A prospective study comparing endoscopy and EUS in the evaluation of GI subepithelial masses

Hwang, Joo Ha; Saunders, Michael D.; Rulyak, Stephen J.; Shaw, Steve; Nietsch, Hubert; Kimmey, Michael B.

doi:10.1016/s0016-5107(05)01567-1

Cited by 181 publications

(195 citation statements)

References 18 publications

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“…For example, hypoechoic third or fourth layer masses can be from a number of underlying causes with varying clinical significance. The accuracy of EUS imaging alone is only approximately 50% in diagnosing these masses, indicating the need for tissue sampling to confirm the diagnosis [16]. The various causes of intramural GI masses and their location and echo pattern are listed in Table 1.…”

Section: Clinical Applications Of Gi Ultrasound Imagingmentioning

confidence: 99%

High-frequency ultrasonographic imaging of the gastrointestinal wall

Ødegaard

Nesje

Lærum

et al. 2012

Expert Review of Medical Devices

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Section: Clinical Applications Of Gi Ultrasound Imagingmentioning

confidence: 99%

High-frequency ultrasonographic imaging of the gastrointestinal wall

Ødegaard

Nesje

Lærum

et al. 2012

Expert Review of Medical Devices

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“…As a result, histology still is considered the ''gold standard". A prospective study assessing the accuracy of EUS in the characteristics of 100 patients with submucosal lesions showed that the results of the EUS enabled correct prediction of the lesion type only in 48% of cases confirmed by biopsy [3]. Most errors occurred in hypoechoic lesions in the third and fourth layer, which include: carcinoid, GIST, and pancreas lesions.…”

Section: Intramural Tumours and Submucosal Lesionsmentioning

confidence: 99%

The role of endoscopic ultrasonography (EUS) in contemporary diagnosis of gastrointestinal diseases

Kiełtucki¹,

Wawrzyniec²

2016

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Day by day endoscopic ultrasonography (EUS) is becoming an essential diagnostic method for the assessment of solid lesions of the pancreas, cysts, pseudocysts and cystic tumours of the pancreas, enlarged mediastinal lymph nodes, staging of gastric cancer and rectal cancer, as well as lung or subepithelial tumours in the gastrointestinal tract. The ability to use this diagnostic method presents many challenges for performing specialists, from the organisation of the EUS surgery to maintaining its activity in a proper technical aspect, as well as the continuous improvement of staff qualifications. Endoscopic ultrasonography has revolutionised the practical aspects of gastroenterological practice and oncology. Particularly, EUS-guided fine-needle aspiration biopsy (EUS-FNA) of various pathologies in the gastrointestinal tract has provided invaluable effects and opportunities. This technique is becoming more and more available in Poland, creating a unique challenge to its practice. StreszczenieUltrasonografia endoskopowa (EUS) staje się z dnia na dzień kluczową metodą diagnostyczną zmian litych w trzustce, torbieli, pseudotorbieli i guzów torbielowatych trzustki, powiększonych węzłów chłonnych śródpiersia, zaawansowania raka żołądka, odbytnicy, jak również nowotworów płuc i zmian podnabłonkowych w przewodzie pokarmowym. Technika ta stawia przed wykonującymi badanie wiele wyzwań -zorganizowanie pracowni EUS, utrzymanie jej działania na należytym poziomie technicznym czy stałe podnoszenie kwalifikacji personelu. Ultrasonografia endoskopowa zrewolucjonizowała praktyczne aspekty diagnostyki gastroenterologicznej i onkologicznej, zwłaszcza biopsja cienkoigłowa kontrolowana ultrasonografią endoskopową (EUS-FNA) różnego rodzaju zmian w obrębie przewodu pokarmowego daje nieocenione efekty i możliwości. Metoda ta jest coraz bardziej dostępna w Polsce, zwiększają się również możliwości jej praktycznego doskonalenia.

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“…Furthermore, accuracy declines as lesions move into deeper layers, compromising the correct diagnosis of aggressive, infiltrating tumors [25]. Therefore, use of EUS alone as a diagnostic tool is not indicated.…”

Section: Endoscopic Ultrasound (Eus)mentioning

confidence: 99%