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Shyam Varadarajulu 6 Articles
Treatment of Walled-off Necrosis – Outcomes are Best When Endoscopy and Percutaneous Interventions are Complimentary, Not Exclusive
Ji Young Bang, Shyam Varadarajulu
Clin Endosc 2021;54(6):785-786.   Published online November 30, 2021
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  • 69 Download
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Neoplasia in Chronic Pancreatitis: How to Maximize the Yield of Endoscopic Ultrasound-Guided Fine Needle Aspiration
Ji Young Bang, Shyam Varadarajulu
Clin Endosc 2014;47(5):420-424.   Published online September 30, 2014
AbstractAbstract PDFPubReaderePub

When performing endoscopic ultrasound-guided fine needle aspiration (EUS-FNA), identifying neoplasia in the setting of chronic pancreatitis can be technically challenging. The morphology of an ill-defined mass on sonography, presence of calcifications or intervening collaterals, reverberation from a biliary stent, low yield of tissue procurement, and interpretative errors in cytopathology can result in both false-negative and false-positive results. Although these challenges cannot be completely eliminated, elastography or contrast-enhanced imaging can aid in differentiating an inflammatory mass from a neoplasm. Also, performing more passes of FNA, procuring core biopsy material, performing rapid onsite evaluation, conducting ancillary pathology studies, and even repeating the procedure on a different day can aid in improving the diagnostic performance of EUS-FNA. This review provides a concise update and offers practical tips to improving the diagnostic yield of EUS-FNA when sampling solid pancreatic mass lesions in the setting of chronic pancreatitis.


Citations to this article as recorded by  
  • How to optimize the diagnostic yield of endoscopic ultrasound-guided fine-needle sampling in solid pancreatic lesions from a technical perspective
    Nam Hee Kim, Hong Joo Kim
    International Journal of Gastrointestinal Intervention.2023; 12(2): 57.     CrossRef
  • Endoscopic Ultrasound Guided Fine-Needle Aspiration for Solid Lesions in Chronic Pancreatitis: A Systematic Review and Meta-Analysis
    Mohamed A. Abdallah, Khalid Ahmed, Wesam Taha, Abdullahi Musa, Erin E. Reardon, Abubaker O. Abdalla, Guru Trikudanathan
    Digestive Diseases and Sciences.2022; 67(6): 2552.     CrossRef
  • Pancreatitis crónica para el clínico. Parte 1: etiología y diagnóstico. Documento de posicionamiento interdisciplinar de la Societat Catalana de Digestologia y la Societat Catalana de Pàncrees
    Xavier Molero, Juan Ramon Ayuso, Joaquim Balsells, Jaume Boadas, Juli Busquets, Anna Casteràs, Mar Concepción, Míriam Cuatrecasas, Gloria Fernàndez Esparrach, Esther Fort, Francisco Garcia Borobia, Àngels Ginès, Lucas Ilzarbe, Carme Loras, Miquel Masachs,
    Gastroenterología y Hepatología.2022; 45(3): 231.     CrossRef
  • Chronic pancreatitis for the clinician. Part 1: Etiology and diagnosis. Interdisciplinary position paper of the Societat Catalana de Digestologia and the Societat Catalana de Pàncrees
    Xavier Molero, Juan Ramon Ayuso, Joaquim Balsells, Jaume Boadas, Juli Busquets, Anna Casteràs, Mar Concepción, Míriam Cuatrecasas, Gloria Fernàndez Esparrach, Esther Fort, Francisco Garcia Borobia, Àngels Ginès, Lucas Ilzarbe, Carme Loras, Miquel Masachs,
    Gastroenterología y Hepatología (English Edition).2022; 45(3): 231.     CrossRef
  • Comparison of contrast-enhanced versus conventional EUS-guided FNA/fine-needle biopsy in diagnosis of solid pancreatic lesions: a randomized controlled trial
    In Rae Cho, Seok-Hoo Jeong, Huapyong Kang, Eui Joo Kim, Yeon Suk Kim, Jae Hee Cho
    Gastrointestinal Endoscopy.2021; 94(2): 303.     CrossRef
  • Pitfalls in the MDCT of pancreatic cancer: strategies for minimizing errors
    Arya Haj-Mirzaian, Satomi Kawamoto, Atif Zaheer, Ralph H. Hruban, Elliot K. Fishman, Linda C. Chu
    Abdominal Radiology.2020; 45(2): 457.     CrossRef
  • Factors affecting cytological results of endoscopic ultrasound guided-fine needle aspiration during learning
    Jian-Han Lai, Hsiang-Hung Lin, Ching-Chung Lin
    Diagnostic Pathology.2020;[Epub]     CrossRef
  • Resectable pancreatic solid lesions: Time to move from surgical diagnosis?
    Alberto Larghi, Mihai Rimbaş, Gianenrico Rizzatti, Giuseppe Quero, Antonio Gasbarrini, Guido Costamagna, Sergio Alfieri
    Endoscopic Ultrasound.2020; 9(2): 76.     CrossRef
  • Endoscopic ultrasound-guided sampling of solid pancreatic masses: the fine needle aspiration or fine needle biopsy dilemma. Is the best needle yet to come?
    Clara Benedetta Conti, Fabrizio Cereatti, Roberto Grassia
    World J Gastrointest Endosc.2019; 11(8): 454.     CrossRef
  • Endoscopic ultrasound-guided sampling of solid pancreatic masses: the fine needle aspiration or fine needle biopsy dilemma. Is the best needle yet to come?
    Clara Benedetta Conti, Fabrizio Cereatti, Roberto Grassia
    World Journal of Gastrointestinal Endoscopy.2019; 11(8): 454.     CrossRef
  • Predictors of Malignancies in Patients with Inconclusive or Negative Results of Endoscopic Ultrasound-guided Fine-needle Aspiration for Solid Pancreatic Masses
    Hyewon Jeong, Chan Sun Park, Ki Bae Kim, Joung-Ho Han, Soon Man Yoon, Hee Bok Chae, Sei Jin Youn, Seon Mee Park
    The Korean Journal of Gastroenterology.2018; 71(3): 153.     CrossRef
  • Endoscopic ultrasound elastography for solid pancreatic lesions
    Tanyaporn Chantarojanasiri, Pradermchai Kongkam
    World Journal of Gastrointestinal Endoscopy.2017; 9(10): 506.     CrossRef
  • Imaging Macrophage Accumulation in a Murine Model of Chronic Pancreatitis with 125I-Iodo-DPA-713 SPECT/CT
    Catherine A. Foss, Liansheng Liu, Ronnie C. Mease, Haofan Wang, Pankaj Pasricha, Martin G. Pomper
    Journal of Nuclear Medicine.2017; 58(10): 1685.     CrossRef
  • Endoscopic Ultrasound Elastography
    Utpal Mondal, Nichole Henkes, Sandeep Patel, Laura Rosenkranz
    Pancreas.2016; 45(7): 929.     CrossRef
  • International Digestive Endoscopy Network 2014: Turnpike to the Future
    Eun Young Kim, Kwang An Kwon, Il Ju Choi, Ji Kon Ryu, Ki Baik Hahm
    Clinical Endoscopy.2014; 47(5): 371.     CrossRef
  • 6,505 View
  • 69 Download
  • 18 Web of Science
  • 15 Crossref
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Endoscopic Ultrasound-Guided Management of Pancreatic Pseudocysts and Walled-Off Necrosis
Ji Young Bang, Shyam Varadarajulu
Clin Endosc 2014;47(5):429-431.   Published online September 30, 2014
AbstractAbstract PDFPubReaderePub

The outcome of endoscopic management of pancreatic fluid collections is dependent on the type of collection being treated. While pseudocysts have an excellent treatment response, the outcomes are modest for walled-off pancreatic necrosis. Recent advances in cross-sectional body imaging have enabled a more accurate distinction of pancreatic fluid collections, which, in turn, facilitates the correct triage of patients to receive the appropriate treatment. Newly described endoscopic techniques and the development of dedicated accessories have improved the clinical outcomes in walled-off pancreatic necrosis, with treatment success rates comparable to that of minimally invasive surgery. This review summarizes the key concepts and provides a concise update on the endoscopic management of pancreatic fluid collections.


Citations to this article as recorded by  
  • Technical and Clinical Outcomes of Using a Single Wide-Caliber Double-Pigtail Stent for Endoscopic Ultrasound-Guided Pancreatic Pseudocyst Drainage: A Multicenter Prospective Study
    Elsayed Ghoneem, Hussein Okasha, Mohamed Hammouda, Mohamed Fathi Gouda, Reham Soliman, Gamal Shiha, Khaled Ragab, Ramy Hassan Agwa
    GE - Portuguese Journal of Gastroenterology.2023; 30(6): 414.     CrossRef
  • Endoscopic cystogastrostomy: Still a viable option in children with symptomatic pancreatic fluid collection
    Ujjal Poddar, Surender Kumar Yachha, Vijai Datta Upadhyaya, Basant Kumar, Vibhor Borkar, Rohan Malik, Anshu Srivastava
    Pancreatology.2021; 21(4): 812.     CrossRef
  • Multiple hidden vessels in walled-off necrosis with high-risk bleeding: Report of two cases
    Ning Xu, Ya-Qi Zhai, Long-Song Li, Ning-Li Chai
    World Journal of Clinical Cases.2021; 9(27): 8214.     CrossRef
  • Endoscopic ultrasound-guided drainage of pancreatic fluid collections: The impact of evolving experience and new technologies in diagnosis and treatment over the last two decades
    Pietro Gambitta, Anna Maffioli, Jean Spiropoulos, Antonio Armellino, Maurizio Vertemati, Paolo Aseni
    Hepatobiliary & Pancreatic Diseases International.2020; 19(1): 68.     CrossRef
  • Adverse events of lumen-apposing stents for pancreatic fluid collections: opening Pandora’s box
    Gianenrico Rizzatti, Mihai Rimbaș, Alberto Larghi
    Gastrointestinal Endoscopy.2020; 91(5): 1217.     CrossRef
  • Endoscopic Therapy for Pancreatic Fluid Collections: A Definitive Management Using a Dedicated Algorithm
    Ming Ming Xu, Iman Andalib, Aleksey Novikov, Enad Dawod, Moamen Gabr, Monica Gaidhane, Amy Tyberg, Michel Kahaleh
    Clinical Endoscopy.2020; 53(3): 355.     CrossRef
  • Endoscopic Transgastric Versus Surgical Approach for Infected Necrotizing Pancreatitis: A Systematic Review and Meta-Analysis
    De Luo, Xiangdong Liu, Juan Du, Jiang Liu, Xinpei Chen, Pengcheng Zhou, Bo Li, Song Su
    Surgical Laparoscopy, Endoscopy & Percutaneous Techniques.2019; 29(3): 141.     CrossRef
  • Treatment response and preliminary efficacy of hepatic tumour laser ablation under the guidance of percutaneous and endoscopic ultrasonography
    Weilu Chai, Qiyu Zhao, Huiming Song, Chao Cheng, Guo Tian, Tian’an Jiang
    World Journal of Surgical Oncology.2019;[Epub]     CrossRef
  • Acute Pancreatitis and Fluid-Filled Collections
    Audrey Lancaster, Melissa Zwijacz
    Gastroenterology Nursing.2019; 42(5): 417.     CrossRef
  • Modern Management of Pancreatic Fluid Collections
    Iman Andalib, Enad Dawod, Michel Kahaleh
    Journal of Clinical Gastroenterology.2018; 52(2): 97.     CrossRef
  • Algorithm for the multidisciplinary management of hemorrhage in EUS-guided drainage for pancreatic fluid collections
    Tian-An Jiang, Li-Ting Xie
    World Journal of Clinical Cases.2018; 6(10): 308.     CrossRef
  • What's unique about acute pancreatitis in children: risk factors, diagnosis and management
    Sohail Z. Husain, Arvind I. Srinath
    Nature Reviews Gastroenterology & Hepatology.2017; 14(6): 366.     CrossRef
  • The role of endoscopic intervention in the management of inflammatory pancreatic fluid collections
    Vikrant Parihar, Paul F. Ridgway, Kevin C. Conlon, Matthew Huggett, Barbara M. Ryan
    European Journal of Gastroenterology & Hepatology.2017; 29(4): 371.     CrossRef
  • Large Pleural Effusion and Mediastinal Mass: An Unusual Connection!
    Anand Kumar, Sammy Ho
    Gastroenterology.2016; 150(2): 318.     CrossRef
  • Efficacy and safety of endoscopic ultrasonography-guided interventional treatment for refractory malignant left-sided liver tumors: a case series of 26 patients
    Tian-an Jiang, Zhuang Deng, Guo Tian, Qi-yu Zhao, Wei-lin Wang
    Scientific Reports.2016;[Epub]     CrossRef
  • Management of pancreatic fluid collections: A comprehensive review of the literature
    Amy Tyberg, Kunal Karia, Moamen Gabr, Amit Desai, Rushabh Doshi, Monica Gaidhane, Reem Z Sharaiha, Michel Kahaleh
    World Journal of Gastroenterology.2016; 22(7): 2256.     CrossRef
  • El papel terapéutico del ultrasonido endoscópico en las colecciones líquidas peripancreáticas
    Luis Eduardo Casasola-Sánchez, Félix Ignacio Téllez-Ávila
    Endoscopia.2015; 27(2): 87.     CrossRef
  • Minimally invasive treatment of pancreatic pseudocysts
    Enver Zerem, Goran Hauser, Svjetlana Loga-Zec, Suad Kunosić, Predrag Jovanović, Dino Crnkić
    World Journal of Gastroenterology.2015; 21(22): 6850.     CrossRef
  • International Digestive Endoscopy Network 2014: Turnpike to the Future
    Eun Young Kim, Kwang An Kwon, Il Ju Choi, Ji Kon Ryu, Ki Baik Hahm
    Clinical Endoscopy.2014; 47(5): 371.     CrossRef
  • 5,778 View
  • 99 Download
  • 27 Web of Science
  • 19 Crossref
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Metal versus Plastic Stent for Transmural Drainage of Pancreatic Fluid Collections
Ji Young Bang, Shyam Varadarajulu
Clin Endosc 2013;46(5):500-502.   Published online September 30, 2013
AbstractAbstract PDFPubReaderePub

The conventional management of pancreatic fluid collections (PFCs) involves surgery or percutaneous drainage. While surgery is associated with significant complications and mortality, percutaneous drainage is associated with prolonged hospitalization and oftentimes the need for other adjunctive treatment measures. Therefore, the use of endoscopy to drain PFCs is becoming increasingly popular. Randomized trials have demonstrated that endoscopic ultrasound-guided drainage is superior to conventional endoscopy in terms of technical success and potentially decreases the rates of procedural complications. While transmural drainage is usually undertaken by deployment of plastic endoprosthesis, of late, fully covered self-expandable metal stents are being placed with increasing frequency. However, the benefits of this approach are unclear and require further validation in prospective trials.


Citations to this article as recorded by  
  • Controversies in EUS-guided treatment of walled-off necrosis
    Michael Hocke, Sean Burmeister, Barbara Braden, Christian Jenssen, PaoloGiorgio Arcidiacono, Julio Iglesias-Garcia, André Ignee, Alberto Larghi, Kathleen Möller, Mihai Rimbas, Sun Siyu, Giuseppe Vanella, ChristophF Dietrich
    Endoscopic Ultrasound.2022; 11(6): 442.     CrossRef
  • Successful Endoscopic Ultrasound-Guided Treatment of a Spontaneous Rupture of a Hemorrhagic Pancreatic Pseudocyst
    Chan Park, Tae Hyeon Kim, Hyung Ku Chon
    Clinical Endoscopy.2021; 54(5): 763.     CrossRef
  • Management of infected post-pancreatic resection fluid collections under endoscopic ultrasound guidance using lumen apposing metal stent: A case series and review of the literature
    Puneet Chhabra, Ben Maher, Dharmadev Trivedi, Dimitrios Karavias, Ali Arshad, Mark Wright, Nadeem Tehami
    Annals of Hepato-Biliary-Pancreatic Surgery.2021; 25(4): 500.     CrossRef
  • A novel self-expanding biflanged metal stent vs tubular metal stent for EUS-guided transmural drainage of pancreatic pseudocyst
    Yao Yao, Dingguo Zhang, Jiefang Guo, Ke Qi, Feng Li, Jianwei Zhu, Dong Wang, Jie Chen, Can Xu, Luowei Wang, Kaixuan Wang, Zhendong Jin, Zhaoshen Li
    Medicine.2019; 98(3): e14179.     CrossRef
  • EUS-guided drainage of peripancreatic fluid collections with lumen-apposing metal stents and plastic double-pigtail stents: comparison of efficacy and adverse event rates
    Gabriel D. Lang, Cassandra Fritz, Trisha Bhat, Koushik K. Das, Faris M. Murad, Dayna S. Early, Steven A. Edmundowicz, Vladimir M. Kushnir, Daniel K. Mullady
    Gastrointestinal Endoscopy.2018; 87(1): 150.     CrossRef
  • Metal versus plastic stents for drainage of pancreatic fluid collection: A meta‐analysis
    Seung Bae Yoon, In Seok Lee, Myung-Gyu Choi
    United European Gastroenterology Journal.2018; 6(5): 729.     CrossRef
  • Interventional EUS (with videos)
    John T. Maple, Rahul Pannala, Barham K. Abu Dayyeh, Harry R. Aslanian, Brintha K. Enestvedt, Adam Goodman, Sri Komanduri, Michael Manfredi, Udayakumar Navaneethan, Mansour A. Parsi, Zachary L. Smith, Nirav Thosani, Shelby A. Sullivan, Subhas Banerjee
    Gastrointestinal Endoscopy.2017; 85(3): 465.     CrossRef
  • The role of endoscopic intervention in the management of inflammatory pancreatic fluid collections
    Vikrant Parihar, Paul F. Ridgway, Kevin C. Conlon, Matthew Huggett, Barbara M. Ryan
    European Journal of Gastroenterology & Hepatology.2017; 29(4): 371.     CrossRef
  • Pancreatic Pseudocyst Dilemma: Cumulative Multicenter Experience in Management Using Endoscopy, Laparoscopy, and Open Surgery
    Alaa A. Redwan, Mostafa A. Hamad, Mohammed A. Omar
    Journal of Laparoendoscopic & Advanced Surgical Techniques.2017; 27(10): 1022.     CrossRef
  • Efficacy and safety of metallic stents in comparison to plastic stents for endoscopic drainage of peripancreatic fluid collections: a meta-analysis and trial sequential analysis
    Rajesh Panwar, Preet Mohinder Singh
    Clinical Journal of Gastroenterology.2017; 10(5): 403.     CrossRef
  • Endosonographic drainage of pancreatic fluid collections and walled-off necrosis
    Ahmed Akhter, Mark E. Benson, Deepak V. Gopal
    Techniques in Gastrointestinal Endoscopy.2017; 19(4): 190.     CrossRef
  • Endoscópic Peri Pancreatic Fluid Collection Drainage Guided by USE in a Highly Complex Hospital in Lima, Peru. A First National Case Series
    Augusto Vera Calderón
    Gastroenterology & Hepatology: Open Access.2017;[Epub]     CrossRef
  • Endoscopic necrosectomy of walled-off pancreatic necrosis using a lumen-apposing metal stent and irrigation technique
    Joan B. Gornals, Claudia F. Consiglieri, Juli Busquets, Silvia Salord, Meritxell de-la-Hera, Lluis Secanella, Susana Redondo, Nuria Pelaez, Joan Fabregat
    Surgical Endoscopy.2016; 30(6): 2592.     CrossRef
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    V. Raman Muthusamy, Vinay Chandrasekhara, Ruben D. Acosta, David H. Bruining, Krishnavel V. Chathadi, Mohamad A. Eloubeidi, Ashley L. Faulx, Lisa Fonkalsrud, Suryakanth R. Gurudu, Mouen A. Khashab, Shivangi Kothari, Jenifer R. Lightdale, Shabana F. Pasha,
    Gastrointestinal Endoscopy.2016; 83(3): 481.     CrossRef
  • Evaluation of the short- and long-term effectiveness and safety of fully covered self-expandable metal stents for drainage of pancreatic fluid collections: results of a Spanish nationwide registry
    Enrique Vazquez-Sequeiros, Todd H. Baron, Manuel Pérez-Miranda, Andres Sánchez-Yagüe, Joan Gornals, Ferran Gonzalez-Huix, Carlos de la Serna, Juan Angel Gonzalez Martin, Antonio Z. Gimeno-Garcia, Carlos Marra-Lopez, Ana Castellot, Fernando Alberca, Ignaci
    Gastrointestinal Endoscopy.2016; 84(3): 450.     CrossRef
  • Case report of EUS-guided endoscopic transduodenal necrosectomy in a patient with sleeve gastrectomy
    Avik Sarkar, Ragui Sadek, Matthew Lissauer, Swati Pawa
    BMC Obesity.2016;[Epub]     CrossRef
  • Metal versus plastic for pancreatic pseudocyst drainage: clinical outcomes and success
    Reem Z. Sharaiha, Ersilia M. DeFilippis, Prashant Kedia, Monica Gaidhane, Christine Boumitri, Huei-Wen Lim, Eugene Han, Harkarit Singh, Saad S. Ghumman, Thomas Kowalski, David Loren, Michel Kahaleh, Ali Siddiqui
    Gastrointestinal Endoscopy.2015; 82(5): 822.     CrossRef
  • Management of pancreatic collections with a novel endoscopically placed fully covered self-expandable metal stent: a national experience (with videos)
    Sujievvan Chandran, Marios Efthymiou, Arthur Kaffes, John Wei Chen, Vu Kwan, Michael Murray, David Williams, Nam Quoc Nguyen, William Tam, Christine Welch, Andre Chong, Saurabh Gupta, Ben Devereaux, Peter Tagkalidis, Frank Parker, Rhys Vaughan
    Gastrointestinal Endoscopy.2015; 81(1): 127.     CrossRef
  • Endoscopic Drainage of Pseudocysts
    Tae Jun Song, Sang Soo Lee
    Clinical Endoscopy.2014; 47(3): 222.     CrossRef
  • The role of therapeutic endoscopic ultrasound now and for the future
    Vinay Dhir, Rajesh Kumar Paramasivam, Josef Carlo Lazaro, Amit Maydeo
    Expert Review of Gastroenterology & Hepatology.2014; 8(7): 775.     CrossRef
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  • 70 Download
  • 20 Crossref
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Procore and Flexible 19 Gauge Needle Can Replace Trucut Biopsy Needle?
Ji Young Bang, Shyam Varadarajulu
Clin Endosc 2013;46(5):503-505.   Published online September 30, 2013
AbstractAbstract PDFPubReaderePub

Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is routinely performed for establishing tissue diagnosis in patients with gastrointestinal tumors. The concept of delivering chemotherapy based on molecular markers and the ability to establish a reliable diagnosis in lieu of an onsite cytopathologist has fuelled the recent trend in procuring core tissue by means of EUS-guided fine needle biopsy. To overcome the technical limitations induced by the rigidity of the Trucut biopsy needle, a new ProCore needle with reverse bevel technology has been developed. Recent data suggests that the newly developed flexible 19 gauge needle can also procure core tissue and has easy maneuverability when navigating the transduodenal route. Irrespective of the needles being used, the best clinical outcomes can be attained only by practicing evidence-based techniques, procuring adequate quantity of sample for ancillary studies, and processing the specimens appropriately.


Citations to this article as recorded by  
  • A Meta-Analysis Comparing Endoscopic Ultrasound-guided Fine-needle Aspiration With Endoscopic Ultrasound-guided Fine-needle Biopsy
    Zhiwang Li, Wei Liu, Xiaoda Xu, Peiyu Li
    Journal of Clinical Gastroenterology.2022; 56(8): 668.     CrossRef
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    Kazuhito Miyazaki, Yuya Hirasawa, Masaharu Aga, Naoto Aiko, Yusuke Hamakawa, Yuri Taniguchi, Yuki Misumi, Yoko Agemi, Tsuneo Shimokawa, Hiroyuki Hayashi, Katsuhiko Naoki, Hiroaki Okamoto
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    Amin K. Soltani, Kumar Krishnan
    Journal of the American Society of Cytopathology.2020; 9(5): 389.     CrossRef
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    Michael Hocke, Barbara Braden, Christian Jenssen, Christoph F. Dietrich
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    Jae Min Lee, Hong Sik Lee, Jong Jin Hyun, Jung Min Lee, In Kyung Yoo, Seung Han Kim, Hyuk Soon Choi, Eun Sun Kim, Bora Keum, Yeon Seok Seo, Yoon Tae Jeen, Hoon Jai Chun, Soon Ho Um, Chang Duck Kim
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    Ihab I. El Hajj, Howard Wu, Sarah Reuss, Melissa Randolph, Akeem Harris, Mark A. Gromski, Mohammad Al-Haddad
    Clinical Endoscopy.2018; 51(6): 576.     CrossRef
  • EUS-guided liver biopsy for parenchymal disease: a comparison of diagnostic yield between two core biopsy needles
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    Andrew C Storm, Linda S Lee
    World Journal of Gastroenterology.2016; 22(39): 8658.     CrossRef
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  • Tumor sólido pseudopapilar de páncreas con diagnóstico preoperatorio por ecoendoscopia
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  • Fine-Needle Biopsy: Should This Be the First Choice in Endoscopic Ultrasound-Guided Tissue Acquisition?
    Eun Young Kim
    Clinical Endoscopy.2014; 47(5): 425.     CrossRef
  • What is the best method for endoscopic ultrasound-guided fine needle aspiration? Needle types and aspiration techniques
    Kazuo Hara, Nobumasa Mizuno, Susumu Hijioka, Hiroshi Imaoka, Masahiro Tajika, Tsutomu Tanaka, Makoto Ishihara, Yasumasa Niwa, Kenji Yamao
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  • 51 Download
  • 13 Crossref
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How Can We Get the Best Results with Endoscopic Ultrasound-Guided Fine Needle Aspiration?
Jayapal Ramesh, Shyam Varadarajulu
Clin Endosc 2012;45(2):132-137.   Published online June 30, 2012
AbstractAbstract PDFPubReaderePub

Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) has evolved to become an indispensable tool for tissue acquisition. While the overall diagnostic accuracy of EUS-FNA is greater than 90% for lung cancer staging, it is lower for pancreatic mass lesions. Several factors such as location of the tumor, disease characteristics and procedural techniques determine the outcomes of EUS-FNA. In this review we evaluate the various technical factors that are keys to attaining optimal procedural outcomes.


Citations to this article as recorded by  
  • Endoscopic ultrasound-guided tissue acquisition: Needle types, technical issues, and sample handling
    Woo Hyun Paik
    International Journal of Gastrointestinal Intervention.2022; 11(3): 96.     CrossRef
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    Jaehyun Ha, Daejin Kim, Hyunsoo Kim, Chang Keun Park, Jaekwon Jung, Yun Jin Chung, Jaekwang Lee, Hanjun Ryu
    The Korean Journal of Helicobacter and Upper Gastrointestinal Research.2021; 21(1): 93.     CrossRef
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    Min Jae Yang, Jae Chul Hwang, Byung Moo Yoo, Jin Hong Kim, Dakeun Lee, Hyunee Lim, Young Bae Kim
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