Learning, techniques, and complications of endoscopic ultrasound (EUS)-guided sampling in gastroenterology: European Society of Gastrointestinal Endoscopy (ESGE) Technical Guideline

被引：237

作者：

Polkowski, M. ^{[1
,2
,3
]}

Larghi, A. ^{[4
]}

Weynand, B. ^{[5
]}

Boustiere, C. ^{[6
]}

Giovannini, M. ^{[7
]}

Pujol, B. ^{[8
]}

Dumonceau, J. -M. ^{[9
]}

机构：

[1] M Sklodowska Curie Mem Canc Ctr, Dept Gastroenterol, PL-02781 Warsaw, Poland

[2] Inst Oncol, PL-02781 Warsaw, Poland

[3] Med Ctr Postgrad Educ, Dept Gastroenterol & Hepatol, Warsaw, Poland

[4] Univ Cattolica Sacro Cuore, Digest Endoscopy Unit, Rome, Italy

[5] Catholic Univ Louvain, CHU Mt Godinne, Yvoir, Belgium

[6] Hop St Joseph, Dept Digest Endoscopy, Marseille, France

[7] Paoli Calmettes Inst, Endoscop Unit, Marseille, France

[8] Hop Prive Jean Mermoz, Dept Gastroenterol, Lyon, France

[9] Univ Hosp Geneva, Serv Gastroenterol & Hepatol, Geneva, Switzerland

来源：

ENDOSCOPY | 2012年 / 44卷 / 02期

关键词：

FINE-NEEDLE-ASPIRATION; SOLID PANCREATIC MASSES; 19-GAUGE TRUCUT NEEDLE; RANDOMIZED CONTROLLED-TRIAL; EUS-FNA; STROMAL TUMORS; ANTIBIOTIC-PROPHYLAXIS; RETROSPECTIVE ANALYSIS; DIAGNOSTIC-ACCURACY; CYTOLOGY BRUSHINGS;

D O I：

10.1055/s-0031-1291543

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

This article is the second of a two-part publication that expresses the current view of the European Society of Gastrointestinal Endoscopy (ESGE) about endoscopic ultrasound (EUS)-guided sampling, including EUS-guided fine needle aspiration (EUS-FNA) and EUS-guided Trucut biopsy. The first part (the Clinical Guideline) focused on the results obtained with EUS-guided sampling, and the role of this technique in patient management, and made recommendations on circumstances that warrant its use. The current Technical Guideline discusses issues related to learning, techniques, and complications of EUS-guided sampling, and to processing of specimens. Technical issues related to maximizing the diagnostic yield (e. g., rapid on-site cytopathological evaluation, needle diameter, microcore isolation for histopathological examination, and adequate number of needle passes) are discussed and recommendations are made for various settings, including solid and cystic pancreatic lesions, submucosal tumors, and lymph nodes. The target readership for the Clinical Guideline mostly includes gastroenterologists, oncologists, internists, and surgeons while the Technical Guideline should be most useful to endoscopists who perform EUS-guided sampling. A two-page executive summary of evidence statements and recommendations is provided.

引用

页码：190 / 206

页数：17

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