Endoscopic Ultrasound (EUS) in Gastrointestinal Diseases

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: 30 June 2024 | Viewed by 1099

Special Issue Editors


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Guest Editor
Digestive Endoscopy Unit, ASST-Bergamoest, Bergamo, Italy
Interests: interventional ultrasonography; endoscopy; NET; pancreatic cancer; EUS; endo-hepatology; ERCP

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Guest Editor
Digestive Endoscopy Unit, University of Verona, Verona, Italy
Interests: pancreatic cancer; endoscopic ultrasound; ERCP; pancreatic cysts; IPMN; neuroendocrine tumors

Special Issue Information

Dear Colleagues,

Over the years, digestive endoscopy has evolved from a diagnostic technique to a major interventional technique. Endoscopic ultrasound (EUS) has witnessed this evolution that has changed the treatment algorithms of digestive and pancreaticobiliary diseases.

EUS has been widely used for the diagnosis of gastrointestinal diseases providing detailed imaging information, which helps physicians determine the location, nature, and extent of lesions. EUS is particularly useful in the diagnosis and staging of gastric and oesophageal cancers, as it can detect early lesions, evaluate the depth and spread of cancer, and determine lymph node involvement. Moreover, the availability of ev. contrast media or elastosonography has further added to its potential in the characterization of lesions.

The availability of sophisticated devices has made it possible to achieve therapeutic solutions for diseases that affect areas beyond the gastrointestinal tract, improving treatment outcomes for patients.

Nowadays, endoscopic ultrasound is used in an operative setting to treat complications of pancreatitis, access and drain the biliary tree and gallbladder, and create gastrointestinal anastomoses. Pancreatic tumours can be treated via the injection of substances or ablation. A vascular procedure can also be performed.

This Special Issue aims to depict the progress of digestive endoscopy and offer an overview of future perspectives.

Reviews, systematic reviews, meta-analyses, case reports, and research papers are solicited on interventional endoscopy, pancreatic cancer, biliopancreatic endoscopy, endohepatology, EUS, ERCP, cholangioscopy, and artificial intelligence.

Dr. Elia Armellini
Dr. Stefano Francesco Crinò
Guest Editors

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Published Papers (1 paper)

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Review

15 pages, 1469 KiB  
Review
Endoscopic Biliary Drainage in Surgically Altered Anatomy
by Marco Spadaccini, Carmelo Marco Giacchetto, Matteo Fiacca, Matteo Colombo, Marta Andreozzi, Silvia Carrara, Roberta Maselli, Fabio Saccà, Alessandro De Marco, Gianluca Franchellucci, Kareem Khalaf, Glenn Koleth, Cesare Hassan, Andrea Anderloni, Alessandro Repici and Alessandro Fugazza
Diagnostics 2023, 13(24), 3623; https://doi.org/10.3390/diagnostics13243623 - 08 Dec 2023
Cited by 1 | Viewed by 841
Abstract
Endoscopic retrograde cholangiopancreatography (ERCP) is considered the preferred method for managing biliary obstructions. However, the prevalence of surgically modified anatomies often poses challenges, making the standard side-viewing duodenoscope unable to reach the papilla in most cases. The increasing instances of surgically altered anatomies [...] Read more.
Endoscopic retrograde cholangiopancreatography (ERCP) is considered the preferred method for managing biliary obstructions. However, the prevalence of surgically modified anatomies often poses challenges, making the standard side-viewing duodenoscope unable to reach the papilla in most cases. The increasing instances of surgically altered anatomies (SAAs) result from higher rates of bariatric procedures and surgical interventions for pancreatic malignancies. Conventional ERCP with a side-viewing endoscope remains effective when there is continuity between the stomach and duodenum. Nonetheless, percutaneous transhepatic biliary drainage (PTBD) or surgery has historically been used as an alternative for biliary drainage in malignant or benign conditions. The evolving landscape has seen various endoscopic approaches tailored to anatomical variations. Innovative methodologies such as cap-assisted forward-viewing endoscopy and enteroscopy have enabled the performance of ERCP. Despite their utilization, procedural complexities, prolonged durations, and accessibility challenges have emerged. As a result, there is a growing interest in novel enteroscopy and endoscopic ultrasound (EUS) techniques to ensure the overall success of endoscopic biliary drainage. Notably, EUS has revolutionized this domain, particularly through several techniques detailed in the review. The rendezvous approach has been pivotal in this field. The antegrade approach, involving biliary tree puncturing, allows for the validation and treatment of strictures in an antegrade fashion. The EUS-transmural approach involves connecting a tract of the biliary system with the GI tract lumen. Moreover, the EUS-directed transgastric ERCP (EDGE) procedure, combining EUS and ERCP, presents a promising solution after gastric bypass. These advancements hold promise for expanding the horizons of comprehensive and successful biliary drainage interventions, laying the groundwork for further advancements in endoscopic procedures. Full article
(This article belongs to the Special Issue Endoscopic Ultrasound (EUS) in Gastrointestinal Diseases)
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