Diagnostic endoscopic ultrasonography:Assessment of safety and prevention of complications

查看全文 作　　者：Christian [1]Jenssen;Maria Victoria Alvarez-[2]Sánchez;Bertrand [2]Napoléon;Siegbert [3]Faiss

机构地区：[1]Department of Internal Medicine,Krankenhaus M rkisch-Oderland GmbH,D15344 Strausberg,Germany;[2]Department of Gastroenterology and Hepatology,Hopital Privé Jean Mermoz,F69008 Lyon,France;[3]Department of Gastroenterology and Hepatology,Asklepios Klinik Barmbek,D22291 Hamburg,Germany

出　　处：《World Journal of Gastroenterology》索引2012年第18卷第34期,共18页

摘　　要：Endoscopic ultrasonography (EUS) has gained wide acceptance as an important, minimally invasive diagnostic tool in gastroenterology, pulmonology, visceral surgery and oncology. This review focuses on data regarding risks and complications of non-interventional diagnostic EUS and EUS-guided fine-needle biopsy (EUS-FNB). Measures to improve the safety of EUS und EUS-FNB will be discussed. Due to the specific mechanical properties of echoendoscopes in EUS, there is a low but noteworthy risk of perforation. To minimize this risk, endoscopists should be familiar with the specific features of their equipment and their patients' specific anatomical situations (e.g., tumor stenosis, diverticula). Most diagnostic EUS complications occur during EUS-FNB. Pain, acute pancreatitis, infection and bleeding are the primary adverse effects, occurring in 1% to 2% ofpatients. Only a few cases of needle tract seeding and peritoneal dissemination have been reported. The mortality associated with EUS and EUS-FNB is 0.02%. The risks associated with EUS-FNB are affected by endoscopist experience and target lesion. EUS-FNB of cystic lesions is associated with an increased risk of infection and hemorrhage. Peri-interventional antibiotics are recommended to prevent cyst infection. Adequate education and training, as well consideration of contraindications, are essential to minimize the risks of EUS and EUS-FNB. Restricting EUS-FNB only to patients in whom the cytopathological results may be expected to change the course of management is the best way of reducing the number of complications. 关键词：内视镜的 ultrasonography 内视镜的指导 ultrasonography 的好针的活体检视复杂并发症禁止徵候风险安全穿孔流血感染尖锐胰腺炎

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Diagnostic endoscopic ultrasonography:Assessment of safety and prevention of complications

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