Endoscopic ultrasound.guided fine-needle tissue acquisition – A review and update of literature

Benjamin Tharian; Nayana George; Ashley Canipe; Bronte Holt; Konrad Krall; Shantel Hébert-Magee; Udayakumar Navaneethan; Robert H. Hawes; Shyam Varadarajulu; Muhammad K. Hasan

doi:10.4103/0976-5042.155230

Journal of Digestive Endoscopy, Table of Contents

CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2015; 06(01): 001-010
DOI: 10.4103/0976-5042.155230

Review Article

Society of Gastrointestinal Endoscopy of India

Endoscopic ultrasound.guided fine-needle tissue acquisition – A review and update of literature

Authors

Benjamin Tharian

Advanced Endoscopy Fellow, Center for Interventional Endoscopy, Florida Hospital, Orlando, USA
Nayana George

¹Department of Medicine, Western Hospital, Melbourne, Australia
Ashley Canipe

Advanced Endoscopy Fellow, Center for Interventional Endoscopy, Florida Hospital, Orlando, USA
Bronte Holt

²Department of Gastroenterology, St Vincent′s Hospital, Melbourne, Australia
Konrad Krall

³Cytotechnician, Center for Interventional Endoscopy, Florida Hospital, Orlando, USA
Shantel Hébert-Magee

⁴Cytopathologist, Center for Interventional Endoscopy, Florida Hospital, Orlando, USA
Udayakumar Navaneethan

⁵Department of Medicine, University of Central Florida, Interventional Gastroenterologist, Center for Interventional Endoscopy, Florida Hospital, Orlando, USA
Robert H. Hawes

⁶Department of Medicine, University of Central Florida, Interventional Gastroenterologist and Medical Director, Institute for Minimally Invasive Therapy, Florida Hospital, Orlando, USA
Shyam Varadarajulu

⁷Department of Medicine, University of Central Florida, Interventional Gastroenterologist and Medical Director, Center for Interventional Endoscopy, Florida Hospital, Orlando, USA
Muhammad K. Hasan

⁵Department of Medicine, University of Central Florida, Interventional Gastroenterologist, Center for Interventional Endoscopy, Florida Hospital, Orlando, USA

Abstract

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Abstract

Ever since the first endoscopic ultrasound-guided fine needle aspiration (FNA) was done in 1992, the procedure has evolved to become an indispensable tool for tissue acquisition in patients with gastrointestinal tumors and periluminal lesions. With the growing evidence of neoadjuvant therapy and research into intratumoral therapy, the need to obtain tissue diagnosis for tumors is quite apparent. This review provides an overall perspective to the endosonographer on various issues that are a key for best practices in FNA, in addition to being an update for practicing experienced endosonographers.

Key words

Cytology - endoscopic ultrasound - fine-needle aspiration - fine needle core biopsy - molecular markers - rapid onsite cytologic evaluation - tissue acquisition - training

PDF (379 kb)

References

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