II Brazilian consensus statement on endoscopic ultrasonography.
Обработка статьи · этапы, ошибки и управление
Ошибки и ограничения
История · было → стало
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Maluf-Filho Fauze, de Oliveira Joel Fernandez, Mendonça Ernesto Quaresma, Carbonari Augusto, Maciente Bruno Antônio, Salomão Bruno Chaves, Medrado Bruno Frederico, Dotti Carlos Marcelo, Lopes César Vivian, Braga Cláudia Utsch, M Dutra Daniel Alencar, Retes Felipe, Nakao Frank, de Sousa Giovana Biasia, de Paulo Gustavo Andrade, Ardengh Jose Celso, Dos Santos Juliana Bonfim, Sampaio Luciana Moura, Okawa Luciano, Rossini Lucio, de Brito Cardoso Manoel Carlos, Ribeiro Camunha Marco Antonio, Clarêncio Marcos, Lera Dos Santos Marcos Eduardo, Franco Matheus, Schneider Nutianne Camargo, Mascarenhas Ramiro, Roda Rodrigo, Matuguma Sérgio, Guaraldi Simone, Figueiredo Viviane
Аннотация
METHODS: From a series of relevant new topics in the literature and based on the need to complement the I Brazilian consensus on EUS, twenty experienced endosonographers identified and reviewed the pertinent literature in databases. The quality of evidence, strength of recommendations, and level of consensus were graded and voted on.
RESULTS: Consensus was reached for eight relevant topics: treatment of gastric varices, staging of nonsmall cell lung cancer, biliary drainage, tissue sampling of subepithelial lesions (SELs), treatment of pancreatic fluid collections, tissue sampling of pancreatic solid lesions, celiac neurolysis, and evaluation of the incidental pancreatic cysts.
CONCLUSIONS: There is a high level of evidence for staging of nonsmall cell lung cancer; biopsy of SELs as the safest method; unilateral and bilateral injection techniques are equivalent for EUS-guided celiac neurolysis, and in patients with visible ganglia, celiac ganglia neurolysis appears to lead to better results. There is a moderate level of evidence for: yield of tissue sampling of pancreatic solid lesions is not influenced by the needle shape, gauge, or employed aspiration technique; EUS-guided and percutaneous biliary drainage present similar clinical success and adverse event rates; plastic and metallic stents are equivalent in the EUS-guided treatment of pancreatic pseudocyst. There is a low level of evidence in the routine use of EUS-guided treatment of gastric varices.