Endoscopic ultrasonography-guided fine-needle aspiration biopsy of lesions in the upper gastrointestinal tract

Vilmann, Peter; Hancke, S; Henriksen, F. W.; Jacobsen, Grete Krag

doi:10.1016/s0016-5107(95)70343-8

Cited by 97 publications

(32 citation statements)

References 15 publications

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“…Since the first description of EUS-FNA in 1992, the list of lesions that can be targeted by EUS-FNA has grown to include pancreatic mass lesions, submucosal tumors, mediastinal mass lesions, intra-abdominal or intra-thoracic lymph nodes and ascites [7]. The diagnosis of postoperative recurrence of carcinoma is often difficult even with CT, MRI or fluorine-18 fluoro-deoxyglucose positron emission tomography (FDG-PET) follow-up studies [8,9].…”

Section: Discussionmentioning

confidence: 99%

Usefulness of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) for undiagnosed intra-abdominal lymphadenopathy

et al. 2009

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Section: Discussionmentioning

confidence: 99%

Usefulness of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) for undiagnosed intra-abdominal lymphadenopathy

et al. 2009

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“…For precise histological diagnosis, endoscopic techniques for obtaining deeper specimens are necessary, such as EUS-guided biopsy or combined strip biopsy and bite biopsy. 23,24 Endoscopic removal of gastric aberrant pancreas is also useful for accurate diagnosis and treatment. 25 The diagnosis of ectopic pancreas was based on the pathological appearance of specimens taken with standard endoscopic biopsy forceps in only two cases in our series.…”

Section: Discussionmentioning

confidence: 99%

Clinical Analysis of Ectopic Pancreas with Endoscopic Ultrasonography: An Experience in a Medical Center

Chen

Huang

Feng

et al. 2008

Journal of Gastrointestinal Surgery

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Ectopic pancreas usually appears as a submucosal lesion with characteristic central dimpling. Furthermore, characteristic endoscopic ultrasonographic features can readily assist in the diagnosis of ectopic pancreas without having to perform endoscopic biopsy or surgery. However, either endoscopic ultrasonography-guided fine needle aspiration or endoscopic removal of lesions should still be considered mandatory for the differential diagnosis of ectopic pancreas whenever typical endosonographic features cannot be well demonstrated.

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“…12,[39][40][41] The current technique uses a new needle system, in which the endoscopist is able to maintain the endoscope in the proper position and simultaneously advance the needle into the lesion, under endosonographic guidance. Using this newly developed echoendoscope and biopsy device, EUS-FNAB procedures are easier to perform, and sufficient materials can be obtained more readily.…”

Section: Techniquementioning

confidence: 99%

Endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB): past, present, and future

et al. 2005

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Endoscopic ultrasound (EUS) is a combination of endoscopy and intraluminal ultrasonography. EUS also enables ultrasonographic images of high resolution to be obtained. However, whether a lesion is malignant or benign cannot be diagnosed solely from the findings of EUS. Endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB) was developed to enhance the diagnostic capabilities of EUS by providing additional pathological findings. Though more than 10 years have passed since EUS-FNAB was first used for pancreatic disease, EUS FNAB has not been widely accepted in Japan. This may be due to the technical difficulties, relatively low sensitivity for the detection of malignancies, and Japanese gastroenterologists' and surgeons' inherent conservative way of thinking. We describe here a short history of EUS-FNAB, with details of technical tips, current indications and contraindications, diagnostic accuracy, and complications. The clinical utility of EUS-FNAB has been gradually understood and EUS-FNAB procedures have been increasing in number in Japan. So in the near future, EUS followed by EUS-FNAB will be routinely performed in the same manner as gastrointestinal endoscopy, followed by biopsy under direct vision. Also, therapeutic EUS procedures, such as EUS-guided celiac plexus neurolysis, pancreatic tumor ablation, drainage of pancreatic pseudocysts, and the development of an anastomosis may become feasible as less invasive and safer techniques than those used at present.

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Endoscopic ultrasonography-guided fine-needle aspiration biopsy of lesions in the upper gastrointestinal tract

Cited by 97 publications

References 15 publications

Usefulness of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) for undiagnosed intra-abdominal lymphadenopathy

Usefulness of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) for undiagnosed intra-abdominal lymphadenopathy

Clinical Analysis of Ectopic Pancreas with Endoscopic Ultrasonography: An Experience in a Medical Center

Endoscopic ultrasound-guided fine-needle aspiration biopsy (EUS-FNAB): past, present, and future

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