Technical Performance, Overall Accuracy and Complications of EUS-Guided Interventional Procedures: A Dynamic Landscape
Endoscopic ultrasound (EUS) gained wide acceptance as the diagnostic and minimally invasive therapeutic approach for intra-luminal and extraluminal gastrointestinal, as well as various non-gastrointestinal lesions. Since its introduction, EUS has undergone substantial technological advances. This mu...
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-07-01
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| Series: | Diagnostics |
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| Online Access: | https://www.mdpi.com/2075-4418/12/7/1641 |
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| author | Irina Florina Cherciu Harbiyeli Alina Constantin Irina Mihaela Cazacu Daniela Elena Burtea Elena Codruța Gheorghe Carmen Florina Popescu Nona Bejinariu Claudia Valentina Georgescu Daniel Pirici Bogdan Silviu Ungureanu Cătălin Copăescu Adrian Săftoiu |
| author_facet | Irina Florina Cherciu Harbiyeli Alina Constantin Irina Mihaela Cazacu Daniela Elena Burtea Elena Codruța Gheorghe Carmen Florina Popescu Nona Bejinariu Claudia Valentina Georgescu Daniel Pirici Bogdan Silviu Ungureanu Cătălin Copăescu Adrian Săftoiu |
| author_sort | Irina Florina Cherciu Harbiyeli |
| collection | DOAJ |
| description | Endoscopic ultrasound (EUS) gained wide acceptance as the diagnostic and minimally invasive therapeutic approach for intra-luminal and extraluminal gastrointestinal, as well as various non-gastrointestinal lesions. Since its introduction, EUS has undergone substantial technological advances. This multi-centric study is a retrospective analysis of a prospectively maintained database of patients who underwent EUS for the evaluation of lesions located within the gastrointestinal tract and the proximal organs. It aimed to extensively assess in dynamic the dual-center EUS experience over the course of the past 20 years. Hence, we performed a population study and an overall assessment of the EUS procedures. The performance of EUS-FNA/FNB in diagnosing pancreatic neoplasms was evaluated. We also investigated the contribution of associating contrast-enhanced ultrasound imaging (CE-EUS) with EUS-FNA/FNB for differentiating solid pancreatic lesions or cystic pancreatic lesions. A total of 2935 patients undergoing EUS between 2002–2021 were included, out of which 1880 were diagnostic EUS and 1052 EUS-FNA/FNB (80% FNA and 20% FNB). Therapeutic procedures performed included endoscopic transmural drainage of pancreatic fluid collections, celiac plexus block and neurolysis, while diagnostic EUS-like CE-EUS (20%) and real-time elastography (12%) were also conducted. Most complications occurred during the first 7 days after EUS-FNA/FNB or pseudocyst drainage. EUS and the additional tools have high technical success rates and low rates of complications. The EUS methods are safe, cost effective and indispensable for the diagnostic or therapeutic management in gastroenterological everyday practice. |
| first_indexed | 2024-03-09T10:20:29Z |
| format | Article |
| id | doaj.art-9f6ad92bb2f3407e9be55277ae394e1e |
| institution | Directory Open Access Journal |
| issn | 2075-4418 |
| language | English |
| last_indexed | 2024-03-09T10:20:29Z |
| publishDate | 2022-07-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj.art-9f6ad92bb2f3407e9be55277ae394e1e2023-12-01T22:03:59ZengMDPI AGDiagnostics2075-44182022-07-01127164110.3390/diagnostics12071641Technical Performance, Overall Accuracy and Complications of EUS-Guided Interventional Procedures: A Dynamic LandscapeIrina Florina Cherciu Harbiyeli0Alina Constantin1Irina Mihaela Cazacu2Daniela Elena Burtea3Elena Codruța Gheorghe4Carmen Florina Popescu5Nona Bejinariu6Claudia Valentina Georgescu7Daniel Pirici8Bogdan Silviu Ungureanu9Cătălin Copăescu10Adrian Săftoiu11Research Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy Craiova, 200349 Craiova, RomaniaGastroenterology Department, Ponderas Academic Hospital, 014142 Bucharest, RomaniaResearch Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy Craiova, 200349 Craiova, RomaniaResearch Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy Craiova, 200349 Craiova, RomaniaResearch Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy Craiova, 200349 Craiova, RomaniaResearch Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy Craiova, 200349 Craiova, RomaniaSantomar Oncodiagnostic, Regina Maria Histopathology Laboratory, 400350 Cluj Napoca, RomaniaResearch Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy Craiova, 200349 Craiova, RomaniaResearch Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy Craiova, 200349 Craiova, RomaniaResearch Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy Craiova, 200349 Craiova, RomaniaGastroenterology Department, Ponderas Academic Hospital, 014142 Bucharest, RomaniaResearch Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy Craiova, 200349 Craiova, RomaniaEndoscopic ultrasound (EUS) gained wide acceptance as the diagnostic and minimally invasive therapeutic approach for intra-luminal and extraluminal gastrointestinal, as well as various non-gastrointestinal lesions. Since its introduction, EUS has undergone substantial technological advances. This multi-centric study is a retrospective analysis of a prospectively maintained database of patients who underwent EUS for the evaluation of lesions located within the gastrointestinal tract and the proximal organs. It aimed to extensively assess in dynamic the dual-center EUS experience over the course of the past 20 years. Hence, we performed a population study and an overall assessment of the EUS procedures. The performance of EUS-FNA/FNB in diagnosing pancreatic neoplasms was evaluated. We also investigated the contribution of associating contrast-enhanced ultrasound imaging (CE-EUS) with EUS-FNA/FNB for differentiating solid pancreatic lesions or cystic pancreatic lesions. A total of 2935 patients undergoing EUS between 2002–2021 were included, out of which 1880 were diagnostic EUS and 1052 EUS-FNA/FNB (80% FNA and 20% FNB). Therapeutic procedures performed included endoscopic transmural drainage of pancreatic fluid collections, celiac plexus block and neurolysis, while diagnostic EUS-like CE-EUS (20%) and real-time elastography (12%) were also conducted. Most complications occurred during the first 7 days after EUS-FNA/FNB or pseudocyst drainage. EUS and the additional tools have high technical success rates and low rates of complications. The EUS methods are safe, cost effective and indispensable for the diagnostic or therapeutic management in gastroenterological everyday practice.https://www.mdpi.com/2075-4418/12/7/1641endoscopic ultrasoundendoscopic ultrasound-guided fine needle aspiration/biopsy |
| spellingShingle | Irina Florina Cherciu Harbiyeli Alina Constantin Irina Mihaela Cazacu Daniela Elena Burtea Elena Codruța Gheorghe Carmen Florina Popescu Nona Bejinariu Claudia Valentina Georgescu Daniel Pirici Bogdan Silviu Ungureanu Cătălin Copăescu Adrian Săftoiu Technical Performance, Overall Accuracy and Complications of EUS-Guided Interventional Procedures: A Dynamic Landscape Diagnostics endoscopic ultrasound endoscopic ultrasound-guided fine needle aspiration/biopsy |
| title | Technical Performance, Overall Accuracy and Complications of EUS-Guided Interventional Procedures: A Dynamic Landscape |
| title_full | Technical Performance, Overall Accuracy and Complications of EUS-Guided Interventional Procedures: A Dynamic Landscape |
| title_fullStr | Technical Performance, Overall Accuracy and Complications of EUS-Guided Interventional Procedures: A Dynamic Landscape |
| title_full_unstemmed | Technical Performance, Overall Accuracy and Complications of EUS-Guided Interventional Procedures: A Dynamic Landscape |
| title_short | Technical Performance, Overall Accuracy and Complications of EUS-Guided Interventional Procedures: A Dynamic Landscape |
| title_sort | technical performance overall accuracy and complications of eus guided interventional procedures a dynamic landscape |
| topic | endoscopic ultrasound endoscopic ultrasound-guided fine needle aspiration/biopsy |
| url | https://www.mdpi.com/2075-4418/12/7/1641 |
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