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Future Perspectives of Therapeutic EUS

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Therapeutic Endoscopic Ultrasound

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Abstract

Therapeutic EUS has evolved constantly after the development of the first EUS-guided fine needle aspiration (FNA) procedure in the early 1990s [1–3]. Thus, EUS-guided FNA is currently considered the backbone of all other interventional procedures which usually start with placement of a needle through the gastrointestinal tract wall. An increasing variety of procedures have been consequently developed including pseudocyst drainage and debridement of walled-off pancreatic necrosis, with reduced morbidity and mortality, as well as costs, as compared to conventional surgical techniques [4–6]. Different procedures have been described for the bile duct drainage, especially in patients with failed ERCP (choledoco-duodenostomies or hepatico-gastrostomies) [7–9]. Gallbladder drainage has been the next target, performed usually for high-risk patients with acute cholecystitis [10–12]. Also, EUS-guided gastrojejunostomy has started to be performed in patients with gastric outlet obstruction [13–16]. Complex procedures have been designed based on initial EUS-guidance, for e.g. EUS-guided gastrogastrostomy-assisted ERCP for patients with Roux-en-Y gastric bypass anatomy [17].

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Authors and Affiliations

  1. Research Center of Gastroenterology and Hepatology, University of Medicine and Pharmacy of Craiova, Craiova, Romania

    Adrian Săftoiu & Alina Constantin

  2. Endoscopy Department, Copenhagen University Hospital Herlev, Copenhagen, Denmark

    Adrian Săftoiu

  3. Gastroenterology Department, Ponderas Academic Hospital, Bucharest, Romania

    Alina Constantin

  4. Surgical Department, Ponderas Academic Hospital Bucharest, Bucharest, Romania

    Victor Tomulescu & Cătălin Copăescu

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  1. Adrian Săftoiu
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  2. Alina Constantin
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  3. Victor Tomulescu
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  4. Cătălin Copăescu
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Editors and Affiliations

  1. Endoscopy Unit, Copenhagen University Hospital, University of Copenhagen, Herlev, Denmark

    Evangelos Kalaitzakis

  2. Endoscopy Unit, Copenhagen University Hospital, University of Copenhagen, Herlev, Denmark

    Peter Vilmann

  3. Gastroenterology, Hepatology & Nutrition, The University of Texas MD Anderson Cancer, Houston, TX, USA

    Manoop S. Bhutani

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Săftoiu, A., Constantin, A., Tomulescu, V., Copăescu, C. (2020). Future Perspectives of Therapeutic EUS. In: Kalaitzakis, E., Vilmann, P., Bhutani, M. (eds) Therapeutic Endoscopic Ultrasound. Springer, Cham. https://doi.org/10.1007/978-3-030-28964-5_17

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