外科理论与实践 ›› 2023, Vol. 28 ›› Issue (04): 300-306.doi: 10.16139/j.1007-9610.2023.04.005
收稿日期:2023-05-29
出版日期:2023-07-25
发布日期:2023-10-24
通讯作者:
侯森林,E-mail:
HOU Senlin(
), YU Tingting, LIU Pengxiang, ZHANG Lichao
Received:2023-05-29
Online:2023-07-25
Published:2023-10-24
摘要:
超声内镜(endoscopic ultrasound, EUS)技术不仅在消化系统疾病诊断中得到长足发展,近年来随着内镜技术及配件设备的不断革新,超声内镜引导下的介入治疗也取得重要突破,尤其是在难治性胆胰疾病方面表现出突出优势。本文将结合最新的文献研究和工作经验,对EUS引导下的胆管引流术、胆囊引流术、胰管引流术、胰腺假性囊肿引流术、胰腺肿瘤治疗等相关介入治疗的最新进展进行阐述。
中图分类号:
侯森林, 于廷廷, 刘鹏翔, 张立超. 超声内镜介入治疗在胆胰疾病中的应用[J]. 外科理论与实践, 2023, 28(04): 300-306.
HOU Senlin, YU Tingting, LIU Pengxiang, ZHANG Lichao. Application of endoscopic ultrasound interventional therapy in biliary and pancreatic diseases[J]. Journal of Surgery Concepts & Practice, 2023, 28(04): 300-306.
| [1] |
VAN DER MERWE S W, VAN WANROOIJ R L J, BRONSWIJK M, et al. Therapeutic endoscopic ultrasound: European Society of Gastrointestinal Endoscopy (ESGE) guideline[J]. Endoscopy, 2022, 54(2):185-205.
doi: 10.1055/a-1717-1391 URL |
| [2] |
SHARAIHA R Z, KHAN M A, KAMAL F, et al. Efficacy and safety of EUS-guided biliary drainage in comparison with percutaneous biliary drainage when ERCP fails: a systematic review and meta-analysis[J]. Gastrointest Endosc, 2017, 85(5):904-914.
doi: S0016-5107(16)30900-2 pmid: 28063840 |
| [3] |
HAYAT U, BAKKER C, DIRWEESH A, et al. EUS-guided versus percutaneous transhepatic cholangiography biliary drainage for obstructed distal malignant biliary strictures in patients who have failed endoscopic retrograde cholangiopancreatography: a systematic review and meta-analysis[J]. Endoscopic ultrasound, 2022, 11(1):4-16.
doi: 10.4103/EUS-D-21-00009 URL |
| [4] |
LI J, TANG J, LIU F, et al. Comparison of choledochoduodenostomy and hepaticogastrostomy for EUS-guided biliary drainage: a meta-analysis[J]. Front Surg, 2022, 9:811005.
doi: 10.3389/fsurg.2022.811005 URL |
| [5] | GIOVANNINI M. EUS-guided hepaticogastrostomy[J]. Endosc Ultrasound, 2019, 8(Suppl 1):S35-S39. |
| [6] |
HARAI S, HIJIOKA S, NAGASHIO Y, et al. Usefulness of the laser-cut, fully covered, self-expandable metallic stent for endoscopic ultrasound-guided hepaticogastrostomy[J]. J Hepatobiliary Pancreat Sci, 2022, 29(9):1035-1043.
doi: 10.1002/jhbp.v29.9 URL |
| [7] |
KURAOKA N, HARA K, OKUNO N, et al. Outcomes of EUS-guided choledochoduodenostomy as primary drainage for distal biliary obstruction with covered self-expandable metallic stents[J]. Endosc Int Open, 2020, 8(7):E861-E868.
doi: 10.1055/a-1161-8488 URL |
| [8] |
MATSUBARA S, NAKAGAWA K, SUDA K, et al. A proposed algorithm for endoscopic ultrasound-guided rendezvous technique in failed biliary cannulation[J]. J Clin Med, 2020, 9(12):3879.
doi: 10.3390/jcm9123879 URL |
| [9] |
KLAIR J S, ZAFAR Y, ASHAT M, et al. Effectiveness and safety of EUS rendezvous after failed biliary cannulation with ERCP: a systematic review and proportion meta-analysis[J]. J Clin gastroenterol, 2023, 57(2):211-217.
doi: 10.1097/MCG.0000000000001543 URL |
| [10] |
NGUYEN-TANG T, BINMOELLER K F, SANCHEZ-YAGUE A, et al. Endoscopic ultrasound (EUS)-guided transhepatic anterograde self-expandable metal stent (SEMS) placement across malignant biliary obstruction[J]. Endoscopy, 2010, 42(3):232-236.
doi: 10.1055/s-0029-1243858 URL |
| [11] |
IWASHITA T, YASUDA I, MUKAI T, et al. Endoscopic ultrasound-guided antegrade biliary stenting for unresectable malignant biliary obstruction in patients with surgically altered anatomy: single-center prospective pilot study[J]. Dig Endosc, 2017, 29(3):362-368.
doi: 10.1111/den.12800 pmid: 28066983 |
| [12] |
IWASHITA T, UEMURA S, MITA N, et al. Endoscopic ultrasound guided-antegrade biliary stenting vs percutaneous transhepatic biliary stenting for unresectable distal malignant biliary obstruction in patients with surgically altered anatomy[J]. J Hepatobiliary Pancreat Sci, 2020, 27(12):968-976.
doi: 10.1002/jhbp.v27.12 URL |
| [13] |
INOUE T, KITANO R, IBUSUKI M, et al. Endoscopic ultrasound-guided hepaticogastrostomy with antegrade stenting without dilation device application for malignant distal biliary obstruction in pancreatic cancer[J]. Dig Dis Sci, 2023, 68(5):2090-2098.
doi: 10.1007/s10620-022-07749-5 |
| [14] |
HOSMER A, ABDELFATAH M M, LAW R, et al. Endoscopic ultrasound-guided hepaticogastrostomy and antegrade clearance of biliary lithiasis in patients with surgically-altered anatomy[J]. Endosc Int Open, 2018, 6(2):E127-E130.
doi: 10.1055/s-0043-123188 URL |
| [15] |
FUELDNER F, MEYER F, WILL U. EUS-guided therapy of cholangiolithiasis in surgically altered anatomy of the upper GI tract - a unicenter case study[J]. Z Gastroenterol, 2020, 58(11):1081-1090.
doi: 10.1055/a-1250-8834 URL |
| [16] |
IWASHITA T, NAKAI Y, HARA K, et al. Endoscopic ultrasound-guided antegrade treatment of bile duct stone in patients with surgically altered anatomy: a multicenter retrospective cohort study[J]. J Hepatobiliary Pancreat Sci, 2016, 23(4):227-233.
doi: 10.1002/jhbp.329 pmid: 26849099 |
| [17] |
CONNELL M, SUN W Y L, MOCANU V, et al. Management of choledocholithiasis after Roux-en-Y gastric bypass: a systematic review and pooled proportion meta-analysis[J]. Surg Endosc, 2022, 36(9):6868-6877.
doi: 10.1007/s00464-022-09018-y pmid: 35041054 |
| [18] |
HEMERLY M C, DE MOURA D T H, DO MONTE JUNIOR E S, et al. Endoscopic ultrasound (EUS)-guided cholecystostomy versus percutaneous cholecystostomy (PTC) in the management of acute cholecystitis in patients unfit for surgery: a systematic review and meta-analysis[J]. Surg Endosc, 2023, 37(4):2421-2438.
doi: 10.1007/s00464-022-09712-x |
| [19] | BOREGOWDA U, CHEN M, SALIGRAM S. Endoscopic ultrasound-guided gallbladder drainage versus percutaneous gallbladder drainage for acute cholecystitis: a systema-tic review and meta-analysis[J]. Diagnostics (Basel), 2023, 13(4):657. |
| [20] |
CHAN S M, TEOH A Y B, YIP H C, et al. Feasibility of per-oral cholecystoscopy and advanced gallbladder interventions after EUS-guided gallbladder stenting (with video)[J]. Gastrointest Endosc, 2017, 85(6):1225-1232.
doi: 10.1016/j.gie.2016.10.014 URL |
| [21] |
BATAILLE L, DEPREZ P. A new application for therapeutic EUS: main pancreatic duct drainage with a "pancreatic rendezvous technique"[J]. Gastrointest Endosc, 2002, 55(6):740-743.
doi: 10.1067/mge.2002.123621 pmid: 11979263 |
| [22] |
TEH J L, TEOH A Y B. Techniques and outcomes of endoscopic ultrasound guided-pancreatic duct drainage (EUS-PDD)[J]. J Clin Med, 2023, 12(4):1626.
doi: 10.3390/jcm12041626 URL |
| [23] |
TYBERG A, SHARAIHA R Z, KEDIA P, et al. EUS-guided pancreatic drainage for pancreatic strictures after failed ERCP: a multicenter international collaborative study[J]. Gastrointest Endosc, 2017, 85(1):164-169.
doi: S0016-5107(16)30381-9 pmid: 27460387 |
| [24] |
BHURWAL A, TAWADROS A, MUTNEJA H, et al. EUS guided pancreatic duct decompression in surgically altered anatomy or failed ERCP - a systematic review, meta-analysis and meta-regression[J]. Pancreatology, 2021, 21(5):990-1000.
doi: 10.1016/j.pan.2021.03.021 pmid: 33865725 |
| [25] |
CHANDAN S, MOHAN B P, KHAN S R, et al. Efficacy and safety of endoscopic ultrasound-guided pancreatic duct drainage (EUS-PDD): a systematic review and meta-analysis of 714 patients[J]. Endosc Int Open, 2020, 8(11):E1664-E1672.
doi: 10.1055/a-1236-3350 pmid: 33140022 |
| [26] |
NAKAI Y, KOGURE H, ISAYAMA H, et al. Endoscopic ultrasound-guided pancreatic duct drainage[J]. Saudi J gastroenterol, 2019, 25(4):210-217.
doi: 10.4103/sjg.SJG_474_18 pmid: 30632484 |
| [27] |
DALAL A, PATIL G, MAYDEO A. Six-year retrospective analysis of endoscopic ultrasonography-guided pancrea-tic ductal interventions at a tertiary referral center[J]. Dig Endosc, 2020, 32(3):409-416.
doi: 10.1111/den.v32.3 URL |
| [28] |
TYBERG A, BODIWALA V, KEDIA P, et al. EUS-guided pancreatic drainage: a steep learning curve[J]. Endosc Ultrasound, 2020, 9(3):175-179.
doi: 10.4103/eus.eus_3_20 pmid: 32584312 |
| [29] |
EKKELENKAMP V E, KOCH A D, RAUWS E A, et al. Competence development in ERCP: the learning curve of novice trainees[J]. Endosc, 2014, 46(11):949-955.
doi: 10.1055/s-00000012 URL |
| [30] |
DE ANGELIS P, ROMEO E, REA F, et al. Miniprobe EUS in management of pancreatic pseudocyst[J]. World J Gastrointest Endosc, 2013, 5(5):255-260.
doi: 10.4253/wjge.v5.i5.255 pmid: 23678380 |
| [31] |
PAUSAWASDI N, RUGIVARODOM M, RUJIRACHUN P, et al. Effectiveness and safety of a single 7-French plastic stent for endoscopic ultrasound-guided pancreatic pseudocyst drainage and long-term follow-up outcomes[J]. J Med Ultrasound, 2021, 29(4):250-257.
doi: 10.4103/JMU.JMU_148_20 pmid: 35127404 |
| [32] |
TAN J H, CHIN W, SHAIKH A L, et al. Pancreatic pseudocyst: dilemma of its recent management (review)[J]. Exp Ther Med, 2021, 21(2):159.
doi: 10.3892/etm.2020.9590 pmid: 33456526 |
| [33] | 朱惠云, 杜奕奇, 王凯旋, 等. 中国胰腺假性囊肿内镜诊治专家共识意见[J]. 中华消化内镜杂志, 2022, 39(10):765-777. |
| ZHU H Y, DU Y Q, WANG K X, et al. Chinese expert consensus on endoscopic diagnosis and treatment for pancreatic pseudocyst[J]. Chin J Dig Endosc, 2022, 39(10):765-777. | |
| [34] |
XIAO N J, CUI T T, LIU F, et al. Invasive intervention timing for infected necrotizing pancreatitis: late invasive intervention is not late for collection[J]. World J Clin Cases, 2022, 10(23):8057-8062.
doi: 10.12998/wjcc.v10.i23.8057 URL |
| [35] |
RAMAI D, ENOFE I, DELIWALA S S, et al. Early (<4 weeks) versus standard (≥4 weeks) endoscopic drainage of pancreatic walled-off fluid collections: a systematic review and meta-analysis[J]. Gastrointest Endosc, 2023, 97(3):415-421.
doi: 10.1016/j.gie.2022.11.003 URL |
| [36] |
CHAWLA A, AFRIDI F, PRASATH V, et al. Analysis of pancreatic pseudocyst drainage procedural outcomes: a population based study[J]. Surg Endosc, 2023, 37(1):156-164.
doi: 10.1007/s00464-022-09427-z |
| [37] |
GARG P K, MEENA D, BABU D, et al. Endoscopic versus laparoscopic drainage of pseudocyst and walled-off necrosis following acute pancreatitis: a randomized trial[J]. Surg Endosc, 2020, 34(3):1157-1166.
doi: 10.1007/s00464-019-06866-z |
| [38] |
LAKHTAKIA S. The endoscopic ultrasound features of pancreatic fluid collections: appearances can be deceptive![J]. Endosc, 2022, 54(6):563-564.
doi: 10.1055/a-1782-7437 URL |
| [39] |
PENN D E, DRAGANOV P V, WAGH M S, et al. Prospective evaluation of the use of fully covered self-expanding metal stents for EUS-guided transmural drainage of pancreatic pseudocysts[J]. Gastrointest Endosc, 2012, 76(3):679-684.
doi: 10.1016/j.gie.2012.04.457 pmid: 22732874 |
| [40] |
BERZOSA M, MAHESHWARI S, PATEL K K, et al. Single-step endoscopic ultrasonography-guided drainage of peripancreatic fluid collections with a single self-expandable metal stent and standard linear echoendoscope[J]. Endosc, 2012, 44(5):543-547.
doi: 10.1055/s-0031-1291710 URL |
| [41] |
KHIZAR H, YUFEI H, YANHUA W, et al. Safety and efficacy of lumen-apposing metal stents and double-pigtail plastic stents for endoscopic ultrasound-guided drainage of walled-off necrosis; a systematic review and meta-analysis[J]. Ann Med, 2023, 55(1):578-591.
doi: 10.1080/07853890.2022.2164048 pmid: 36779694 |
| [42] |
BANG J Y, NAVANEETHAN U, HASAN M K, et al. Non-superiority of lumen-apposing metal stents over plastic stents for drainage of walled-off necrosis in a randomised trial[J]. Gut, 2019, 68(7):1200-1209.
doi: 10.1136/gutjnl-2017-315335 pmid: 29858393 |
| [43] |
TEOH A Y B, BAPAYE A, LAKHTAKIA S, et al. Prospective multicenter international study on the outcomes of a newly developed self-approximating lumen-apposing metallic stent for drainage of pancreatic fluid collections and endoscopic necrosectomy[J]. Dig Endosc, 2020, 32(3):391-398.
doi: 10.1111/den.13494 pmid: 31343773 |
| [44] | RAMAI D, MORGAN A D, GKOLFAKIS P, et al. Endoscopic management of pancreatic walled-off necrosis[J]. Ann Gastroenterol, 2023, 36(2):123-131. |
| [45] |
CHAVAN R, NABI Z, LAKHTAKIA S, et al. Impact of transmural plastic stent on recurrence of pancreatic fluid collection after metal stent removal in disconnected pancreatic duct: a randomized controlled trial[J]. Endosc, 2022, 54(9):861-868.
doi: 10.1055/a-1747-3283 URL |
| [46] |
CHEN Y I, BARKUN A N, ADAM V, et al. Cost-effectiveness analysis comparing lumen-apposing metal stents with plastic stents in the management of pancreatic walled-off necrosis[J]. Gastrointest Endosc, 2018, 88(2):267-276.
doi: 10.1016/j.gie.2018.03.021 URL |
| [47] |
PRAGER M, PRAGER E, SEBESTA C Jr, et al. Diagnostic and therapeutic indications for endoscopic ultrasound (EUS) in patients with pancreatic and biliary disease-novel interventional procedures[J]. Curr Oncol, 2022, 29(9):6211-6225.
doi: 10.3390/curroncol29090488 pmid: 36135057 |
| [48] |
MATSUMOTO K, KATO H. Endoscopic ablation therapy for the pancreatic neoplasms[J]. Dig Endosc, 2023, 35(4):430-442.
doi: 10.1111/den.v35.4 URL |
| [49] |
MOYER M T, SHARZEHI S, MATHEW A, et al. The safety and efficacy of an alcohol-free pancreatic cyst ablation protocol[J]. Gastroenterol, 2017, 153(5):1295-1303.
doi: 10.1053/j.gastro.2017.08.009 URL |
| [50] |
DIETRICH C F, BRADEN B, JENSSEN C. Interventional endoscopic ultrasound[J]. Curr Opin Gastroenterol, 2021, 37(5):449-461.
doi: 10.1097/MOG.0000000000000760 URL |
| [51] |
ITONAGA M, KITANO M, ASHIDA R. Development of devices for interventional endoscopic ultrasound for the management of pancreatobiliary diseases[J]. Dig Endosc, 2023, 35(3):302-313.
doi: 10.1111/den.v35.3 URL |
| [52] |
THOSANI N, CEN P, ROWE J, et al. Endoscopic ultrasound-guided radiofrequency ablation (EUS-RFA) for advanced pancreatic and periampullary adenocarcinoma[J]. Sci Rep, 2022, 12(1):16516.
doi: 10.1038/s41598-022-20316-2 pmid: 36192558 |
| [53] |
KOULOURIS A I, ALEXANDRE L, HART A R, et al. Endoscopic ultrasound-guided celiac plexus neurolysis (EUS-CPN) technique and analgesic efficacy in patients with pancreatic cancer: a systematic review and meta-analysis[J]. Pancreatology, 2021, 21(2):434-442.
doi: 10.1016/j.pan.2020.12.016 pmid: 33461931 |
| [54] |
PÉREZ-AGUADO G, DE LA MATA D M, VALENCIANO C M, et al. Endoscopic ultrasonography-guided celiac plexus neurolysis in patients with unresectable pancreatic cancer: an update[J]. World J Gastrointest Endosc, 2021, 13(10):460-472.
doi: 10.4253/wjge.v13.i10.460 URL |
| [55] |
BRATANIC A, BOZIC D, MESTROVIC A, et al. Role of endoscopic ultrasound in anticancer therapy: current evidence and future perspectives[J]. World J Gastrointest Oncol, 2021, 13(12):1863-1879.
doi: 10.4251/wjgo.v13.i12.1863 URL |
| [56] |
FACCIORUSSO A, DI MASO M, SERVIDDIO G, et al. Echoendoscopic ethanol ablation of tumor combined with celiac plexus neurolysis in patients with pancreatic adenocarcinoma[J]. J Gastroenterol Hepatol, 2017, 32(2):439-445.
doi: 10.1111/jgh.2017.32.issue-2 URL |
| [57] |
BRADEN B, GUPTA V, DIETRICH C F. Therapeutic EUS: new tools, new devices, new applications[J]. Endosc Ultrasound, 2019, 8(6):370-381.
doi: 10.4103/eus.eus_39_19 pmid: 31417067 |
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一种防治鼻整形术后早期并发症的护理方法
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