Fluoroscopic-Assisted, EUS-Guided Trans-Sigmoidal Pancreas Biopsy in a Patient with Surgically Altered Anatomy

Jeon, Min Hyok; So, Hoonsub

doi:10.1038/ajg.2017.209

Cited by 2 publications

(1 citation statement)

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“…In addition, we can reasonably speculate that puncturing through the ascending and descending colon is much more secure because they are “fixed” to the posterior abdominal wall [ 26 ]. Other case reports include the diagnosis of a pancreatic ductal adenocarcinoma by the fine-needle biopsy of an anatomically altered pancreas through the sigmoid colon with fluoroscopic assistance [ 27 ], the diagnosis of post-transplant lymphoproliferative disease by the fine-needle biopsy of a pancreas allograft through the sigmoid colon [ 28 ], and the diagnosis of the pelvic recurrence of an anal squamous cell carcinoma through the sigmoid colon [ 29 ].…”

Section: Clinical Applicationsmentioning

confidence: 99%

Diagnosis by Endoscopic Ultrasonography-Guided Sampling through the Lower Gastrointestinal Tract

Wang,

Liu,

et al. 2023

Diagnostics

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Endoscopic ultrasound-guided fine-needle aspiration/biopsy (EUS-FNA/FNB) is very safe and has a high diagnostic rate for upper gastrointestinal lesions, especially pancreatic lesions, but its application in the lower gastrointestinal tract has rarely been reported. Due to the tortuous course of the colorectum, with the sigmoid colon particularly prone to perforation, most endoscopists are reluctant to perform lateral-sector endoscopic ultrasound scanning without a water-bag protection for the puncture. The ultrasonic endoscopy and flexible puncture needle techniques recently introduced into clinical practice have made ultrasound-guided puncture safer and more convenient. In addition, endoscopists have carefully tested various protective measures to improve the safety of the lower gastrointestinal puncture, substantially increasing its clinical feasibility. In this article, we review the iterations of endoscopic ultrasound equipment introduced in recent years and the many ingenious ideas proposed by endoscopists regarding lower gastrointestinal puncture.

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