Endoskopie, 2011; 20(3-4): 100-103

Endoscopic ultrasound-guided fine needle aspiration - indications, technique, pitfalls and complications

MUDr.Martin Kliment, MUDr.Ondřej Urban, Ph.D.

Centrum péče o zažívací trakt, Vítkovická nemocnice a.s., Ostrava

Endoscopic ultrasound-guided fine needle aspiration is an endoscopic method of sampling pathological structures within gastrointestinal

wall or adjacent organs using aspiration needle under endosonographic control. Main indications include: masses and lymphadenopathy

in posterior mediastinum, oesophageal and gastric submucosal tumors as well as intramural processes of unclear etiology, nodal staging

of pulmonary, oesophageal and gastric cancer, unclear focal lesions in the pancreas and left lobe of the liver. Rapid on-site cytopathology

increases diagnostic accuracy of EUS-FNA. The method is safe with the incidence of complications in less than 3 %. The authors inform

about indications, technique, pitfalls and complications of the method.

Keywords: endosonography, fine-needle aspiration biopsy, submucosal tumor, pancreatic cancer, pancreatic cyst

Published: December 28, 2011  Show citation