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Quel futur pour l’EE?

What Future for EUS?

  • Published:
Acta Endoscopica

Résumé

L’Echoendoscopie (EE) et la ponction aspiration à l’aiguille fine guide par EE recouvrent une grande variété d’applications diagnostiques et thérapeutiques. Outre les applications bien établies, de nouvelles indications voient le jour. Certaines sont novatrices, développées par des endosonographistes les plus expérimentés avec dans un futur proche, un rôle présumé en pratique clinique. D’autres ne sont que des applications expérimentales, menées sur des modèles animaux ou sur un groupe de patients hautement sélectionnés. Celles-ci ouvrent néanmoins une voie fascinante de recherche sachant toutefois qu’elles ne seront pas rapidement introduites dans la pratique clinique.

Summary

Endoscopic ultrasonography (EUS) and EUS-guided fine needle aspiration (FNA) encompass a variety of diagnostic and therapeutic applications. Along with established indications, new indications are emerging. Some are innovative applications, developed by highly experienced endosonographers and with a putative role for clinical practice in the near future. Others are merely experimental applications, carried on in animal models or in highly selected groups of patients, opening up new fascinating areas of research but not for imminent introduction in clinical practice.

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Références

  1. Wildi SM, Fickling WE, Day TA, Cunningham CD 3rd, Schmulewitz N, Varadarajulu S, et al. Endoscopic ultrasonography in the diagnosis and staging of neoplasms of the head and neck. Endoscopy 2004; 36: 624–30.

    Article  PubMed  CAS  Google Scholar 

  2. Fritscher-Ravens A, Schirrow L, Pothmann W, Knofel WT, Swain P, Soehendra N. Critical care transesophageal endosonography and guided fine-needle aspiration for diagnosis and management of posterior mediastinitis. Crit Care Med 2003; 31: 126–32.

    Article  PubMed  Google Scholar 

  3. Varadarajulu S, Hoffman BJ, Hawes RH, Eloubeidi MA. EUS-guided FNA of lung masses adjacent to or abutting the esophagus after unrevealing CT-guided biopsy or bronchoscopy. Gastrointest Endosc 2004; 60: 293–7.

    Article  PubMed  Google Scholar 

  4. Prasad P, Schmulewitz N, Patel A, Varadarajulu S, Wildi SM, Roberts S, et al. Detection of occult liver métastases during EUS for staging of malignancies. Gastrointest Endosc 2004; 59: 49–53.

    Article  PubMed  Google Scholar 

  5. DeWitt J, LeBlanc J, McHenry L, Ciaccia D, Imperiale T, Chappo J, et al. Endoscopic ultrasound-guided fine needle aspiration cytology of solid liver lesions: a large single-center experience. Am J Gastroenterol 2003; 98:1976–81.

    PubMed  Google Scholar 

  6. Eloubeidi MA, Seewald S, Tamhane A, Brand B, Chen VK, Yasuda I, et al. EUS-guided FNA of the left adrenal gland in patients with thoracic or GI malignancies. Gastrointest Endosc 2004; 59: 627–33.

    Article  PubMed  Google Scholar 

  7. Lai L, Poneros J, Santilli J, Brugge W. EUS-guided portal vein catheterization and pressure measurement in an animal model: a pilot study of feasibility. Gastrointest Endosc 2004; 59: 280–3.

    Article  PubMed  Google Scholar 

  8. Parasher VK, Hernandez LV, Leveen RF, Mladinich CR, Nonabur V, Bhutani MS. Lymph sampling and lymphangiography via EUS-guided transesophageal thoracic duct puncture in a swine model. Gastrointest Endosc 2004; 59: 564–7.

    Article  PubMed  Google Scholar 

  9. Brugge WR, Lewandrowski K, Lee-Lewandrowski E, Centeno BA, Szydlo T, Regan S, et al. Diagnosis of pancreatic cystic neoplasms: a report of the cooperative pancreatic cyst study. Gastroenterology 2004; 126:1330–6.

    Article  Google Scholar 

  10. Chen SL, Venegas R, French S, Le T, Lee H, Feng J, et al. Does immunohistochemical staining improve the diagnostic yield of endoscopic ultrasonography-guided fine needle pancreatic aspirates? Gastrointest Endosc 2003; 57: AB237.

    Article  Google Scholar 

  11. Tada M, Komatsu Y, Kawabe T, Sasahira N, Isayama H, Toda N, et al. Quantitative analysis of K-ras gene mutation in pancreatic tissue obtained by endoscopie ultrasonography-guided fine needle aspiration: clinical utility for diagnosis of pancreatic tumor. Am J Gastroenterol 2002; 97: 2263–70.

    Article  PubMed  CAS  Google Scholar 

  12. Chhieng DC, Benson E, Eltoum I, Eloubeidi MA, Jhala N, Jhala D, et al. MUC1 and MUC2 expression in pancreatic ductal carcinoma obtained by fine-needle aspiration. Cancer 2003; 99: 365–71.

    Article  PubMed  CAS  Google Scholar 

  13. Hollerbach S, Brasch F, Junker K, Kosciesza S, Reiser Jr. M, Topalidis T, et al. Accuracy of histology, cytology, and immunohistochemistry (DPC-4, Muc-1) in EUS-guided pancreatic biopsies. Gastrointest Endosc 2004; 59: AB95.

    Article  Google Scholar 

  14. Mishra G, Case D, Zhao M, Bridgers D, Pineau B, Sweeney J, et al. Assessment of telomerase activity in samples obtained from pancreatic lesions by endoscopie ultrasound guided fine needle aspiration (EUS-FNA) is clinically useful. Gastrointest Endosc 2004; 59: AB223.

    Article  Google Scholar 

  15. Wallace MB, Block M, Hoffman BJ, Hawes RH, Silvestri G, Reed CE, et al. Detection of telomerase expression in mediastinal lymph nodes of patients with lung cancer. Am J Respir Crit Care Med 2003; 167: 1670–5.

    Article  PubMed  Google Scholar 

  16. Pellise M, Castells A, Gines A, Agrelo R, Sole M, Castellvi-Bel S, et al. Detection of lymph node micrometastases by gene promoter hypermethylation in samples obtained by endosonography-guided fine-needle aspiration biopsy. Clin Cancer Res 2004; 10: 4444–9.

    Article  PubMed  CAS  Google Scholar 

  17. Larghi A, Verna EC, Stavropoulos SN, Rotterdam H, Lightdale CJ, Stevens PD. EUS-guided trucut needle biopsies in patients with solid pancreatic masses: a prospective study. Gastrointest Endosc 2004; 59:185–90.

    Article  PubMed  Google Scholar 

  18. Kahaleh M, Yoshida C, Kane L, Yeaton P. Interventional EUS cholangiography: A report of five cases. Gastrointest Endosc 2004; 60:138–42.

    Article  PubMed  Google Scholar 

  19. Francois E, Kahaleh M, Giovannini M, Matos C, Devière J. EUS-guided pancreaticogastrostomy. Gastrointest Endosc 2002; 56: 128–33.

    Article  PubMed  Google Scholar 

  20. Chang KJ, Nguyen PT, Thompson JA, Kurosaki TT, Casey LR, Leung EC, et al. Phase I clinical trial of allogeneic mixed lymphocyte culture (Cytoimplant) delivered by endoscopic ultrasound-guided fine needle injection in patients with advanced pancreatic carcinoma. Cancer 2000; 88:1325–35.

    Article  PubMed  CAS  Google Scholar 

  21. Bedford RA, Hecht R, Lahoti S, Abbruzzese L, So L, Kim D. Tolerability and efficacy of direct injection of pancreatic adenocarcinomas with ONYX-015 under endoscopie ultrasound (EUS) guidance. Gastrointest Endosc 2000; 51: AB97.

    Google Scholar 

  22. Chang KJ, Senzer N, Chung T, Hecht JR, Vogel S, Rosemurgy A, et al. A novel gene transfer therapy against pancreatic cancer (TNFerade) delivered by endoscopie ultrasound (EUS) and percutaneous guided fine needle injection (FNI). Gastrointest Endosc 2004; 59: AB92.

    Google Scholar 

  23. Barclay RL, Perez-Miranda M, Giovannini M. EUS-guided treatment of a solid hepatic metastasis. Gastrointest Endosc 2002; 55: 266–70.

    Article  PubMed  Google Scholar 

  24. Ashida R, Yamao K, Matsumoto K, Okubo K, Sawaki A, Mizuno N, et al. Experimental study of endoscopic ultrasound guided ethanol injection in the pancreas; novel strategy for pancreatic lesion. Gastrointest Endosc 2004; 59: AB212.

    Article  Google Scholar 

  25. Thompson CC, Bounds BC, Brugge WR. EUS-guided ethanol lavage of pancreatic cystadenomas: a pilot study to assess safety and effect. Gastrointest Endosc 2003; 57: AB242.

    Google Scholar 

  26. Doniec MJ, Loehnert MS, Kovacs G, Kremer B, Grimm HA. Rectal EUS guided HDR-brachytherapy in patients with anal and perianal malignancies. Gastrointest Endosc 2000; 51: AB106.

    Google Scholar 

  27. Goldberg SN, Mallery S, Gazelle GS, Brugge WR. EUS-guided radiofrequency ablation in the pancreas: results in a porcine model. Gastrointest Endosc 1999; 50: 392–401.

    Article  PubMed  CAS  Google Scholar 

  28. Chan HH, Nishioka NS, Mino M, Lauwers GY, Puricelli WP, Collier KN, et al. EUS-guided photodynamic therapy of the pancreas: a pilot study. Gastrointest Endosc 2004; 59: 95–9.

    Article  PubMed  Google Scholar 

  29. Fritscher-Ravens A, Mosse CA, Mukherjee D, Yazaki E, Park PO, Mills T, et al. Transgastric gastropexy and hiatal hernia repair for GERD under EUS control: a porcine model. Gastrointest Endosc 2004; 59: 89–95.

    Article  PubMed  Google Scholar 

  30. Fritscher-Ravens A, Mosse A, Mills TN, Mukherjee D, Park PO, Swain P. A through-the-scope device for suturing and tissue approximation under EUS control. Gastrointest Endosc 2002; 56: 737–42.

    Article  PubMed  Google Scholar 

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Caletti, G., Fusaroli, P. Quel futur pour l’EE?. Acta Endosc 35, 53–58 (2005). https://doi.org/10.1007/BF03002648

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  • DOI: https://doi.org/10.1007/BF03002648

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