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

来源：

ENDOSCOPY | 2025年

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.

引用

页数：29

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