Skip to main content
SpringerLink
Log in

Endoluminaler Ultraschall des Gastrointestinaltraktes

Endosonography of the gastrointestinal tract

  • Leitthema
  • Published:
Der Chirurg Aims and scope Submit manuscript

Zusammenfassung

Neue endoluminale, bildgebende Techniken nehmen einen zunehmenden klinischen Stellenwert in der Diagnostik und Therapie verschiedenster gastrointestinaler Erkrankungen ein. Die klassische Endosonographie (EUS) erweitert ihre klinischen Anwendungsmöglichkeiten durch den Einsatz von Kontrastmitteln oder der Elastographie. Diese Übersichtsarbeit zeigt aktuelle Standards auf, diskutiert ausgewählte endoluminal geführte Therapieoptionen und stellt neue Techniken der Bildgebung vor.

Abstract

The clinical value of endosonography (EUS) in the gastrointestinal (GI) tract is currently increasing and supported by new imaging techniques. Conventional EUS combined with contrast application or elastography might further refine the diagnostic yield for GI cancers. The present review discusses current standards of EUS and endosonographically guided therapy and discusses newly available imaging modalities.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Abb. 1
Abb. 2
Abb. 3
Abb. 4

Literatur

  1. Agarwal B, Swisher S et al. (2004) Endoscopic ultrasound after preoperative chemoradiation can help identify patients who benefit maximally after surgical esophageal resection. Am J Gastroenterol 99: 1258–1266

    Article  PubMed  Google Scholar 

  2. Arcidiacono PG, Rossi M (2004) Celiac plexus neurolysis.“ Jop 5: 315–321

    Google Scholar 

  3. Arguedas MR, Dupont AW et al. (2001) Where do ERCP, endoscopic ultrasound, magnetic resonance cholangiopancreatography, and intraoperative cholangiography fit in the management of acute biliary pancreatitis? A decision analysis model. Am J Gastroenterol 96: 2892–2899

    Article  PubMed  Google Scholar 

  4. Becker D, Strobel D et al. (2001) Echo-enhanced color- and power-Doppler EUS for the discrimination between focal pancreatitis and pancreatic carcinoma. Gastrointest Endosc 53: 784–789

    Article  PubMed  Google Scholar 

  5. Bhandari S, Shim CS et al. (2004) Usefulness of three-dimensional, multidetector row CT (virtual gastroscopy and multiplanar reconstruction) in the evaluation of gastric cancer: a comparison with conventional endoscopy, EUS, and histopathology.“ Gastrointest Endosc 59: 619–626

    Google Scholar 

  6. Brugge WR (2004) Evaluation of pancreatic cystic lesions with EUS. Gastrointest Endosc 59: 698–707

    Article  PubMed  Google Scholar 

  7. Burmester E, Niehaus J et al. (2003) EUS-cholangio-drainage of the bile duct: report of 4 cases.“ Gastrointest Endosc 57: 246–251

    Google Scholar 

  8. Buscarini E, Tansini P et al. (2003) EUS for suspected choledocholithiasis: do benefits outweigh costs? A prospective, controlled study. Gastrointest Endosc 57: 510–518

    Article  PubMed  Google Scholar 

  9. Buttar NS, Wang KK et al. (2001) Combined endoscopic mucosal resection and photodynamic therapy for esophageal neoplasia within Barrett’s esophagus. Gastrointest Endosc 54: 682–688

    PubMed  Google Scholar 

  10. Canto MI (2001) Methylene blue chromoendoscopy for Barrett’s esophagus: coming soon to your GI unit? Gastrointest Endosc 54: 403–409

    Article  PubMed  Google Scholar 

  11. Dietrich CF, Ignee A et al. (2005) Contrast-enhanced endoscopic ultrasound with low mechanical index: a n ew technique. Z Gastroenterol 43: 1219–1223

    Article  PubMed  Google Scholar 

  12. Dittler HJ, Siewert JR (1993) Role of endoscopic ultrasonography in esophageal carcinoma. Endoscopy 25: 156–161

    PubMed  Google Scholar 

  13. Dittler HJ, Siewert JR (1993) Role of endoscopic ultrasonography in gastric carcinoma. Endoscopy 25: 162–166

    PubMed  Google Scholar 

  14. Ell C, May A et al. (2007) Curative endoscopic resection of early esophageal adenocarcinomas (Barrett’s cancer). Gastrointest Endosc 65: 3–10

    Article  PubMed  Google Scholar 

  15. Engstrom CF, Wiechel KL (1990) Endoluminal ultrasound of the bile ducts. Surg Endosc 4: 187–190

    Article  PubMed  Google Scholar 

  16. Fritscher-Ravens A, Brand L et al. (2002) Comparison of endoscopic ultrasound-guided fine needle aspiration for focal pancreatic lesions in patients with normal parenchyma and chronic pancreatitis. Am J Gastroenterol 97: 2768–2775

    Article  PubMed  Google Scholar 

  17. Giovannini M, Bernardini D et al. (1999) Endoscopic mucosal resection (EMR): results and prognostic factors in 21 patients. Endoscopy 31: 698–701

    Article  PubMed  Google Scholar 

  18. Giovannini M, Bories E et al. (2006) Three-dimensional endorectal ultrasound using a new freehand software program: results in 35 patients with rectal cancer. Endoscopy 38: 339–343

    Article  PubMed  Google Scholar 

  19. Giovannini M, Bories E et al. (2004) Circumferential endoscopic mucosal resection in Barrett’s esophagus with high-grade intraepithelial neoplasia or mucosal cancer. Preliminary results in 21 patients. Endoscopy 36: 782–787

    Article  PubMed  Google Scholar 

  20. Giovannini M, Pesenti C et al. (2001) Endoscopic ultrasound-guided drainage of pancreatic pseudocysts or pancreatic abscesses using a therapeutic echo endoscope. Endoscopy 33: 473–477

    Article  PubMed  Google Scholar 

  21. Habermann CR, Weiss F et al. (2004) Preoperative staging of gastric adenocarcinoma: comparison of helical CT and endoscopic US. Radiology 230: 465–471

    Article  PubMed  Google Scholar 

  22. Harewood GC, Wright CA et al. (2003) Impact on patient outcomes of experience in the performance of endoscopic pancreatic fluid collection drainage. Gastrointest Endosc 58: 230–235

    Article  PubMed  Google Scholar 

  23. Hocke M, Schulze E et al. (2006) Contrast-enhanced endoscopic ultrasound in discrimination between focal pancreatitis and pancreatic cancer. World J Gastroenterol 12: 246–250

    PubMed  Google Scholar 

  24. Kim JC, Kim HC et al. (2006) Efficacy of 3-dimensional endorectal ultrasonography compared with conventional ultrasonography and computed tomography in preoperative rectal cancer staging. Am J Surg 192: 89–97

    Article  PubMed  Google Scholar 

  25. Kruger M, Schneider AS et al. (2006) Endoscopic management of pancreatic pseudocysts or abscesses after an EUS-guided 1-step procedure for initial access. Gastrointest Endosc 63: 409–416

    Article  PubMed  Google Scholar 

  26. Kunisaki C, Shimada H et al. (2001) Appropriate lymph node dissection for early gastric cancer based on lymph node metastases. Surgery 129: 153–157

    Article  PubMed  Google Scholar 

  27. Lerut T, Flamen P (2002) Role of FDG-PET scan in staging of cancer of the esophagus and gastroesophageal junction. Minerva Chir 57: 837–845

    PubMed  Google Scholar 

  28. Lippert H (1998) Significance and value for the surgeon--the role of surgical examination. Endosonography within the scope of colon and rectal surgery. Langenbecks Arch Chir Suppl Kongressbd 115: 271–273

    PubMed  Google Scholar 

  29. Makuuchi H (2001) Endoscopic mucosal resection for mucosal cancer in the esophagus. Gastrointest Endosc Clin N Am 11: 445–458

    PubMed  Google Scholar 

  30. May A, Gunter E et al. (2004) Accuracy of staging in early oesophageal cancer using high resolution endoscopy and high resolution endosonography: a comparative, prospective, and blinded trial. Gut 53: 634–640

    Article  PubMed  Google Scholar 

  31. Meyenberger C, Huch Boni RA et al. (1995) Endoscopic ultrasound and endorectal magnetic resonance imaging: a prospective, comparative study for preoperative staging and follow-up of rectal cancer. Endoscopy 27: 469–479

    PubMed  Google Scholar 

  32. Mortensen MB, Fristrup C et al. (2005) Prospective evaluation of patient tolerability, satisfaction with patient information, and complications in endoscopic ultrasonography. Endoscopy 37: 146–153

    Article  PubMed  Google Scholar 

  33. Mortensen MB, Pless T et al. (2001) Clinical impact of endoscopic ultrasound-guided fine needle aspiration biopsy in patients with upper gastrointestinal tract malignancies. A prospective study. Endoscopy 33: 478–483

    Article  PubMed  Google Scholar 

  34. Napoleon B, Dumortier J et al. (2003) Do normal findings at biliary endoscopic ultrasonography obviate the need for endoscopic retrograde cholangiography in patients with suspicion of common bile duct stone? A prospective follow-up study of 238 patients. Endoscopy 35: 411–415

    Article  PubMed  Google Scholar 

  35. Pech O, May A et al. (2006) The impact of endoscopic ultrasound and computed tomography on the TNM staging of early cancer in Barrett’s esophagus. Am J Gastroenterol 101: 2223–2229

    Article  PubMed  Google Scholar 

  36. Reeves AL (2000) Endoscopic mucosal resection. Gastroenterol Nurs 23: 215–220

    Article  PubMed  Google Scholar 

  37. Romagnuolo J, Currie G (2005) Noninvasive vs. selective invasive biliary imaging for acute biliary pancreatitis: an economic evaluation by using decision tree analysis. Gastrointest Endosc 61: 86–97

    Article  PubMed  Google Scholar 

  38. Rosch T (1995) Endosonographic staging of gastric cancer: a review of literature results. Gastrointest Endosc Clin N Am 5: 549–557

    PubMed  Google Scholar 

  39. Scotiniotis IA, Kochman ML et al. (2001) Accuracy of EUS in the evaluation of Barrett’s esophagus and high-grade dysplasia or intramucosal carcinoma. Gastrointest Endosc 54: 689–696

    Article  PubMed  Google Scholar 

  40. Smith JW, Brennan MF et al. (1993) Preoperative endoscopic ultrasound can predict the risk of recurrence after operation for gastric carcinoma. J Clin Oncol 11: 2380–2385

    PubMed  Google Scholar 

  41. Taylor B (2003) Carcinoma of the head of the pancreas versus chronic pancreatitis: diagnostic dilemma with significant consequences. World J Surg 27: 1249–1257

    Article  PubMed  Google Scholar 

  42. Vazquez-Sequeiros E, Wiersema MJ et al. (2003) Impact of lymph node staging on therapy of esophageal carcinoma. Gastroenterology 125: 1626–1635

    Article  PubMed  Google Scholar 

  43. Wiersema MJ, Wiersema LM (1996) Endosonography-guided celiac plexus neurolysis. Gastrointest Endosc 44: 656–662

    Article  PubMed  Google Scholar 

  44. Wolfsen HC, Hemminger LL et al. (2004) Photodynamic therapy and endoscopic mucosal resection for Barrett’s dysplasia and early esophageal adenocarcinoma. South Med J 97: 827–830

    Article  PubMed  Google Scholar 

  45. Midwinter MJ et al. (1999) Correlation between spiral computed tomography, endoscopic ultrasonography and findings at operation in pancreatic and ampullary tumours. Br J Surg 86(2): 189–193

    Article  PubMed  Google Scholar 

  46. Gress F et al. (1999) A prospective randomized comparison of endoscopic ultrasound- and computed tomography-guided celiac plexus block for managing chronic pancreatitis pain. Am J Gastroenterol 94(4): 900–905

    Article  PubMed  Google Scholar 

  47. Lisborg PH et al. (1997) Long-term survival analysis of gastric cancer limited to the subserosa. Z Gastroenterol 35(9): 663–668

    PubMed  Google Scholar 

  48. Rosch T et al. (1991) Endoscopic ultrasound in pancreatic tumor diagnosis. Gastrointest Endosc 37(3): 347–352

    PubMed  Google Scholar 

  49. Erickson RA, Sayage-Rabie L, Beissner RS (2000) Factors predicting the number of EUS-guided fine-needle passes for diagnosis of pancreatic malignancies. Gastrointest Endosc 51(2): 184–190

    Article  PubMed  Google Scholar 

  50. Ono H et al. (2001) Endoscopic mucosal resection for treatment of early gastric cancer. Gut 48(2): 225–229

    Article  PubMed  Google Scholar 

  51. Gotoda T et al. (2000) Incidence of lymph node metastasis from early gastric cancer: estimation with a large number of cases at two large centers. Gastric Cancer 3(4): 219–225

    PubMed  Google Scholar 

Download references

Interessenkonflikt

Keine Angaben

Author information

Authors and Affiliations

  1. I. Medizinische Klinik und Poliklinik, Johannes-Gutenberg-Universität Mainz, Langenbeckstraße 1, 55131, Mainz, Deutschland

    M. Moehler, P.R. Galle &  R. Kiesslich

Authors
  1. M. Moehler
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. P.R. Galle
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. R. Kiesslich
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to R. Kiesslich.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Moehler, M., Galle, P. & Kiesslich, R. Endoluminaler Ultraschall des Gastrointestinaltraktes. Chirurg 78, 420–427 (2007). https://doi.org/10.1007/s00104-007-1332-6

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00104-007-1332-6

Schlüsselwörter

Keywords

Search

Navigation