Published online Jun 10, 2015. doi: 10.4253/wjge.v7.i6.628
Peer-review started: November 1, 2014
First decision: November 27, 2014
Revised: January 24, 2015
Accepted: February 9, 2015
Article in press: February 11, 2015
Published online: June 10, 2015
Processing time: 231 Days and 17.3 Hours
Core tip: Therapeutic endoscopic ultrasound (EUS) has found role in management of pancreatic fluid collections, biliary and pancreatic duct drainage in cases of failed endoscopic retrograde cholangiopancreatography, drainage of gallbladder, celiac plexus neurolysis/blockage, drainage of mediastinal and intra-abdominal abscesses and collections and in targeted cancer chemotherapy and radiotherapy. The field of interventional EUS is rapidly advancing and many more interventions are being continuously added. This review focuses on the current status of evidence vis-à-vis the established indications of therapeutic EUS.
Endoscopic ultrasound (EUS) is an important diagnostic and therapeutic technique in the field of gastroenterology. The ability to visualise and access organs in vicinity of the gastrointestinal tract has opened this exciting field with many interventional EUS procedures now overtaking conventional approaches for treatment of various gastrointestinal diseases. While advances have been made in all aspects of diagnostic and therapeutic EUS, the present review will focus on advances in therapeutic EUS and use of EUS in drainage of pancreatic collections, celiac plexus neurolysis, biliary/pancreatic duct drainage, and in the drainage of intra-abdominal abscesses.