日本インターベンショナルラジオロジー学会雑誌
Online ISSN : 2185-6451
Print ISSN : 1340-4520
ISSN-L : 1340-4520
膵癌術後,膵炎後の合併症とIVR
膵周囲液体貯留に対する超音波内視鏡下ドレナージ(EUS-PFD)の適応と手技:EUS画像のオリエンテーションを踏まえて
古賀 毅彦, 石田 祐介, 土屋 直壮, 北口 恭規, 松元 慶亮, 福山 真, 平井 郁仁
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2026 年 40 巻 2 号 p. 115-123

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Peripancreatic fluid collection (PFC) is a local complication of acute pancreatitis, and when accompanied by infection, drainage is required. In recent years, endoscopic ultrasound-guided peripancreatic fluid drainage (EUS-PFD) has become a widely adopted first-line treatment, with its effectiveness increasingly reported. In this review, to facilitate the understanding of radiologists who do not perform endoscopic ultrasound (EUS) themselves, the approach to interpreting convex-type EUS images is first described. Although EUS-PFD is an established minimally invasive treatment for PFC, appropriate patient selection and optimization of the treatment strategy remain essential. A solid understanding of EUS images is crucial to achieving successful outcomes. More evidence is needed in this field.
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