Abstract
The advent of endoscopic ultrasound (EUS) and guided fine needle aspiration (FNA) has significantly altered the management of benign and malignant gastrointestinal, biliary-pancreatic and mediastinal disorders. Over the past two decades, EUS has evolved from being a diagnostic imaging modality to an interventional modality. Several evolving therapeutic applications are paving the way to previously unimaginable procedures such as transluminal endosurgery (Giovannini 2004). The technique of EUS-guided fine needle aspiration (EUS-FNA) forms the basis for all of the more invasive applications such as EUS-guided celiac ganglion neurolysis, pseudocyst drainage, pancreatic necrosectomy, periluminal abscess drainages, transgastric or transduodenal biliary-pancreatic drainage procedures etc (Giovannini 2004; Fritscher-ravns 2006).
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Adler DG, Conway JD, Coffie JM, Disario JA, Mishkin DS, Shah RJ, et al. EUS accessories. Gastrointest Endosc. 2007;66(6):1076–81.
Al-Haddad M, Wallace MB, Woodward TA, Gross SA, Hodgens CM, Toton RD, et al. The safety of fine-needle aspiration guided by endoscopic ultrasound: a prospective study. Endoscopy. 2008;40(3):204–8.
Al-Haddad M, Gill KR, Raimondo M, Woodward TA, Krishna M, Crook JE, Skarvinko LN, Jamil LH, Hasan M, Wallace MB. Safety and efficacy of cytology brushings versus standard fine-needle aspiration in evaluating cystic pancreatic lesions: a controlled study. Endoscopy 2009 Dec 7, Endoscopy. 2010;42(2):127–32.
Binmoeller KF, Rathod VD. Difficult pancreatic mass FNA: tips for success. Gastrointest Endosc. 2002;56(4 Suppl):S86–91.
Erickson RA. EUS-guided FNA. Gastrointest Endosc. 2004;60(2):267–79.
Fisher L, Segarajasingam DS, Stewart C, Deboer WB, Yusoff IF. Endoscopic ultrasound guided fine needle aspiration of solid pancreatic lesions: Performance and outcomes. J Gastroenterol Hepatol. 2009;24(1):90–6.
Fritscher-Ravens A, Brand B, Bohnacker S, Sriram P, Soehendra N. Technique of endoscopic ultrasonography-guided fine-needle aspiration of the lymph nodes. Tech Gastrointest Endosc. 2000a;2(3):142–8.
Fritscher-Ravens A, Broering DC, Sriram PV, Topalidis T, Jaeckle S, Thonke F, et al. EUS-guided fine-needle aspiration cytodiagnosis of hilar cholangiocarcinoma: a case series. Gastrointest Endosc. 2000b;52(4):534–40.
Fritscher-ravns A. EUS-Experimental and evolving techniques. Endoscopy. 2006;38(S1):S1–4.
Giovannini M. Ultrasound-guided endoscopic surgery. Best Pract Res Clin Gastroenterol. 2004;18:183–200.
Kien-Fong Vu C, Chang F, Doig L, Meenan J. A prospective control study of the safety and cellular yield of EUS-guided FNA or Trucut biopsy in patients taking aspirin, nonsteroidal anti-inflammatory drugs, or prophylactic low molecular weight heparin. Gastrointest Endosc. 2006;63(6):808–13.
Mitsuhashi T, Ghafari S, Chang CY, Gu M. Endoscopic ultrasound-guided fine needle aspiration of the pancreas: cytomorphological evaluation with emphasis on adequacy assessment, diagnostic criteria and contamination from the gastrointestinal tract. Cytopathology. 2006;17(1):34–41.
Nguyen YP, Maple JT, Zhang Q, Ylagan LR, Zhai J, Kohlmeier C, et al. Reliability of gross visual assessment of specimen adequacy during EUS-guided FNA of pancreatic masses. Gastrointest Endosc. 2009;69(7):1264–70.
Noh KW, Woodward TA, Raimondo M, Savoy AD, Pungpapong S, Hardee JD, et al. Changing trends in endosonography: linear imaging and tissue are increasingly the issue. Dig Dis Sci. 2007;52(4):1014–8.
Puri R, Vilmann P, Săftoiu A, Skov BG, Linnemann D, Hassan H, et al. Randomized controlled trial of endoscopic ultrasound-guided fine-needle sampling with or without suction for better cytological diagnosis. Scand J Gastroenterol. 2009;44(4):499–504.
Savides TJ. Tricks for improving EUS-FNA accuracy and maximizing cellular yield. Gastrointest Endosc. 2009;69(2 Suppl):S130–3.
Shah JN, Muthusamy VR. Minimizing complications of endoscopic ultrasound and EUS-guided fine needle aspiration. Gastrointest Endosc Clin N Am. 2007;17(1):129–43. vii-viii.
Vilmann P, Săftoiu A. Endoscopic ultrasound-guided fine needle aspiration biopsy: equipment and technique. J Gastroenterol Hepatol. 2006;21(11):1646–55.
Yamao K, Mizuno N, Takagi T, Hara K. How I do it and when I use (and do not use) EUS-FNA. Gastrointest Endosc. 2009;69(2 Suppl):S134–7.
Yusuf TE, Tsutaki S, Wagh MS, Waxman I, Brugge WR. The EUS hardware store: state of the art technical review of instruments and equipment (with videos). Gastrointest Endosc. 2007;66(1):131–43.
Yusuf TE, Ho S, Pavey DA, Michael H, Gress FG. Retrospective analysis of the utility of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) in pancreatic masses, using a 22-gauge or 25-gauge needle system: a multicenter experience. Endoscopy. 2009;41(5):445–8.
Acknowledgment
I respectfully acknowledge Dr. Dharma Thiruvaiyaru, Ph.D., Dept. of Mathematics, Statistics and Computer Sciences, Augusta State University, Augusta, Georgia for critically reviewing the chapter.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2011 Springer Science+Business Media, LLC
About this chapter
Cite this chapter
Parupudi, S.V.J., Sridhar, S. (2011). Technique of Endoscopic Ultrasound-Guided Fine Needle Aspiration (EUS-FNA). In: Wu, G., Sridhar, S. (eds) Diagnostic and Therapeutic Procedures in Gastroenterology. Clinical Gastroenterology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59745-044-7_16
Download citation
DOI: https://doi.org/10.1007/978-1-59745-044-7_16
Published:
Publisher Name: Humana Press, Totowa, NJ
Print ISBN: 978-1-58829-478-4
Online ISBN: 978-1-59745-044-7
eBook Packages: MedicineMedicine (R0)