Endoscopic ultrasonography in pancreatic diseases: advances in tissue acquisition

Background and study aims Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) improved the diagnostic performance and upgraded the role of endoscopic ultrasonography (EUS) into an interventional modality, able to guide patient management and treatment.This review aimed to highlight the adv...

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Main Authors: Ioannis V. Mitselos, Ioannis Karoumpalis, Vasileios I. Theopistos, Dimitrios Tzilves, Dimitrios K. Christodoulou
Format: Article
Language:English
Published: Georg Thieme Verlag KG 2019-07-01
Series:Endoscopy International Open
Online Access:http://www.thieme-connect.de/DOI/DOI?10.1055/a-0915-9594
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author Ioannis V. Mitselos
Ioannis Karoumpalis
Vasileios I. Theopistos
Dimitrios Tzilves
Dimitrios K. Christodoulou
author_facet Ioannis V. Mitselos
Ioannis Karoumpalis
Vasileios I. Theopistos
Dimitrios Tzilves
Dimitrios K. Christodoulou
author_sort Ioannis V. Mitselos
collection DOAJ
description Background and study aims Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) improved the diagnostic performance and upgraded the role of endoscopic ultrasonography (EUS) into an interventional modality, able to guide patient management and treatment.This review aimed to highlight the advances, emerging practices, procedural techniques and technological innovations in EUS tissue acquisition in pancreatic diseases. Methods A thorough review of the literature was performed using PubMed to identify articles that describe techniques, advances, and practices in EUS tissue acquisition in gastrointestinal diseases. Conclusion Since the first EUS-FNA procedure, EUS guided-tissue acquisition has been evolving continuously. Development of needles with innovative tip design enabled procurement of larger samples with preserved histological architecture. Moreover, sampling techniques and complementary methods, such as contrast harmonic imaging and EUS-elastography, have been introduced in an effort to improve diagnostic performance and sample adequacy.
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spelling doaj.art-52d2714eb18449f791cdf7eab6af971a2022-12-22T03:40:09ZengGeorg Thieme Verlag KGEndoscopy International Open2364-37222196-97362019-07-010707E922E93010.1055/a-0915-9594Endoscopic ultrasonography in pancreatic diseases: advances in tissue acquisitionIoannis V. Mitselos0Ioannis Karoumpalis1Vasileios I. Theopistos2Dimitrios Tzilves3Dimitrios K. Christodoulou4Department of Gastroenterology, School of Health Sciences, University Hospital of Ioannina, Faculty of Medicine, University of Ioannina, Ioannina, Greece Department of Gastroenterology, General National Hospital of Athens “G. Gennimatas”, Athens, GreeceDepartment of Gastroenterology, School of Health Sciences, University Hospital of Ioannina, Faculty of Medicine, University of Ioannina, Ioannina, Greece Department of Gastroenterology, General Hospital of Thessaloniki “Theageneion”,Thessaloniki, GreeceDepartment of Gastroenterology, School of Health Sciences, University Hospital of Ioannina, Faculty of Medicine, University of Ioannina, Ioannina, Greece Background and study aims Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) improved the diagnostic performance and upgraded the role of endoscopic ultrasonography (EUS) into an interventional modality, able to guide patient management and treatment.This review aimed to highlight the advances, emerging practices, procedural techniques and technological innovations in EUS tissue acquisition in pancreatic diseases. Methods A thorough review of the literature was performed using PubMed to identify articles that describe techniques, advances, and practices in EUS tissue acquisition in gastrointestinal diseases. Conclusion Since the first EUS-FNA procedure, EUS guided-tissue acquisition has been evolving continuously. Development of needles with innovative tip design enabled procurement of larger samples with preserved histological architecture. Moreover, sampling techniques and complementary methods, such as contrast harmonic imaging and EUS-elastography, have been introduced in an effort to improve diagnostic performance and sample adequacy.http://www.thieme-connect.de/DOI/DOI?10.1055/a-0915-9594
spellingShingle Ioannis V. Mitselos
Ioannis Karoumpalis
Vasileios I. Theopistos
Dimitrios Tzilves
Dimitrios K. Christodoulou
Endoscopic ultrasonography in pancreatic diseases: advances in tissue acquisition
Endoscopy International Open
title Endoscopic ultrasonography in pancreatic diseases: advances in tissue acquisition
title_full Endoscopic ultrasonography in pancreatic diseases: advances in tissue acquisition
title_fullStr Endoscopic ultrasonography in pancreatic diseases: advances in tissue acquisition
title_full_unstemmed Endoscopic ultrasonography in pancreatic diseases: advances in tissue acquisition
title_short Endoscopic ultrasonography in pancreatic diseases: advances in tissue acquisition
title_sort endoscopic ultrasonography in pancreatic diseases advances in tissue acquisition
url http://www.thieme-connect.de/DOI/DOI?10.1055/a-0915-9594
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