary System
Publish Date 2017/07
Author Naoki Okano Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center
Author Yoshinori Igarashi Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center
Author Susumu Iwasaki Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center
Author Seiichi Hara Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center
Author Kensuke Takuma Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center
Author Ken Ito Division of Gastroenterology and Hepatology, Department of Internal Medicine, Toho University Omori Medical Center
[ Summary ] Endoscopic ultrasonography (EUS) is an essential examination for treatment of biliary diseases, which provides high resolution images and enables excellent local evaluation. Diagnosis using EUS is used for diagnosis of gallbladder and bile duct stones, neoplastic lesions, tumor staging, and more, recently it has been used for pathological diagnosis by EUS‒FNA (endoscopic ultrasound‒guided fine needle aspiration). As an application in endoscopic treatment, EUS guided biliary drainage has been attempted, and further development of EUS‒based technique is expected in the future. Although it is not easy to acquire the EUS technique, it is important to deepen the understanding of the anatomy and location of the biliary tract and the standard technical method.
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