Zusammenfassung
Im Rahmen der Qualitätssicherung hat sich die Arbeitsgemeinschaft für Endoskopischen
Ultraschall (AGEUS) - eine Arbeitsgruppe der Gesellschaft für Gastroenterologie in
Nordrhein-Westfalen - mit der Frage beschäftigt, welche apparativen, personellen und
ausbildungsspezifischen Voraussetzungen zur Durchführung von Endosonographien sinnvoll
erscheinen. Die im Folgenden vorgestellten Vorschläge wurden in Auszügen auf der DGVS-Tagung
2001 in Münster vorgetragen. Sie sind als Diskussionsgrundlage für die Erarbeitung
von Leitlinien der DGVS gedacht.
Abstract
For improvement of quality the working group of the Society of Gastroenterology in
Nordrhein-Westfalen (Germany) was engaged with the questions, which apparative, personal
and training conditions for endoscopic ultrasound are useful. The following proposals
were preliminarily presented at the annual Congress of the DGVS (German Society of
Digestive and Metabolic Diseases) 2001. They are thought to be subject of discussion
for guidelines to be elaborated by this national society.
Schlüsselwörter
Endosonographie - Leitlinienvorschläge - Endosonographie-Ressourcen
Key words
Endosonography - endoscopic ultrasound - guidelines
Literatur
1
Erbel R, Kneissl G D, Schweizer P. et al .
Qualitätsleitlinien der Echokardiographie.
Z Kardiol.
1997;
86
387-403
2
Lutz H, Hansmann M.
Anhaltszahlen für Ultraschalldiagnostik.
Ultraschall in Med.
1985;
6
351
3
Reuß J, Weiss H, Wanner T. et al .
Zeitaufwand von ärztlichen und nichtärztlichen Mitarbeitern für Ultraschalluntersuchungen.
Ultraschall in Med.
1998;
19
126-129
4
Staritz M, Alkier R, Krzoska B. et al .
Zeitbedarf für endoskopische Diagnostik und Therapie: Ergebnisse einer Multicenterstudie.
Z Gastroenterol.
1992;
30
509-518
5
Phillip J, Sahl R J, Ruus P. et al .
Zeitaufwand für endoskopische Untersuchungen: Eine Umfrage in der Bundesrepublik Deutschland.
Z Gastroenterol.
1990;
28
1-9
6 Jansen J, Greiner L. Indikation zur Endosonographie. Rösch T, Will U, Chang KJ Longitudinal
Endosonography Berlin; Springer 2001
7
Krakamp B, Parusel M, Rünzi M. et al .
Endosonographie (EUS) des oberen Gastrointestinaltraktes - Prospektive Multizenterstudie
zur Analyse von Zeit und Personalbedarf.
Z Gastroenterol.
2003;
41
907-912
8
Parusel M, Krakamp B, Janssen J. et al .
Endosonographie (EUS) des oberen Gastrointestinaltraktes - Prospektive Multizenterstudie
zur Analyse von Zeit- und Personalbedarf.
Z Gastroenterol.
2003;
41
907-912
9
Rösch T, Classen M.
Richtlinien für endoskopische Untersuchungen in der Gastroenterologie. Richtlinien
der DGVS.
Z Gastroenterol.
1992;
30
167-170
10 Rösch T, Classen M. Endosonographie in der Gastroenterologie in Leitlinien der
Deutschen Gesellschaft für Verdauungs- und Stoffwechselkrankheiten. Gräfling; Baling
Demeter 1997: 108-114
11
Oehler R, Sauerbruch T.
Richtlinien für Patientenüberwachung bei endoskopischen Untersuchungen in der Gastroenterologie.
Z Gastroenterol.
1993;
31
165-167
12 Oelken M, Wurbs D. Leitlinien gastroenterologischer Diagnostik. Konstanz; Schnetztor-Verlag
1999
13 Janssen J, Greiner L. Examination Technique and General Principles. Rösch T, Will
U, Chang KJ Longitudinal Endosonography Atlas and Manual for Use in the Upper Gastrointestinal
Tract Berlin; Springer 2001
14
Grimm H, Binmöller K F, Soehendra N.
Ultrasonic esophagoprobe (prototype I).
Gastrointest Endosc.
1992;
38
490-493
15
Binmöller K F, Seifert H, Seitz U. et al .
Ultrasonic esophagoprobe for TNM staging of highly stenosing esophageal carcinoma.
Gastrointest Endosc.
1995;
41
547-552
16
Lambert R. et al .
International Workshop on the Clinical Impact of Endoscopic Ultrasound in Gastroenterology.
Endoskopie.
2000;
32 (7)
549-584
17 Rösch T, Will U, Chang K J. Longitudinal Endosonography: Atlas and Manual for Use
in the Upper Gastrointestinal Tract. Berlin; Springer 2001
18
Bhutani M S.
Interventional Endoscopic Ultrasonography: State of the Art at the New Millenium.
Endoscopy.
2000;
32
62-71
19
Vilmann P.
Endoscopic Ultrasound-Guided Fine-Needle Biopsy in Europe.
Endoscopy.
1998;
30 (Supplement 1)
A 161-A162
20
Hawes R H.
Indications for EUS-Directed FNA.
Endoscopy.
1898;
30 (Supplement 1)
A155-A157
21
Fritscher-Ravens A, Brand B, Bohnacker S. et al .
Technique of Endoscopic Ultrasonography-Guided Fine-Needle Aspiration of the Lymph
Nodes.
Gastrointestinal Endoscopy.
2000;
2, No 3
142-148
22
Sawbatan N, Ohta M, Maedeak H.
Fine Needle Aspiration-Cytologic Technique for Lung Cancer has a High Potential of
Malignent Cell Spread Through this Tract.
Chest.
2000;
118 (10)
936-939
23
Mortensen M B, Pless T, Durup J. et al .
Clinical Impact of Endoscopic Ultrasound-Guided Fine Needle Aspiration Biopsy in Patients
with Upper Gastrointestinal Tract Malignancies. A Prospect Study.
Endoscopy.
2001;
33 (6)
478-483
24
Barawi M, Gress F.
EUS-guided fine-needle aspiration in the mediastinum.
Gastrointest Endoscopy.
2000;
52 (Suppl)
S12-S17
25 Dancygier H. Endoskopische Sonographie in der Gastroenterologie. Stuttgart; Thieme
1997
26
Pfaffenbach B, Lux G.
Der klinische Stellenwert der endosonographisch gesteuerten Feinnadelpunktion.
Leber Magen Darm.
2000;
30
71-77
27
Sriram P VJ, Topalidis T, Hauber H P. et al .
Diagnosing Sarcoidosis Using Endosonography-Guided Fine-Needle Aspiration.
Chest.
2000;
118
928-935
28
Fritscher-Ravens A, Brand B, Bohnacker S. et al .
Techniques in Gastrointestinal.
Endoscopy.
2000;
2
142-148
29
Giovannini M, Monges G, Seitz J F. et al .
Distant Lymph Note Metastases in Esophageal Cancer: Impact of Endoscopic Ultrasound-Guided
Biopsy.
Endoscopy.
1999;
31
536-540
30
Will U, Zinßer E, Raabe G. et al .
Endosonographische Charakteristika diffus wachsender Magenkarzinome.
Z Gastroenterol.
1998;
36
151-157
31 Bokemeyer C. et al .Magenkarzinom. Schriftreihe „Therapieempfehlung” des ITZ Tübingen
Tübingen; Gulde Druck 2001: 14-15
32
Will U, Reinholz G, Bosseckert H.
Submuköse Tumoren (SMT) des oberen Gastrointestinaltraktes - Wann follow up, wann
operieren?.
Endoskopie heute.
2002;
15
50
33
Palazzo L, Girolett P P, Salmeron M. et al .
Value of endoscopic ultrasonography in the diagnosis of common bile duct stones: Comparison
with surgical exploration and ERCP.
Gastrointest Endosc.
1995;
42
225-231
34
Aubertin J M, Levoir D, Bouillot J L. et al .
Endoscopic ultrasonography immediately prior to laparoscopic cholecystectomy: A prospective
evaluation.
Endoscopy.
1996;
28
667-673
35
Warshaw A L.
Implications of peritoneal cytology for staging of early pancreatic cancer.
Am J Surg.
1991;
161 (1)
26-29; discussion 29-30
36
Hollerbach S, Klamann A, Topalidis T. et al .
Endoscopic Ultrasonography (EUS) and Fine-Needle Aspiration (FNA) Cytology for Diagnosis
of Chronic Pankreatitis.
Endoscopy.
2001;
33 (10)
824-831
37
Fritscher-Ravens A, Izbicki J R, Sriram P VJ. et al .
Endosonography-Guided, Fine-Needle Aspiration Cytology Extending the Indication for
Organ-Preserving Pankreatic Surgery.
Am J Gastroenterol.
2000;
95 (9)
2295-2260
38
Fritscher-Ravens A, Sriram P VJ, Krause C. et al .
Detection of pancreatic metastases by EUS-guided fine-needle aspiration.
Gastrointest Endosc.
2001;
53
65-70
39
Fritscher-Ravens A, Brand L, Knöfel W T. et al .
Comparison of Endoscopic Ultrasound-Guided Fine Needle Aspiration for Focal Pancreatic
Lesions in Patients With Normal Parenchyma and Chronic Pancreatitis.
Am J Gastroenterol.
2002;
97 (11)
2768-2775
40
Norton S A, Alderson D.
Endoscopic ultrasonography in the evaluation of idiopathic acute pankreatitis.
Br J Surg.
2000;
87
1650-1655
41 Rösch T, Classen M. Gastroenterologische Endosonographie. Stuttgart; Thieme 1992:
176
42
Hawes R H, Wiersema M J.
Role of endoscopy in the staging of colorectal carcinoma.
Endoscopy.
1993;
25
101-107
43
Giovannini M, Bardou V J, Barclay R. et al .
Anal Carcinoma: Prognostic Value of Endorectal Ultrasaound (ERUS). Results of a Prospective
Multicenter Study.
Endoscopy.
2001;
33
231-236
44 Limberg B. Sonographie des Gastrointestinaltraktes. Berlin; Springer Verlauf 1998:
225-232
45
Kassem A M, Salama Z A. et al .
Endoscopic Ultrasonographic Study of the Azygos Vein Before and After Endoscopic Obliteration
of Esophagogastric Varices by Injektion Sclerotherapy.
Endoscopy.
2000;
32
630-634
46
Giovannini M, Moutardier V, Pesenti C. et al .
Endoscopic Ultrasound-Guided Bilioduodenal Anastomosis: A New Technique for Biliary
Drainage.
Endoscopy.
2001;
33
898-900
47
Giovannini M, Pesenti C, Rolland A L. et al .
Endoscopic Ultrasound-Guided Drainage of Pancreatic Pseudocysts or Pankreatic Abscesses
Using a Therapeutic Echo Endoscope.
Endoscopy.
2001;
33 (6)
473-477
48
Norton I D, Clain J E, Wiersema M J. et al .
Utility of Ultrasonography in Endoscopic Drainage of Pancreatic Pseudocysts in Selected
Patients.
Mayo Clin Proc.
2001;
76
794-798
49
Seifert H, Faust D, Schmitt T. et al .
Transmural Drainage of Cystic Peripancreatic Lesions with a New Large-Channel Echo
Endoscope.
Endoscopy.
2001;
33 (6)
1023-1026
50
Seifert H, Dietrich C, Schmitt T. et al .
Endoscopic Ultrasound-Guided One-Step Transmural Drainage of Cystic Abdominal Lesions
with a Large-Channel Echo Endoscope.
Endoscopy.
2000;
32
255-259
51
Giovannini M, Bories E, Moutardier V. et al .
Drainage of Pelvic Abscesses Using Therapeutic Echo Endoscopy.
Endoscopy.
2003;
35
511-514
52 Vilmann P. Endoscopic Ultrasonography. Kopenhagen; Munksgaard Verlag 1998
53
Binmoeller K F, Jabusch H C, Seifert H. et al .
Endosonography-guided fine-needle biopsy of indurated pancreatic lesions using an
automated biopsy device.
Endoscopy.
1997;
29
384-388
54
Chak A, Soweid A, Hoffman B. et al .
Clinical implications of endoluminal ultrasonography using through-the-scope catheter
probes.
Gastrointest Endosc.
1998;
48
485-490
55
Menzel J, Foerster E C, Ubrig B. et al .
Ex vivo examination of the pancreas by intraductal ultrasonography (IDUS).
Endoscopy.
1993;
25
571-576
56
Menzel J, Domschke W.
Gastrointestinal miniprobe sonography: the current status.
Am J Gastroenterol.
2000;
95
605-616
57
Bhutani M S.
‘Probing’ the endoscopic ultrasound (EUS) catheter probe: a small step for EUS or
a giant leap?.
Gastrointest Endosc.
1998;
48 (5)
542-545
58
Gress F, Schmitt C, Savides T. et al .
Interobserver agreement for EUS in the evaluation and diagnosis of submucosal masses.
Gastrointest Endosc.
2001;
53
71-76
59
Palazzo L, Landi B, Collier C. et al .
Endosonographic features predictive of benign and malignant gastrointestinal stromal
cell tumours.
GUT.
2000;
46
88-92
60
Kameyama H, Niwa Y, Arisawa T. et al .
Endoscopic ultrasonography in the diagnosis of submucosal lesions of the large intestine.
Gastrointest Endosc.
1997;
46
406-411
61
Chak A, Canto M I, Rosch T. et al .
Endosonographic differentiation of benign and malignant stromal cell tumors.
Gastrointest Endosc.
1997;
45
468-473
62
Wallace M B, Hoffman B J, Sahai A S. et al .
Imaging of esophageal tumors with a water-filled condom and a catheter US probe.
Gastrointest Endosc.
2000;
51
597-600
63
Vazquez-Sequeiros E, Wiersema M J.
High-frequency US catheter-based staging of early esophageal tumors.
Gastrointest Endosc.
2002;
55
95-99
64
Hoepffner N, Pohle J, Menzel J. et al .
[Bougie endosonography in the preoperative diagnosis of stenosing esophageal carcinomas].
Dtsch med Wochenschr.
2000;
125
75-80
65
Menzel J, Hoepffner N, Nottberg H. et al .
Preoperative staging of esophageal carcinoma: miniprobe sonography versus conventional
endoscopic ultrasound in a prospective histopathologically verified study.
Endoscopy.
1999;
31
291-297
66
Hünerbein M, Ghadimi B M, Haensch W. et al .
Transendoscopic ultrasound of esophageal and gastric cancer using miniaturized ultrasound
catheter probes.
Gastrointest Endosc.
1998;
48
371-375
67
Sabet E, Okai T, Minamoto T. et al .
Visualizing the gastric wall with a 30-MHz ultrasonic miniprobe: ex vivo imaging of
normal gastric sites and sites of early gastric cancer.
Abdom Imaging.
2003;
28
252-256
68
Akahoshi K, Chijiwa Y, Hamada S. et al .
Pretreatment staging of endoscopically early gastric cancer with a 15 MHz ultrasound
catheter probe.
Gastrointest Endosc.
1998;
48
470-476
69
Yanai H, Tada M, Karita M. et al .
Diagnostic utility of 20-megahertz linear endoscopic ultrasonography in early gastric
cancer.
Gastrointest Endosc.
1996;
44
29-33
70
Menzel J, Hoepffner N, Sulkowski U. et al .
Polypoid tumors of the major duodenal papilla: preoperative staging with intraductal
US, EUS, and CT- a prospective, histopathologically controlled study.
Gastrointest Endosc.
1999;
49
349-357
71
Chen C H, Tseng L J, Yang C C. et al .
The accuracy of endoscopic ultrasound, endoscopic retrograde cholangiopancreatography,
computed tomography, and transabdominal ultrasound in the detection and staging of
primary ampullary tumors.
Hepatogastroenterology.
2001;
48
1750-1753
72
Yasuda K, Mukai H, Cho E. et al .
The use of endoscopic ultrasonography in the diagnosis and staging of carcinoma of
the papilla of Vater.
Endoscopy.
1988;
20 (Suppl 1)
218-222
73
Menzel J, Poremba C, Dietl K H. et al .
Tumors of the papilla of Vater - inadequate diagnostic impact of endoscopic forceps
biopsies taken prior to and following sphincterotomy.
Ann Oncol.
1999;
10
1227-1231
74
Skordilis P, Mouzas I A, Dimoulios P D. et al .
Is endosonography an effective method for detection and local staging of the ampullary
carcinoma? A prospective study.
BMC Surg.
2002;
2
1
75
Itoh A, Goto H, Naitoh Y. et al .
Intraductal ultrasonography in diagnosing tumor extension of cancer of the papilla
of Vater.
Gastrointest Endosc.
1997;
45
251-260
76
Wehrmann T, Martchenko K, Menke D. et al .
[Clinical value of intraductal ultrasonography for clarification of confusing ERCP
results].
Dtsch med Wochenschr.
2003;
128
863-869
77
Tseng L J, Jao Y T, Mo L R. et al .
Over-the-wire US catheter probe as an adjunct to ERCP in the detection of choledocholithiasis.
Gastrointest Endosc.
2001;
54
720-723
78
Das A, Isenberg G, Wong R C. et al .
Wire-guided intraductal US: an adjunct to ERCP in the management of bile duct stones.
Gastrointest Endosc.
2001;
54
31-36
79
Tamada K, Ohashi A, Tomiyama T. et al .
Comparison of intraductal ultrasonography with percutaneous transhepatic cholangioscopy
for the identification of residual bile duct stones during lithotripsy.
J Gastroenterol Hepatol.
2001;
16
100-103
80
Domagk D, Poremba C, Dietl K H. et al .
Endoscopic transpapillary biopsies and intraductal ultrasonography in the diagnostics
of bile duct strictures: a prospective study.
GUT.
2000;
51
240-244
81
Tamada K, Tomiyama T, Wada S. et al .
Endoscopic transpapillary bile duct biopsy with the combination of intraductal ultrasonography
in the diagnosis of biliary strictures.
GUT.
2002;
50
326-331
82
Tamada K, Ueno N, Tomiyama T. et al .
Characterization of biliary strictures using intraductal ultrasonography: comparison
with percutaneous cholangioscopic biopsy.
Gastrointest Endosc.
1998;
47
341-349
83
Domagk D, Poremba C, Dietl K H. et al .
Endoscopic transpapillary biopsies and intraductal ultrasonography in the diagnostics
of bile duct strictures: a prospective study.
GUT.
2002;
51
240-244
84
Menzel J, Poremba C, Dietl K H. et al .
Preoperative diagnosis of bile duct strictures - comparison of intraductal ultrasonography
with conventional endosonography.
Scand J Gastroenterol.
2000;
35
77-82
85
Vazquez-Sequeiros E, Baron T H, Clain J E. et al .
Evaluation of indeterminate bile duct strictures by intraductal US.
Gastrointest Endosc.
2002;
56
372-379
86
Tamada K, Ido K, Ueno N. et al .
Preoperative staging of extrahepatic bile duct cancer with intraductal ultrasonography.
Am J Gastroenterol.
1995;
90 (2)
239-246
87
Furukawa T, Oohashi K, Yamao K. et al .
Intraductal ultrasonography of the pancreas: development and clinical potential.
Endoscopy.
1997;
29
561-569
88
Mukai H, Yasuda K, Nakajima M.
Differential diagnosis of mucin-producing tumors of the pancreas by intraductal ultrasonography
and peroral pancreatoscopy.
Endoscopy.
1998;
30 (Suppl 1)
A99-102
89
Ariyama J, Suyama M, Satoh K. et al .
Endoscopic ultrasound and intraductal ultrasound in the diagnosis of small pancreatic
tumors.
Abdom Imaging.
1998;
23
380-386
90
Hara T, Yamaguchi T, Ishihara T. et al .
Diagnosis and patient management of intraductal papillary-mucinous tumor of the pancreas
by using peroral pancreatoscopy and intraductal ultrasonography.
Gastroenterology.
2002;
122
34-43
91
Menzel J, Domschke W.
Intraductal ultrasonography (IDUS) of the pancreato-biliary duct system. Personal
experience and review of literature.
Eur J Ultrasound.
1999;
10
105-115
92
Ly Q, Rünzi M, Menzel J. et al .
Pancreatic Intraductal Ultrasonography (IDUS) Allows Early Diagnosis of Pancreatic
Carcinoma in Situ: A Case Report.
Endoscopy.
2003;
35 (6)
534-537
93
Stergiou N, Haji-Kermani N, Schneider C. et al .
Staging of colonic neoplasms by colonoscopic miniprobe ultrasonography.
Int J Colorectal Dis.
2003;
94
Hunerbein M, Totkas S, Ghadimi B M. et al .
Preoperative evaluation of colorectal neoplasms by colonoscopic miniprobe ultrasonography.
Ann Surg.
2000;
232
46-50
95
Tseng L J, Jao Y T, Mo L R.
Preoperative staging of colorectal cancer with a balloon-sheathed miniprobe.
Endoscopy.
2002;
34
564-568
96
Mo L R, Tseng L J, Jao Y T. et al .
Balloon sheath miniprobe compared to conventional EUS in the staging of colorectal
cancer.
Hepatogastroenterology.
2002;
49
980-983
97 Grund K E. et al .„Ist die endoskopische Ausbildung ein Thema in der DGE-BV?”. 31.
Kongress der DGE-BV, 23.3.2001, München
98 Manegold B C. et al .„Ausbildungskonzept der CAE”. 38. Jahrestagung der CAE, 5.10.2000,
Erlangen
99
Meining A, Rösch T, Wolf A. et al .
High Interobserver Variabiliy in Endosonographic Staging of Upper Gastrointestinal
Cancers.
Z Gastroenterol.
2003;
41
391-394
100 Schäfer A. et al .„Empfehlungen zur Ausbildungsstruktur in der Endosonographie”. 54.
Tagung der DGVS, September 1999, Leipzig
101 Rösch T, Hollerbach S, Rünzi M. Arbeitstagung „Endosonographie der DGVS”, 56.
Jahrestagung der DGVS in Münster 2001.
Dr. med. Bernd Krakamp
PD Dr. med. Michael Rünzi (Sekretär der AGEUS), c/o Kliniken der Stadt Köln, Krankenhaus
Merheim, Med. Klinik I
Ostmerheimer Straße 200
51109 Köln
Email: krakampb@Kliniken-Koeln.de