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Techniques of Endoscopic Ultrasound-Guided Fine Needle Aspiration

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ERCP and EUS

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Abstract

Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is a minimally invasive, well-tolerated procedure which provides samples for cytological and histological analysis. It is currently an important step in the management algorithms of patients with suspected pancreatic cancer, unexplained lymphadenopathy, a mediastinal mass, and other abdominal neoplasms. It has major advantages over other imaging techniques but the results are highly dependent upon individual experience and expertise. A variety of techniques have been examined and suggested to improve the tissue yield of EUS-FNA. Recently, new biopsy needles have been introduced to improve tissue yield by using histological material. The complication rate of EUS-FNA for solid lesions is rare in high volume centers, most of them being minor and self-limiting; however, cystic lesions are more vulnerable to serious complications and extra care and experience is needed. This chapter reviews the most relevant technical issues during EUS-FNA procedure.

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Authors and Affiliations

  1. Department of Medicine/Gastroenterology, Gaziantep University Hospital, University Blvd, Gaziantep, 27300, Turkey

    Abdurrahman Kadayifci MD

  2. Department of Medicine/Gastroenterology, Massachusetts General Hospital, 55 Fruit Street, Blake 4, Boston, MA 02114, USA

    Abdurrahman Kadayifci MD & William R. Brugge MD

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  1. Abdurrahman Kadayifci MD
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  2. William R. Brugge MD
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Correspondence to William R. Brugge MD .

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  1. Gastroenterology, Hepatology, and Endoscopy, Brigham and Women’s Hospital, Boston, Massachusetts, USA

    Linda S. Lee

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Video 23.1 EUS-FNA of pancreatic cyst

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Kadayifci, A., Brugge, W. (2015). Techniques of Endoscopic Ultrasound-Guided Fine Needle Aspiration. In: Lee, L. (eds) ERCP and EUS. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-2320-5_23

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  • DOI: https://doi.org/10.1007/978-1-4939-2320-5_23

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