III BRAZILIAN CONSENSUS STATEMENT ON ENDOSCOPIC ULTRASOUND.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Pessoa Ricardo Rangel de Paula, Bestetti Alexandre Moraes, Oliveira Victor Lira de, Araujo Wladimir Campos de, Guaraldi Simone, Rodrigues Silva Rodrigo Roda, Oliveira Francisco Antonio Araujo, Ribeiro Maria Sylvia Ierardi, Carneiro Fred Olavo Aragão Andrade, D'Assunção Marco Aurélio, Medrado Bruno Frederico Oliveira Azevedo, Retes Felipe Alves, Paulo Gustavo Andrade de, Schneider Nutianne Camargo, Rossini Lucio Giovanni Battista, Vallinoto Leonardo, Ardengh Jose Celso, Coelho Neto Djalma Ernesto, Ide Edson, Silva Marcos Clarencio Batista, Franco Matheus Cavalcante, Matuguma Sergio Eiji, Moura Diogo Turiani Hourneaux de, Arantes Vitor Nunes, Nahoum Rafael, Brunaldi Vitor Ottoboni, Santos Marcos Eduardo Lera Dos, Chaves Dalton Marques, Micelli-Neto Otávio, Salomao Bruno Chaves, Maluf-Filho Fauze, Luz Gustavo de Oliveira
Аннотация
METHODS: A group of 32 renowned echoendoscopists selected eight relevant topics to be discussed to generate clinical questions. After that, a literature review was conducted to answer these questions based on the most updated evidence.
RESULTS: Thirty-three statements were formulated and voted on by the experts to reach a consensus. The Oxford System was used to grade the level of evidence.
CONCLUSION: There is mo-derate evidence to support that the needle shape, gauge, or aspiration technique does not influence the yield of endoscopic ultrasound (EUS)-guided tissue sampling of pancreatic solid lesions. There is moderate evidence to support using EUS-TTNB of the cyst wall to differentiate between mucinous and non-mucinous cystic neoplasms. There is little evidence to support the EUS-guided treatment of gastric varices. There is a high level of evidence to support that EUS-guided biliary drainage and ERCP present similar outcomes in patients with distal malignant biliary obstruction. There is a high level of evidence for using EUS to diagnose neoplastic pancreatic cysts and detect necrosis before indicating drainage. There is moderate evidence to support EUS-GE over duodenal stent for malignant gastric outlet obstruction in patients with a life expectancy higher than 2 months. There is a high level of evidence to support the use of RFA in treating both functioning and non-functioning types of NET.