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Quelles sont les indications reconnues de la ponction sous écho-endoscopie?

Which are the recognized indications of EUS fine needle aspiration?

  • Published:
Acta Endoscopica

Conclusion

La notion d’examen irremplaçable fait appel à des considérations multiples que l’on peut synthétiser sous la forme d’un rapport bénéfice-risque très favorable en comparaison avec les autres examens disponibles, dans des indications où la prise en charge est significativement modifiée par l’examen. Dès maintenant, la biopsie sous échoendoscopie apparaît comme irremplaçable dans un certain nombre de situations bien définies: c’est avant tout la prise en charge de certaines masses pancréatiques solides ou kystiques du pancréas, le bilan pré-thérapeutique de certains cancers de l’œsophage et du cardia, la surveillance des cancers du rectum, et enfin, le diagnostic de nature des masses ganglionnaires péridigestives. Dans toutes ces indications, la biopsie échoendoscopiquement guidée est irremplaçable, si, bien sûr, on se réfère à la notion d’une prise en charge optimale, c’est-à-dire la meilleure possible pour les patients qui nous sont confiés.

Conclusion

The notion of the indispensable exam relies upon multiple considerations that can be synthesised into a benefit to risk ratio very favourable in comparison with other available exams, in indications where the management is significantly modified by the exam. As for now, EUS-guided biopsy appears as indispensable in a certain number of well defined situations: it is first of all the management of cystic or solid masses in the pancreas, the pre-therapeutic staging of certain cancers of the oesophagus or cardia, the surveillance of rectal cancers and last the diagnosis of the nature of the peridigestive lymph node masses. In all these indications, EUS-guided fine needle biopsy is indispensable if, of course, one takes into account the notion of optimal management, that is to say the best possible one for the patients in our care.

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  1. Hôpital Beaujon, Clichy, (France)

    L. Palazzo

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Palazzo, L. Quelles sont les indications reconnues de la ponction sous écho-endoscopie?. Acta Endosc 33, 17–29 (2003). https://doi.org/10.1007/BF03023670

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