scholarly journals Assessment of the clinical usefulness of ultrasound‐guided cytological specimens obtained from gastrointestinal lesions in dogs and cats

2021 ◽  
Author(s):  
R. B. S. Turner ◽  
R. Liffman ◽  
A. P. Woodward ◽  
C. Beck ◽  
N. Courtman ◽  
...  
Keyword(s):  
Clinical Usefulness ◽  
Ultrasound Guided ◽  
Gastrointestinal Lesions

ENDOSCOPIC ULTRASOUND-GUIDED BIOPSY OF SUBEPITHELIAL GASTROINTESTINAL LESIONS – JUST WET-IT

2019 ◽  
Author(s):  
I Pita ◽  
J Fernandes ◽  
P Pimentel-Nunes ◽  
P Monteiro ◽  
M Dinis-Ribeiro ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Ultrasound Guided ◽  
Guided Biopsy ◽  
Gastrointestinal Lesions ◽  
Ultrasound Guided Biopsy

Clinical usefulness of ultrasound-guided alcohol sclerosis in patients with breast fistulas

2015 ◽  
Vol 57 (4) ◽  
pp. 321-325
Author(s):  
A.M. Fernández Martínez ◽  
L. López González ◽  
G. Santana-Lopez ◽  
I. Álvarez Silva ◽  
T. Cuesta Marcos
Keyword(s):  
Clinical Usefulness ◽  
Ultrasound Guided

Ultrasound-guided percutaneous biopsy for diagnosis of gastrointestinal lesions

2013 ◽  
Vol 45 (10) ◽  
pp. 816-819 ◽  
Author(s):  
Ilario de Sio ◽  
Annalisa Funaro ◽  
Luigi Maria Vitale ◽  
Marco Niosi ◽  
Giampiero Francica ◽  
...  
Keyword(s):  
Percutaneous Biopsy ◽  
Ultrasound Guided ◽  
Gastrointestinal Lesions

The Diagnostic Accuracy of Endoscopic Ultrasound-Guided Fine Needle Aspiration in Patients with Endoscopic Biopsy Negative Upper Gastrointestinal Lesions

2021 ◽  
Vol 17 (2) ◽  
pp. 188-193
Author(s):  
Muhammad Najm ul Hasan Shafi ◽  
Irfan Ali ◽  
Muhammad Ismail ◽  
Hassam Zulfiqar ◽  
Izatullah ◽  
...  
Keyword(s):  
Diagnostic Accuracy ◽  
Endoscopic Ultrasound ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Ultrasound Guided ◽  
Fine Needle ◽  
Upper Gi ◽  
Endoscopic Biopsies ◽  
Gastrointestinal Lesions

Objective To determine the diagnostic accuracy of endoscopic ultrasound guided (EUS) fine needle aspiration in patients who had inconclusive endoscopic biopsies of the same lesion Methodology This retrospective study was conducted at Pak Emirates Military Hospital, Rawalpindi, Pakistan from Jan 2018 to July 2020. Patients who underwent EUS guided FNAC from June 2017 to July 2020 were screened. The FNAC results of patients satisfying the inclusion ciritera were compared with either a surgical biopsy in patients in whom surgeries were done, while in the remaining patients, EUS FNAC results were compared with a 3 months radiological and/or 6 months clinical follow-up. The final diagnosis was defined based on the following criteria: (1) Malignant lesions (n=36), histopathologic diagnosis obtained based on surgery resected samples (n=18) or clinical diagnosis as neoplasm based on clinical follow-up of symptoms (n=30) or radiologic diagnosis based on imaging follow-up at 3 months (n=13) (2) Benign lesions (n=18), benign cytopathologic histopathologic findings and clinical follow-up with no evidence of malignant progression or metastasis. Results EUS-guided FNA cytology turned out to be malignant in 60 percent (n=36) of the specimens. 30 percent of the samples showed benign epithelial cytology ( n=18) while in 10 percent  of the cases (n=6), the tissue samples were deemed insufficient for cytological diagnosis. The accuracy came out to be 66.6 percent (n=10 were true negative), sensitivity 93.4 percent, and specificity 100 percent.  Conclusion EUS guided-FNA cytology of the sub-mucosal upper GI lesions is highly sensitive and specific for upper GI lesions, which are negative on endoscopic biopsies.

scholarly journals Complications of Endoscopic Ultrasound-Guided Fine Needle Aspiration: A Narrative Review

Diagnostics ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. 964
Author(s):  
Masafumi Mizuide ◽  
Shomei Ryozawa ◽  
Akashi Fujita ◽  
Tomoya Ogawa ◽  
Hiromune Katsuda ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Fine Needle Aspiration ◽  
Diagnostic Performance ◽  
Needle Aspiration ◽  
Comprehensive Understanding ◽  
Ultrasound Guided ◽  
Fine Needle ◽  
Gastrointestinal Lesions ◽  
Life Threatening ◽  
Low Rate

Considerable progress has been made recently in the use of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) to diagnose intra-luminal gastrointestinal lesions and extra-luminal lesions near the gastrointestinal tract. Numerous reports have indicated that EUS-FNA has high diagnostic performance and safety, which has led to the routine use of EUS-FNA and an increasing number of cases. Thus, while EUS-FNA has a low rate of complications, endoscopists may encounter these complications as the number of cases increases. Infrequent reports have also described life-threatening complications. Therefore, endoscopists should possess a comprehensive understanding of the complications of EUS-FNA, which include hemorrhage, perforation, infection, and acute pancreatitis, as well as their management. This review examines the available evidence regarding the complications associated with EUS-FNA, and the findings will be useful for ensuring that endoscopists perform EUS-FNA safely and appropriately.

Clinical Usefulness of Endoscopic Ultrasound-Guided Fine Needle Aspiration for Gastric Subepithelial Lesions Smaller than 2 cm

2014 ◽  
Vol 23 (4) ◽  
pp. 405-412 ◽  
Author(s):  
Kazuya Akahoshi ◽  
Masafumi Oya ◽  
Tadashi Koga ◽  
Hidenobu Koga ◽  
Yasuaki Motomura ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Fine Needle Aspiration ◽  
Submucosal Tumor ◽  
Needle Aspiration ◽  
Clinical Usefulness ◽  
Ultrasound Guided ◽  
High Power Field ◽  
Early Management ◽  
Fine Needle ◽  
Subepithelial Lesions

Background & Aims: There is no evidence of postoperative metastasis of gastric gastrointestinal stromal tumors (GISTs) smaller than 2 cm. The aim of this study was to evaluate the clinical usefulness of endoscopic ultrasound guided fine needle aspiration (EUS-FNA) for gastric subepithelial lesions (SELs) smaller than 2 cm.Patients and methods: Using a prospectively maintained EUS-FNA database, 90 consecutive EUS-FNAs of gastric hypoechoic solid SELs smaller than 2 cm diagnosed by EUS were evaluated retrospectively. The reference standards for the final diagnosis were surgery (n=44) and/or clinical follow-up (n=46) using esophagogastroduodenoscopy (EGD), CT, and/or ultrasonography (US). Additionally, immunophenotyping of specimens obtained by EUS-FNA and surgical resection specimens were compared.Results: The diagnostic rate of EUS-FNA for gastric hypoechoic solid SELs smaller than 2 cm was 73% (66/90). Histological diagnosis of EUS-FNA showed 47 (52%) malignant SELs (44 GISTs, 1 glomus tumor, 1 SEL like cancer, and 1 malignant lymphoma), 19 (21%) benign SELs (14 leiomyomas, 4 ectopic pancreas, and 1 neurinoma), and 24 (27%) indeterminate SELs. In 44 surgically resected cases, the diagnostic accuracy of EUS-FNA using immunohistochemical analysis was 98% (43/44). There were no complications. Appropriate 5 out of 66 SELs (98%) diagnosed by definitive EUS-FNA. After surgery, there was no recurrence of malignant SELs.Conclusions: EUS-FNA is an accurate and safe method in the pre-therapeutic diagnosis of gastric SELs smaller than 2 cm. EUS-FNA for gastric SELs smaller than 2 cm is a promising way to permit early management of patients with gastric SELs including GIST.Abbreviations: EGD: esophagogastroduodenoscopy; EUS: endoscopic ultrasonography; EUS-FNA:endoscopic ultrasound-guided fine needle aspiration; GIST: gastrointestinal stromal tumor; HPF: high power field; SEL: subepithelial lesion; SMT: submucosal tumor.

scholarly journals Role of endoscopic ultrasound and endoscopic-ultrasound-guided fine-needle aspiration in endoscopic biopsy negative gastrointestinal lesions

2017 ◽  
Vol 6 (3) ◽  
pp. 156 ◽  
Author(s):  
HusseinHassan Okasha ◽  
Mohamed Naguib ◽  
Mohamed El Nady ◽  
Reem Ezzat ◽  
Emad Al-Gemeie ◽  
...  
Keyword(s):  
Endoscopic Ultrasound ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Endoscopic Biopsy ◽  
Ultrasound Guided ◽  
Fine Needle ◽  
Gastrointestinal Lesions
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