• J B Chevaux and P H Deprez.
• Hepato‑Gastroenterology Department Cliniques universitaires Saint‑Luc Université catholique de Louvain Brussels, Belgium - pdeprez@uclouvain.be.
• Minerva Med. 2014 Oct 1; 105 (5): 333-51.

AbstractOver the three last decades, endosonography ultrasound (EUS) has evolved from a diagnostic tool to an interventional modality through cumulative advances in experience, knowledge, equipment, and devices. EUS-guided therapeutic procedures appear feasible and safe when performed in highly-experienced centers. This review covers the technical aspects, indications, and results of the most commonly performed procedures. Celiac plexus neurolysis and collection drainages are now well-established techniques and considered to be first-line treatments. Biliary and pancreatic EUS-guided drainages are, conversely, more challenging, and there is currently insufficient clinical evidence documenting their superiority over established practice. Well-designed prospective trials are thus needed in order to accurately assess this modality's risks and long-term outcomes compared to radiological or surgical techniques.

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