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CC BY-NC-ND 4.0 · Endosc Int Open 2019; 07(07): E922-E930
DOI: 10.1055/a-0915-9594
DOI: 10.1055/a-0915-9594
Review
Endoscopic ultrasonography in pancreatic diseases: advances in tissue acquisition
Further Information
Publication History
submitted 19 January 2019
accepted after revision 09 April 2019
Publication Date:
11 July 2019 (online)
Abstract
Background and study aims Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) improved the diagnostic performance and upgraded the role of endoscopic ultrasonography (EUS) into an interventional modality, able to guide patient management and treatment.This review aimed to highlight the advances, emerging practices, procedural techniques and technological innovations in EUS tissue acquisition in pancreatic diseases.
Methods A thorough review of the literature was performed using PubMed to identify articles that describe techniques, advances, and practices in EUS tissue acquisition in gastrointestinal diseases.
Conclusion Since the first EUS-FNA procedure, EUS guided-tissue acquisition has been evolving continuously. Development of needles with innovative tip design enabled procurement of larger samples with preserved histological architecture. Moreover, sampling techniques and complementary methods, such as contrast harmonic imaging and EUS-elastography, have been introduced in an effort to improve diagnostic performance and sample adequacy.
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