Comparing EUS and EBUS-Guided Needle Aspirations

  • Armin Ernst
  • Mandeep S. Sawhney

Endobronchial ultrasound has established itself as a powerful tool for guiding transbronchial needle aspiration and, therefore, the diagnosis of thoracic lesions and staging of cancer. All aspects of EBUS TBNA are described in detail in other chapters of this book. It is important to consider EUS FNA in this context. Gastroenterologists have been using ultrasound-guided needle aspirations for longer than pulmonologists have been using EBUS.

EUS FNA has established itself not just for diagnosis of abdominal lesions, but also extensively for the diagnosis of lesions within the thorax. This obviously does make sense, since the esophagus runs alongside the trachea and many mediastinal abnormalities are within reach of the EUS FNA procedure.

Many times, bronchoscopic procedures are preceded by similar technology offered within the GI tract. The main reason for this phenomena is the fact that instruments can usually be larger when used through the esophagus rather than when being advanced...


Transbronchial Biopsy Transbronchial Needle Aspiration Endobronchial Ultrasound Bronchium Alveolar Lavage Esophageal Cancer Staging 
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Copyright information

© Springer Science+Business Media, LLC 2009

Authors and Affiliations

  • Armin Ernst
    • 1
    • 2
  • Mandeep S. Sawhney
    • 1
  1. 1.Chief, Section of Interventional Pulmonology; Director, Clinical, Sponsored, and Translational Research, Interventional Pulmonology/Thoracic Surgery, Beth Israel Deaconess Medical Center; Associate Professor of MedicineHarvard Medical SchoolBostonUSA
  2. 2.Assistant Professor of Medicine, Division of GastroenterologyBeth Israel Deaconess Medical Center/Harvard UniversityBostonUSA

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