Endoscopic ultrasound-guided tissue sampling: European Society of Gastrointestinal Endoscopy (ESGE) Technical and Technology Review

被引:1
|
作者
Facciorusso, Antonio [1 ]
Arvanitakis, Marianna [2 ]
Crino, Stefano Francesco [3 ]
Fabbri, Carlo [4 ]
Fornelli, Adele [5 ]
Leeds, John [6 ]
Archibugi, Livia [7 ]
Carrara, Silvia [8 ,9 ]
Dhar, Jahnvi [10 ]
Gkolfakis, Paraskevas [11 ]
Haugk, Beate [12 ]
Garcia, Julio Iglesias [13 ]
Napoleon, Bertrand [14 ]
Papanikolaou, Ioannis S. [15 ]
Seicean, Andrada [16 ]
Stassen, Pauline M. C. [17 ]
Vilmann, Peter [18 ,19 ]
Tham, Tony C. [20 ]
Fuccio, Lorenzo [21 ]
机构
[1] Univ Salento, Dept Expt Med, Piazza Filippo Muratore 1, I-73100 Lecce, Italy
[2] HUB Hop Erasme, Dept Gastroenterol Digest Oncol & Hepatopancreatol, Brussels, Belgium
[3] Univ Verona, Pancreas Inst, Dept Med, Gastroenterol & Digest Endoscopy Unit, Verona, Italy
[4] AUSL Romagna, Forli Cesena Hosp, Gastroenterol & Digest Endoscopy Unit, I-47121 Forli Cesena, Italy
[5] AUSL Bologna, Osped Maggiore CA Pizzardi, Pathol Unit, Bologna, Italy
[6] Newcastle Upon Tyne Hosp NHS Fdn Trust, Dept Gastroenterol, Newcastle Upon Tyne, England
[7] IRCCS San Raffaele Sci Inst, Pancreatobiliary Endoscopy & Endosonog Div, Pancreas Translat & Clin Res Ctr, Milan, Italy
[8] Humanitas Pieve Emanuele Univ, Dept Biomed Sci, Milan, Pieve Emanuele, Italy
[9] IRCCS Humanitas Res Hosp, Milan, Italy
[10] Punjab Inst Liver & Biliary Sci, Dept Hepatol, Mohali, Punjab, India
[11] Konstantopoulio Patision Gen Hosp Nea Ionia, Dept Gastroenterol, Athens, Greece
[12] Newcastle Upon Tyne Hosp NHS Fdn Trust, Royal Victoria Infirm, Dept Cellular Pathol, Newcastle Upon Tyne, England
[13] Univ Hosp Santiago de Compostela, Hlth Res Inst Santiago de Compostela IDIS, IDIS, Santiago, Spain
[14] Hop PriveJean Mermoz, Hop pr Jean Mermoz, Lyon, France
[15] Attikon Univ Gen Hosp, Athens Med Sch, Dept Internal Med Propaedeut 2, Dept Propaedeut Internal Med 2,Hepatogastroenterol, Athens, Greece
[16] Iuliu Hatieganu Univ Med & Pharm, Dept Gastroenterol, Cluj Napoca, Romania
[17] Erasmus MC Univ Med Ctr, Dept Gastroenterol & Hepatol, Rotterdam, Netherlands
[18] Copenhagen Univ Hosp Herlev & Gentofte, Gastroenterol Unit, Herlev, Denmark
[19] Univ Copenhagen, Dept Clin Med, Copenhagen, Denmark
[20] Ulster Hosp, Northern Ireland Maxillofacial Serv, Belfast, Antrim, North Ireland
[21] Univ Bologna, Dept Med Sci & Surg, Bologna, Italy
关键词
FINE-NEEDLE-ASPIRATION; SOLID PANCREATIC LESIONS; CONFOCAL LASER ENDOMICROSCOPY; ON-SITE EVALUATION; ENHANCED HARMONIC EUS; CORE BIOPSY NEEDLE; CYST FLUID GLUCOSE; DIAGNOSTIC-ACCURACY; AUTOIMMUNE PANCREATITIS; 22-GAUGE ASPIRATION;
D O I
10.1055/a-2524-2596
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
This Technical and Technology Review from the European Society of Gastrointestinal Endoscopy (ESGE) represents an update of the previous document on the technical aspects of endoscopic ultrasound (EUS)-guided sampling in gastroenterology, including the available types of needle, technical aspects of tissue sampling, new devices, and specimen handling and processing. Among the most important new recommendations are: ESGE recommends end-cutting fine-needle biopsy (FNB) needles over reverse-bevel FNB or fine-needle aspiration (FNA) needles for tissue sampling of solid pancreatic lesions; FNA may still have a role when rapid on-site evaluation (ROSE) is available. ESGE recommends EUS-FNB or mucosal incision-assisted biopsy (MIAB) equally for tissue sampling of subepithelial lesions >= 20 mm in size. MIAB could represent the first choice for smaller lesions (<20 mm) if proper expertise is available. ESGE does not recommend the use of antibiotic prophylaxis before EUS-guided tissue sampling of solid masses and EUS-FNA of pancreatic cystic lesions.
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