Endoscopic ultrasound and endoscopic retrograde cholangiopancreatography: Can they be successfully combined?
Por:
Gornals, JB, Esteban, JM, Guarner-Argente, C, Marra-Lopez, C, Repiso, A, Sendino, O, Loras, C
Publicada:
1 nov 2016
Resumen:
Endoscopic ultrasound (EUS) and endoscopic retrograde cholangiopancreatography (ERCP) have much in common, including their main indications (biliopancreatic disorders), powerful therapeutic capacities and a steep learning curve. Over the years they have evolved from novel diagnostic procedures to interventional therapeutic techniques, but along different paths (different scopes or devices and endoscopists specializing exclusively in one or the other technique). However, EUS has gradually developed into a therapeutic technique that requires skills in the use of ERCP devices and stents, leading some ERCP specialists to explore the therapeutic potential of EUS. The corresponding literature, which has grown exponentially, includes recent experiments on combining the two techniques, which have gradually come to be used in routine care in a number of centers, with positive technical, clinical and financial outcomes. We review EUS and ERCP as individual or combined procedures for managing biliopancreatic disorders. (C) 2016 Elsevier Espana, S.L.U., AEEH y AEG. All rights reserved.
Filiaciones:
Gornals, JB:
Hosp Univ Bellvitge IDIBELL, Dept Digest Dis, Endoscopy Unit, Barcelona, Catalonia, Spain
Esteban, JM:
Hosp Clin San Carlos, Dept Digest Dis, Endoscopy Unit, Madrid, Spain
Guarner-Argente, C:
Hosp Santa Creu & Sant Pau, Dept Digest Dis, Endoscopy Unit, Barcelona, Catalonia, Spain
Marra-Lopez, C:
Hosp Univ Araba Sede Txagorritxu, Dept Digest Dis, Endoscopy Unit, Alava, Spain
Repiso, A:
Hosp Virgen Salud, Dept Digest Dis, Endoscopy Unit, Toledo, Spain
Sendino, O:
Hosp Clin Barcelona, Dept Digest Dis, Endoscopy Unit, Barcelona, Catalonia, Spain
Loras, C:
Hosp Mutua Terrassa, Dept Digest Dis, Endoscopy Unit, CIBEREHD, Terrassa, Catalonia, Spain
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