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...
Main Authors: | , , , , |
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Format: | Article |
Language: | English |
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Georg Thieme Verlag KG
2019-07-01
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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. |
first_indexed | 2024-04-12T08:32:52Z |
format | Article |
id | doaj.art-52d2714eb18449f791cdf7eab6af971a |
institution | Directory Open Access Journal |
issn | 2364-3722 2196-9736 |
language | English |
last_indexed | 2024-04-12T08:32:52Z |
publishDate | 2019-07-01 |
publisher | Georg Thieme Verlag KG |
record_format | Article |
series | Endoscopy International Open |
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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