Endoscopic Ultrasound-Guided Fine-Needle Aspiration (EUS-FNA) in Gastroenterology

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2007 (EN)
Endoscopic Ultrasound-Guided Fine-Needle Aspiration (EUS-FNA) in Gastroenterology (EN)

Karoumpalis, I.
Varytimiadis, K.
Skandalis, N.

Endoscopic ultrasound (EUS) is recognized as a useful diagnostic modality in detecting lesions in the pancreas, gastrointestinal tract, periluminal and pancreaticobiliary lymph nodes, the spleen, as well as in outlining their locoregional extent. EUS-guided fine-needle aspiration (FNA) has signaled the beginning of a new era for the capabilities of EUS, because it enables the biological characterization of the lesion, thereby rendering patient management more efficient. This review focuses on the vast variety of EUSFNA applications (according to different anatomical sites), their advantages and contribution to the diagnosis of deepseated lesions (such as those of the pancreas, biliary tract and lymph nodes), as well as on their drawbacks and limitations. Technical issues such as training difficulties and future developments are also discussed. Key words: EUS, EUS-FNA, pancreatic cancer, pancreatic neuroendocrine tumors, pancreatic cysts, IPMT, autoimmune pancreatitis, foregut cysts, mediastinal masses, mediastinal lymphadenopathy, stromal tumors, GIST, liver lesions, adrenal masses, ascites, EUS-FNA complications. (EN)




Hellenic Society of Gastroenterology (EN)

Annals of Gastroenterology; Volume 19, No 3 (2006) (EN)

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