首页> 外文期刊>European journal of gastroenterology and hepatology >The substitution of endoscopic ultrasonography for endoscopic retrograde cholangio-pancreatography: implications for service development and training.
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The substitution of endoscopic ultrasonography for endoscopic retrograde cholangio-pancreatography: implications for service development and training.

机译:内镜超声替代内镜逆行胰胆管造影:对服务开发和培训的意义。

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摘要

Diagnostic indications of endoscopic retrograde cholangio-pancreatography (ERCP) have not completely disappeared. But the substitution of this examination by endoscopic ultrasonography (EUS) in the work-up of biliary and pancreatic diseases is supported by EUS's reliability and cost-effectiveness. In the future EUS will be challenged by magnetic resonance cholangiopancreatography (MRCP), when easily available. Therefore, the choice between EUS, MRCP and ERCP will become simplified: MRCP as the first option for diagnosis, EUS in doubtful cases needing sampling for pathology and ERCP as a therapeutic alternative to some surgical procedures.
机译:内镜逆行胰胆管造影(ERCP)的诊断指标尚未完全消失。但是,在胆汁和胰腺疾病的检查中用内镜超声检查(EUS)替代该检查得到了EUS的可靠性和成本效益的支持。将来,EUS将在容易获得时受到磁共振胰胆管造影(MRCP)的挑战。因此,将简化EUS,MRCP和ERCP之间的选择:MRCP是诊断的首选,在疑似病例中需要进行病理学检查的EUS,以及ERCP作为某些手术方法的治疗选择。

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