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Frontline Gastroenterol
2017[Apr]; 8
(2
): 119-123
PMID28261439
show ga
Endoscopic ultrasound (EUS) is now firmly established as one of the essential
tools for diagnosis in most gastrointestinal MDTs across the UK. However, the
ability to provide therapy with EUS has resulted in a significant impact on the
management of the patients. These include drainage of peripancreatic collections,
EUS-guided endoscopic retrograde cholangiopancreatogram, EUS-guided coeliac
plexus blocks, etc. The rapid development of this area in endoscopy is a
combination of newer tools and increasing expertise by endosonographers to push
the boundaries of intervention with EUS. However, the indications are limited and
we are at the start of the learning curve for these high-risk procedures. These
therapies should, therefore, be confined to centres with a robust
multidisciplinary team, including interventional endoscopists, radiologists and
surgeons.