The future of endoscopic ultrasound: Interventional and therapeutic endoscopic ultrasonography

Abstract

In the early 1980s, endoscopic ultrasound was an imaging modality. After the development of linear endoscopic ultrasound scopes in the 1990s, utilization of fine needle aspiration techniques allowed tissue to be obtained for cytopathologic diagnosis. With the development of larger working channel endoscopic ultrasound scopes and new accessories, interventional and therapeutic procedures under endoscopic ultrasound guidance have been introduced. These procedures can be listed as hepaticogastrostomy and choledochoduodenostomy, drainage of pancreatic fluid collection, ablation of pancreatic neoplastic cysts, celiac plexus neurolysis, pancreatic canal drainage, and tumor ablation. The purpose of this article is to provide information on the potential future use of endoscopic ultrasound for interventional and therapeutic procedures. The routine indications of endoscopic ultrasound and endoscopic ultrasound -guided fine needle aspiration techniques are beyond the scope of this article.

Keywords

• Endoscopic ultrasound, fine-needle aspiration biopsies, invasive and therapeutic endoscopy

Endoskopik ultrasonografinin geleceği: Girişimsel ve tedavi edici endoskopik ultrasonografi

Öz

Endoskopik ultrason 1980'lerin başında sadece görüntüleme için geliştirilen bir teknoloji iken, 1990'larda lineer endoskopik ultrason skoplarının geliştirilmesiyle ince iğne aspirasyon biyopsisi alarak doku teşhisi koymakta kullanı lmaya başlandı. Endoskopik ultrason skoplarının kanal çaplarının artmasıyla ve yeni geliştirilen aksesuar aletlerle endoskopik ultrason kılavuzluğunda girişimsel ve tedavi edici işlemlerin önü açıldı. Günümüzde bu işlemlerin bir kısmı hala araştırma ve geliştirme evresinde olmasına rağmen bir kısmı rutin klinik pratiğimizde uygulanmaya başlandı. Endoskopik ultrason kılavuzluğunda yapılan girişimsel ve tedavi edici işlemler: hepatikogastrostomi ve koledokoduodenostomi, pankreatik sıvı koleksiyonlarının drenajı, pankreatik neoplastik kist ablasyonu, çölyak pleksus nörolizi, pankreatik kanal drenajı ve tümör tedavileri olarak sıralanabilinir. Bu makalede endoskopik ultrasonografinin gelecekte potansiyel kullanım alanları olabilecek girişimsel ve tedavi edici endoskopik ultrason teknikleri ve araştırmaları incelenip, okurlara yeni geliştirilen endosonografik teknikler hakkında bilgi verilmesi amaçlandı. Rutin endoskopik ultrason ve endoskopik ultrason kılavuzluğunda ince iğne aspirasyon teknikleri ve endikasyonları bu makalenin amaçları dışında kalmaktadır.

Anahtar Kelimeler

• Endoskopik ultrason, ince iğne aspirasyon biyopsisi, girişimsel ve tedavisel endosonografi

Kaynakça

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