Endoscopic Ultrasound-Guided Treatment beyond Drainage: Hemostasis, Anastomosis, and Others

Widmer, Jessica L.; Kahaleh, Michel

doi:10.5946/ce.2014.47.5.432

Cited by 11 publications

(8 citation statements)

References 116 publications

(146 reference statements)

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“…Similar to pancreatic duct drainage, biliary drainage may be done endoscopically with EUS guidance when ERCP cannulation has failed, the papilla is inaccessible, or anatomy is surgically altered. Classically, the alternatives to ERCP have been percutaneous or surgical methods, but EUS provides a safer alternative[ 17 ], and internal drainage is considerably preferable from a patient perspective.…”

Section: Drainagementioning

confidence: 99%

Endoscopic ultrasound: Current roles and future directions

Friedberg¹,

Lachter²

2017

WJGE

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Endoscopic ultrasound (EUS), developed in the 1980s, was initially predominantly used for guidance of fine needle aspiration; the last 25 years, however, have witnessed a major expansion of EUS to various applications, both diagnostic and therapeutic. EUS has become much more than a tool to differentiate different tissue densities; tissue can now be characterized in great detail using modalities such as elastography; the extent of tissue vascularity can now be learned with increasing precision. Using these various techniques, targets for biopsy can be precisely pinpointed. Upon reaching the target, tissue can then be examined microscopically in real-time, ensuring optimal targeting and diagnosis. This article provides a comprehensive review of the various current roles of EUS, including drainage of lesions, visualization and characterization of lesions, injection, surgery, and vascular intervention. With EUS technology continuing to develop exponentially, the article emphasizes the future directions of each modality.

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Section: Drainagementioning

confidence: 99%

Endoscopic ultrasound: Current roles and future directions

Friedberg¹,

Lachter²

2017

WJGE

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“…The presentation included celiac plexus block and neurolysis, several drainage methods (pancreatic fluid collection, abscess, and gallbladder), pancreatic necrosectomy, and oncologic interventions. 26 …”

Section: Hot Topics Of the Pancreaticobiliary Sessionsmentioning

confidence: 99%

International Digestive Endoscopy Network 2014: Turnpike to the Future

et al. 2014

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Social networks are useful in the study of relationships between individuals or entire populations, and the ties through which any given social unit connects. Those represent the convergence of the various social contacts of that unit. Consequently, the term "social networking service" (SNS) became extremely familiar. Similar to familiar SNSs, International Digestive Endoscopy Network (IDEN) 2014 was based on an international network composed of an impressive 2-day scientific program dealing with a variety of topics for gastrointestinal (GI) diseases, which connects physicians and researchers from all over the world. The scientific programs included live endoscopic demonstrations and provided cutting-edge information and practice tips as well as the latest advances concerning upper GI, lower GI, and pancreatobiliary endoscopy. IDEN 2014 featured American Society for Gastrointestinal Endoscopy-Korean Society of Gastrointestinal Endoscopy (ASGE-KSGE)-joint sessions prepared through cooperation between ASGE and KSGE. Furthermore, IDEN 2014 provided a special program for young scientists called the 'Asian Young Endoscopist Award Forum' to foster networks, with many young endoscopists from Asian countries taking an active interest and participation.

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“…Real-time onsite cytopathology to increase the diagnostic yield and reduce the number of indeterminate or unsatisfactory samples from EUS-FNA may solve this problem (32-34). In addition to use as a diagnostic technique, EUS-FNA has also been developed as a therapeutic means, such as for use in celiac plexus neurolysis, pseudocyst drainage, radiation therapy, the delivery of antitumor agents and bile duct drainage (35,36). The total complication rate across the reported studies concerning EUS-FNA ranges from 0 to 2.0% (37)(38)(39).…”

Section: Final Diagnosis (N) ----------------------------------------mentioning

confidence: 99%

Role of endoscopic ultrasound-guided fine needle aspiration in the diagnosis of mass lesions

Han

Lin

Zhang

et al. 2016

Experimental and Therapeutic Medicine

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Abstract. Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is an accurate technique for sampling the pancreas and mediastinum; however, limited data are available for other mass lesions. The aim of this study was to explore the value of EUS-FNA in the differential diagnosis of all mass lesions. Data from patients who underwent EUS-FNA for the diagnosis of mass lesions, including pancreatic, mediastinal, celiac and retroperitoneal lesions were retrospectively analyzed. The accuracy was calculated by comparing the results of FNA with the results of pathological examination or follow-up surveillances in non-operated cases. A total of 150 cases were included. The location of the mass varied from the pancreas (n=62) to the mediastinum (n=29), gastrointestinal tract (n=36), celiac cavity and retroperitoneum (n=23). The sensitivity and Youden ' s index of EUS-FNA in the diagnosis of all lesions were 92.97% and 0.93 respectively. The accuracy of diagnosis of pancreatic, mediastinal, gastrointestinal, celiac and retroperitoneal lesions was 85.48, 89.66, 83.33 and 78.23%, respectively. Masses were categorized into parenchymal organs (n=66), luminal organs (n=36) and enlarged lymph nodes (n=33). Lesions in parenchymal organs were likely to be bigger than those in luminal organs (P=0.03) and enlarged lymph nodes (P=0.01). For solid and cystic masses, which constituted 63.3 and 14.7% of the total masses, no significant difference in diagnostic accuracy was observed (P=0.56); however, lesion sizes were significantly different between these two groups (P=0.04) and the majority of cystic masses were identified in women (P=0.03). Malignant lesions were more common in older (P=0.01) and male (P=0.03) patients. In conclusion, EUS-FNA is an effective tool in the diagnosis of unexplained mass lesions; it influences the management of patients by enabling the appropriate treatment to be identified.

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Endoscopic Ultrasound-Guided Treatment beyond Drainage: Hemostasis, Anastomosis, and Others

Cited by 11 publications

References 116 publications

Endoscopic ultrasound: Current roles and future directions

Endoscopic ultrasound: Current roles and future directions

International Digestive Endoscopy Network 2014: Turnpike to the Future

Role of endoscopic ultrasound-guided fine needle aspiration in the diagnosis of mass lesions

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