Application of Endoscopic Ultrasound in Pancreaticobiliary Diseases from Diagnostic to Therapeutic Yield | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 183, Volume 100, Issue 1, July 2025, Page 3825-3829 PDF (832.03 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejhm.2025.449126 | ||||
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| Abstract | ||||
| Background: Pancreaticobiliary diseases significantly contribute to global morbidity and mortality. Endoscopic ultrasound (EUS) is a highly accurate diagnostic tool for pancreaticobiliary disorders, surpassing other imaging modalities. Beyond diagnosis, EUS plays a crucial role in tissue sampling, cancer staging, and interventional procedures, making it an essential tool in both diagnostic and therapeutic management. Aim: This study aimed to evaluate the role of EUS in diagnosing and managing pancreaticobiliary disorders, highlighting its effectiveness in both diagnostic and therapeutic approaches. Subjects and Methods: A descriptive cross-sectional study was conducted from April 2022 to May 2024, including 100 patients who underwent EUS for pancreaticobiliary disorders. The study assessed the diagnostic accuracy and therapeutic applications of EUS in comparison to other imaging modalities. Results: In a study of 100 patients, EUS demonstrated superior diagnostic accuracy, identifying 35 malignant pancreatic lesions compared to just 17 found by other imaging techniques. It also proved more effective at detecting microlithiasis and common bile duct (CBD) strictures, diagnosing six cases versus one from other methods. Four patients previously suspected of pancreatic lesions were instead diagnosed with Lemmel syndrome. EUS's role as an essential supplemental diagnostic tool for unclear CBD strictures was confirmed. In terms of therapeutic applications, EUS-guided interventions were successfully performed on eight patients with favorable outcomes. Conclusion and recommendations: EUS has evolved into a safe, sophisticated tool with enhanced therapeutic potential. Integrating it into pancreatic centers should be prioritized for its diagnostic and treatment capabilities. | ||||
| Keywords | ||||
| Endoscopic intervention; Biliary stricture; Pancreatic malignancy; Lemmel syndrome; EUS-guided biopsy | ||||
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