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Endoscopy 2012; 44(02): 190-206
DOI: 10.1055/s-0031-1291543
Guideline
© Georg Thieme Verlag KG Stuttgart · New York

Learning, techniques, and complications of endoscopic ultrasound (EUS)-guided sampling in gastroenterology: European Society of Gastrointestinal Endoscopy (ESGE) Technical Guideline

M. Polkowski
1   Department of Gastroenterology and Hepatology, Medical Centre for Postgraduate Education and Department of Gastroenterology, The M. Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Warsaw, Poland
,
A. Larghi
2   Digestive Endoscopy Unit, Universita’ Cattolica del Sacro Cuore, Rome, Italy
,
B. Weynand
3   CHU Mont-Godinne, Université catholique de Louvain, Yvoir, Belgium
,
C. Boustière
4   Department of Digestive Endoscopy, Hôpital Saint Joseph, Marseille, France
,
M. Giovannini
5   Endoscopic Unit, Paoli-Calmettes Institut, Marseille, France
,
B. Pujol
6   Department of Gastroenterology, Hôpital Privé Jean Mermoz, Lyon, France
,
J.-M. Dumonceau
7   Service of Gastroenterology and Hepatology, Geneva University Hospitals, Geneva, Switzerland
› Author Affiliations
Further Information

Publication History

submitted 10 May 2011

accepted after revision 10 October 2011

Publication Date:
16 December 2011 (online)

Also available at
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This article is the second of a two-part publication that expresses the current view of the European Society of Gastrointestinal Endoscopy (ESGE) about endoscopic ultrasound (EUS)-guided sampling, including EUS-guided fine needle aspiration (EUS-FNA) and EUS-guided Trucut biopsy. The first part (the Clinical Guideline) focused on the results obtained with EUS-guided sampling, and the role of this technique in patient management, and made recommendations on circumstances that warrant its use. The current Technical Guideline discusses issues related to learning, techniques, and complications of EUS-guided sampling, and to processing of specimens. Technical issues related to maximizing the diagnostic yield (e. g., rapid on-site cytopathological evaluation, needle diameter, microcore isolation for histopathological examination, and adequate number of needle passes) are discussed and recommendations are made for various settings, including solid and cystic pancreatic lesions, submucosal tumors, and lymph nodes. The target readership for the Clinical Guideline mostly includes gastroenterologists, oncologists, internists, and surgeons while the Technical Guideline should be most useful to endoscopists who perform EUS-guided sampling. A two-page executive summary of evidence statements and recommendations is provided.

Appendix 1 and 2 are available online:

 

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