Zusammenfassung
Die Endosonographie mit Feinnadelpunktion ist heute eine sehr wichtige, spezialisierte endoskopische Methode zur Diagnostik und Therapie zahlreicher Erkrankungen. Bei minimaler Invasivität und minimalen Komplikationen besitzt sie in erfahrenen Händen eine hohe klinische Effektivität. Insbesondere bei der Artdiagnostik kleinerer und disseminierter Läsionen entlang und um den Gastrointestinaltrakt und die Bronchien sowie zum Tumor-Staging und zur Lokaltherapie ist die Methodik etabliert und nutzbringend. In diesem Kapitel werden die wichtigsten Anwendungen und technischen Voraussetzungen detailliert dargestellt.
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Literatur
Adler G, Seufferlein T, Bischoff SC, Brambs HJ, Feuerbach S, Grabenbauer G, Hahn S, Heinemann V, Hohenberger W, Langrehr JM, Lutz MP, Micke O, Neuhaus H, Neuhaus P, Oettle H, Schlag PM, Schmid R, Schmiegel W, Schlottmann K, Werner J, Wiedenmann B, Kopp I (2007) S3-Guidelines »Exocrine pancreatic cancer« 2007. Z Gastroenterol 45:487–523
American Cancer Society (Hrsg) (2007) Cancer facts and figures. Am Cancer Soc, Atlanta
Arcidiacono PG, Calori G, Carrara S, McNicol ED, Testoni PA (2011) Celiac plexus block for pancreatic cancer pain in adults. Cochrane Database Syst Rev 3: CD007519
Ascunce G, Ribeiro A, Reis I, Rocha-Lima C, Sleeman D, Merchan J, Levi J (2011) EUS visualization and direct celiac ganglia neurolysis predicts better pain relief in patients with pancreatic malignancy (with video). Gastrointest Endosc 73:267–274
Bahari HM, Ismail A (1982) Endoscopic transgastric drainage of pseudopancreatic cyst. Med J Malaysia 37:316–317
Bakker OJ, van Santvoort HC, van Brunschot S, Geskus RB, Besselink M, Bollen TL, van Eijck CH, Fockens P, Hazebroek EJ, Nijmeijer RM, Poley JW, van Ramshorst B, Vleggaar FP, Boermeester MA, Gooszen HG, Weusten BL, Timmer R (2012) Endoscopic transgastric vs surgical necro sectomy for infected necrotizing pancreatitis: a randomized trial. JAMA 307: 1053–1061
Bang JY et al (2019) An Endoscopic Transluminal Approach, Compared With Minimally Invasive Surgery, Reduces Complications and Costs for Patients With Necrotizing Pancreatitis. Gastroenterology 156(4): 1027–1040 e3
van Brunschot S et al (2018) Infected necrotising pancreatitis: antibiotic administration remains the first step – Authors’ reply. Lancet 391(10139):2502
Colan-Hernandez J et al (2020) Antibiotic Prophylaxis Is Not Required for Endoscopic Ultrasonography-Guided Fine-Needle Aspiration of Pancreatic Cystic Lesions, Based on a Randomized Trial. Gastroenterology 158(6): 1642–1649 e1
DeWitt J, DiMaio CJ, Brugge WR (2010) Long-term follow-up of pancreatic cysts that resolve radiologically after EUS-guided ethanol ablation. Gastrointest Endosc 72:862–866
Dumonceau JM, Polkowski M, Larghi A, Vilmann P, Giovannini M, Frossard JL, Heresbach D, Pujol B, Fernandez-Esparrach G, Vazquez-Sequeiros E, Gines A (2011) Indications, results, and clinical impact of endoscopic ultrasound (EUS)-guided sampling in gastroenterology: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 43:897–912
Fujii L, Clain JE, Morris JM, Levy MJ (2012) Anterior spinal cord infarction with permanent paralysis following endoscopic ultrasound celiac plexus neurolysis. Endoscopy 44(Suppl 2 UCTN): E265–266
Gardner TB, Coelho-Prabhu N, Gordon SR, Gelrud A, Maple JT, Papachristou GI, Freeman ml, Topazian MD, Attam R, Mackenzie TA, Baron TH (2011) Direct endoscopic necro sectomy for the treatment of walled-off pancreatic necrosis: results from a multicenter U.S. series. Gastrointest Endosc 73: 718–726
Giovannini M, Bernardini D, Seitz JF (1998) Cystogastrotomy entirely performed under endosonography guidance for pancreatic pseudocyst: results in six patients. Gastrointest Endosc 48:200–203
Gottschalk U, Jenssen C, Webhofer T, Düffelmeyer M (2012) How dangerous is endoscopic ultrasound? Results of a German prospective multicentric endoscopic ultrasound registry. Endoscopy 44:1231–1237
Hollerbach S (2013) Endosonografisch gesteuerte Plexus-coeliacus-Blockade (EUS-FNI). In: Jenssen C et al (Hrsg) Kursbuch Endosonografie. Thieme, Stuttgart
Hollerbach S, Willert J, Topalidis T, Reiser M, Schmiegel W (2003) Endoscopic ultrasound-guided fine-needle aspiration biopsy of liver lesions: histological and cytological assessment. Endoscopy 35:743–739
Hollerbach S, Böcking A, Wellmann A (2010) Interventionelle Endosonographie. Sichere Tumordiagnosen sind auch ohne Staging-Operationen möglich. Dtsch Arztebl 107:A2390-2391
Itoi T et al (2017) Technical review of endoscopic ultrasonography-guided gastroenterostomy in 2017. Dig Endosc 29(4):495–502
Isayama H, Nakai Y, Kawakubo K, Kawakami H, Itoi T, Yamamoto N, Kogure H, Koike K (2013) The endoscopic ultrasonography-guided rendezvous technique for biliary cannulation: a technical review. J Hepatobiliary Pancreat Sci 20:413–420
Jenssen C, Dietrich CF (2008) Endoscopic ultrasound of gastrointestinal subepithelial lesions. Ultraschall Med 29: 236–256; quiz 2572–2564
Jenssen C, Hollerbach S (2013) Endosonografisch geführte Feinnadelpunktion (EUS-FNP) In: Jenssen C et al. (Hrsg) Kursbuch Endosonografie. Thieme, Stuttgart
Jenssen C, Mayr M, Nuernberg D, Faiss S (2011a) Complications of endoscopic ultrasound: risk assessment and prevention. In: Dietrich CF (Hrsg) Endoscopic ultrasound. An introductory manual and Atlas. Thieme, Stuttgart, S 176–196
Jenssen C, Möller K, Sarbia M, Wagner S (2011b) Endoscopic ultrasound-guided biopsy – indications, problems, pitfalls, troubleshooting, clinical impact. In: Dietrich CF (Hrsg.) Endoscopic ultrasound – an introductory manual and atlas. Thieme, Stuttgart
Jürgensen C, Schuppan D, Neser F, Ernstberger J, Junghans U, Stolzel U (2006) EUS-guided alcohol ablation of an insulinoma. Gastrointest Endosc 63:1059–1062
Jürgensen C, Neser F, Boese-Landgraf J, Schuppan D, Stolzel U, Fritscher-Ravens A (2012) Endoscopic ultrasound-guided endoscopic necro sectomy of the pancreas: is irrigation necessary? Surg Endosc 26:1359–1363
Jurgensen C, Wentrup R, Zeitz M (2013) Endoscopic ultrasound (EUS)-guided transduodenal drainage of an obstructed jejunal loop after hepaticojejunostomy as treatment for recurrent biliary sepsis. Endoscopy 45 (Suppl 2 UCTN): E40-1
Jurgensen C et al (2019) EUS-guided drainage in the management of postoperative pancreatic leaks and fistulas (with video). Gastrointest Endosc 89(2): 311–319 e1
Kaufman M, Singh G, Das S, Concha-Parra R, Erber J, Micames C, Gress F (2010) Efficacy of endoscopic ultrasound-guided celiac plexus block and celiac plexus neurolysis for managing abdominal pain associated with chronic pancreatitis and pancreatic cancer. J Clin Gastroenterol 44: 127–134
Kedia P et al (2015) EUS-directed transgastric ERCP for Roux-en-Y gastric bypass anatomy: a minimally invasive approach. Gastrointest Endosc 82(3): 560–565.
LeBlanc JK, Al-Haddad M, McHenry L, Sherman S, Juan M, McGreevy K, Johnson C, Howard TJ, Lillemoe KD, DeWitt J (2011) A prospective, randomized study of EUS-guided celiac plexus neurolysis for pancreatic cancer: one injection or two ? Gastrointest Endosc 74:1300–1307
Levy MJ, Gleeson FC, Campion MB, Caudill JL, Clain JE, Halling K, Rajan E, Topazian MD, Wang KK, Wiersema MJ, Clayton A (2010) Prospective cytological assessment of gastrointestinal luminal fluid acquired during EUS: a potential source of false-positive FNA and needle tract seeding. Am J Gastroenterol 105:1311–1318
Loeve US, Mortensen MB (2013) Lethal necrosis and perforation of the stomach and the aorta after multiple EUS-guided celiac plexus neurolysis procedures in a patient with chronic pancreatitis. Gastrointest Endosc 77:151–152
Mercadante S, Nicosia F (1998) Celiac plexus block: a reappraisal. Reg Anesth Pain Med 23:524
Moehler M, Al-Batran SE, Andus T, Anthuber M, Arends J, Arnold D, Aust D, Baier P, Baretton G, Bernhardt J, Boeing H, Bohle E, Bokemeyer C, Bornschein J, Budach W, Burmester E, Caca K, Diemer WA, Dietrich CF, Ebert M, Eickhoff A, Ell C, Fahlke J, Feussner H, Fietkau R, Fischbach W, Fleig W, Flentje M, Gabbert HE, Galle PR, Geissler M, Gockel I, Graeven U, Grenacher L, Gross S, Hartmann JT, Heike M, Heinemann V, Herbst B, Herrmann T, Hocht S, Hofheinz RD, Hofler H, Hohler T, Holscher AH, Horneber M, Hubner J, Izbicki JR, Jakobs R, Jenssen C, Kanzler S, Keller M, Kiesslich R, Klautke G, Korber J, Krause BJ, Kuhn C, Kullmann F, Lang H, Link H, Lordick F, Ludwig K, Lutz M, Mahlberg R, Malfertheiner P, Merkel S, Messmann H, Meyer HJ, Monig S, Piso P, Pistorius S, Porschen R, Rabenstein T, Reichardt P, Ridwelski K, Rocken C, Roetzer I, Rohr P, Schepp W, Schlag PM, Schmid RM, Schmidberger H, Schmiegel WH, Schmoll HJ, Schuch G, Schuhmacher C, Schutte K, Schwenk W, Selgrad M, Sendler A, Seraphin J, Seufferlein T, Stahl M, Stein H, Stoll C, Stuschke M, Tannapfel A, Tholen R, Thuss-Patience P, Treml K et al (2011) German S3-guideline »Diagnosis and treatment of esophagogastric cancer«. Z Gastroenterol 49:461–531
Park DH, Lee SS, Moon SH, Choi SY, Jung SW, Seo DW, Lee SK, Kim MH (2009) Endoscopic ultrasound-guided versus conventional transmural drainage for pancreatic pseudocysts: a prospective randomized trial. Endoscopy 41:842–848
Polkowski M, Larghi A, Weynand B, Boustiere C, Giovannini M, Pujol B, Dumonceau JM (2012) Learning, techniques, and complications of endoscopic ultrasound (EUS)-guided sampling in gastroenterology: European Society of Gastrointestinal Endoscopy (ESGE) Technical Guideline. Endoscopy 44:190–206
Puli SR, Reddy JB, Bechtold ml, Antillon MR, Brugge WR (2009) EUS-guided celiac plexus neurolysis for pain due to chronic pancreatitis or pancreatic cancer pain: a meta-analysis and systematic review. Dig Dis Sci 54: 2330–2337
Romanelli DF, Beckmann CF, Heiss FW (1993) Celiac plexus block: efficacy and safety of the anterior approach. Am J Roentgenol 160:497–500
Runzi M, Niebel W, Goebell H, Gerken G, Layer P (2005) Severe acute pancreatitis: nonsurgical treatment of infected necroses. Pancreas 30:195–199
Seifert H, Wehrmann T, Schmitt T, Zeuzem S, Caspary WF (2000) Retroperitoneal endoscopic debridement for infected peripancreatic necrosis. Lancet 356:653–655
Seifert H, Biermer M, Schmitt W, Jurgensen C, Will U, Gerlach R, Kreitmair C, Meining A, Wehrmann T, Rosch T (2009) Transluminal endoscopic necro sectomy after acute pancreatitis: a multicentre study with long-term follow-up (the GEPARD Study). Gut 58:1260–1266
Sharples L, Jackson C, Wheaton E, Griffith G, Annema J, Dooms C, Tournoy K, Deschepper E, Hughes V, Magee L, Buxton M, Rintoul R (2012) Clinical effectiveness and cost-effectiveness of endobronchial and endoscopic ultrasound relative to surgical staging in potentially re sectable lung cancer: results from the ASTER randomised controlled trial. Health Technol Assess 16:1–82
Sobin LH, Gospodarowicz MK, Wittekind C (Hrsg) (2009) UICC: TNM classification of malignant tumors, 7. Aufl. Wiley, Oxford
Siddiqui A et al (2019) Three-way comparative study of endoscopic ultrasound-guided transmural gallbladder drainage using lumen-apposing metal stents versus endoscopic transpapillary drainage versus percutaneous cholecystostomy for gallbladder drainage in high-risk surgical patients with acute cholecystitis: clinical outcomes and success in an International. Multicenter Study. Surg Endosc 33(4):1260–1270
Teoh AYB et al (2020) Endosonography-guided gallbladder drainage versus percutaneous cholecystostomy in very high-risk surgical patients with acute cholecystitis: an international randomised multicentre controlled superiority trial (DRAC 1). Gut 69(6):1085–1091
Varadarajulu S, Christein JD, Tamhane A, Drelichman ER, Wilcox cm (2008) Prospective randomized trial comparing EUS and EGD for transmural drainage of pancreatic pseudocysts (with videos). Gastrointest Endosc 68: 1102–1111
Wang KX, Ben QW, Jin ZD, Du YQ, Zou DW, Liao Z, Li ZS (2011) Assessment of morbidity and mortality associated with EUS-guided FNA: a systematic review. Gastrointest Endosc 73:283–290
Wiersema MJ, Wiersema LM (1996) Endosonography guided celiac plexus neurolysis (EUS-CPN) in patients with pain due to intra-abdominal malignancy (IAM). Gastrointest Endosc 44:656–662
Wilcox cm (2012) Tinkering with a tarnished technique: isn’t it time to abandon celiac plexus blockade for the treatment of abdominal pain in chronic pancreatitis? Clin Gastroenterol Hepatol10: 106–108
Will U, Meyer F (2012) Endoscopic ultrasonography (EUS)-guided transluminal cholangiodrainage (EUCD) – a novel option of interventional endoscopy in the interdiciplinary management of obstructive jaundice. Zentralbl Chir 137:20–31
Will U, Fueldner F, Thieme AK, Goldmann B, Gerlach R, Wanzar I, Meyer F (2007) Transgastric pancreatography and EUS-guided drainage of the pancreatic duct. J Hepatobiliary Pancreat Surg 14:377–382
Wyse JM, Carone M, Paquin SC, Usatii M, Sahai AV (2011) Randomized, double-blind, controlled trial of early endoscopic ultrasound-guided celiac plexus neurolysis to prevent pain progression in patients with newly diagnosed, painful, inoperable pancreatic cancer. J Clin Oncol 29:3541–3546
Yasuda I, Nakashima M, Iwai T, Isayama H, Itoi T, Hisai H, Inoue H, Kato H, Kanno A, Kubota K, Irisawa A, Igarashi H, Okabe Y, Kitano M, Kawakami H, Hayashi T, Mukai T, Sata N, Kida M, Shimosegawa T (2013) Japanese multicenter experience of endoscopic necro sectomy for infected walled-off pancreatic necrosis: The JENIPaN study. Endoscopy 45:627–634
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Jürgensen, C., Hollerbach, S. (2023). Endosonographisch gesteuerte Interventionen: Indikationen, Kontraindikationen, Risiken. In: Kähler, G., Götz, M., Senninger, N. (eds) Therapeutische Endoskopie im Gastrointestinaltrakt. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-65087-5_5
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