GIE Senior Associate Editor Mohamed O. Othman, MD, highlights this article from the June issue: “Comparing a 19-gauge fine-needle biopsy needle with a 22-gauge fine-needle biopsy needle for EUS-guided liver biopsy sampling: a prospective randomized study” by David L. Diehl, MD, FASGE, AGAF, et al. EUS-guided liver biopsy is gaining traction and is frequently requested by referring …
Tag: Fine-needle biopsy
Successful multidisciplinary urgent management of life-threatening intraprocedural bleeding after EUS-guided fine-needle biopsy of a pulmonary mass
Post written by Giacomo Emanuele Maria Rizzo, MD, from the Endoscopy Service, Department of Diagnostic and Therapeutic Services, IRCCS - ISMETT, and Ilaria Tarantino, MD, from the PhD program, Department of Surgical, Oncological and Oral Sciences (Di.Chir.On.S.), University of Palermo, Palermo, Italy. An 82-year-old man with a previous diagnosis of adenocarcinoma in the right side of …
Comparing per-pass performance of 2 types of needles for EUS-guided fine-needle biopsy sampling of pancreatobiliary masses in a randomized trial
Post written by Mehdi Mohamadnejad, MD, from the Liver and Pancreatobilliary Diseases Research Center, Digestive Diseases Research Institute, Tehran University of Medical Sciences, Tehran, Iran. This randomized trial compared per-pass performance of 2 types of fine-needle biopsy (FNB) needles for the detection of malignancy in solid pancreatobiliary mass lesions. In these lesions, the optimal number of …
Primary leiomyosarcoma of the pancreas with metastasis to the spleen
Post written by Philippe Willems, MD, from the Center for Advanced Endoscopy, Research & Education, Orlando Health Digestive Health Institute, Orlando, Florida, USA. A 46-year-old woman was evaluated in the endoscopy unit for intermittent epigastric pain. On EUS examination, a large, hypoechoic, and irregular mass was found in the pancreas, and a similar 6-cm lesion was …
Continue reading Primary leiomyosarcoma of the pancreas with metastasis to the spleen
EUS-guided fine-needle biopsy sampling of solid pancreatic tumors with 3 versus 12 to-and-fro movements: a multicenter prospective randomized controlled study
Post written by Kosuke Takahashi, MD, PhD, from the Department of Gastroenterology and Hepatology, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan, and Ichiro Yasuda, MD, PhD, from the Third Department of Internal Medicine, University of Toyama, Toyama, Japan. In this study, a novel EUS-guided fine-needle biopsy sampling (EUS-FNB) needle enabled physicians to obtain sufficient …
Comparative diagnostic performance of different techniques for EUS-guided fine-needle biopsy sampling of solid pancreatic masses: a network meta-analysis
Post written by Antonio Facciorusso, MD, PhD, from the Gastroenterology Unit, Department of Surgical and Medical Sciences, University of Foggia, Foggia, Italy. In the last decade, several EUS fine-needle biopsy (FNB) sampling needles have been developed, and newer end-cutting FNB needles, which feature alterations of the cutting tip, have been found to outperform other needles in …
Auxiliary diagnosis of subepithelial lesions by impedance measurement during EUS-guided fine-needle biopsy
Post written by Yosuke Minoda, MD, PhD, from the Department of Medicine and Bioregulatory Science, Graduate School of Medical Sciences, Kyushu University, and the Department of Endoscopic Diagnostics and Therapeutics, Kyushu University Hospital, Fukuoka, Japan. This study presents a new method to differentiate a GI stromal tumor (GIST) from a non-GIST in gastric subepithelial lesions (SELs) …
Fluorescence confocal microscopy for rapid evaluation of EUS fine-needle biopsy in pancreatic solid lesions
Post written by Serena Stigliano, MD, PhD, from the Therapeutic Endoscopy Department, Fondazione Policlinico Universitario Campus Bio-Medico, Rome, Italy. Fluorescence confocal laser microscopy (FCM) allows imaging of tissues in the fresh state, with minimal preparation and without any damage, distortion, or loss of tissue. We recently investigated its use in the evaluation of samples obtained with …
EUS of a submucosal lesion at the appendiceal orifice using a double-balloon endoluminal intervention platform
Post written by Sardar Momin Shah-Khan, MD, from the Section of Gastroenterology and Hepatology, West Virginia University, Morgantown, West Virginia, USA. We present the case of a patient referred for EUS evaluation of a submucosal lesion at the appendiceal orifice. We used a double-balloon endoluminal intervention platform to perform both radial and linear EUS with fine-needle …
EUS-guided biopsy of an intraventricular mass in a patient with ventricular tachycardia
Post written by Neal Mehta, MD, from the Department of Gastroenterology, Cleveland Clinic Foundation, Cleveland, Ohio, USA. This video describes EUS-guided fine-needle biopsy (EUS-FNB) of an intraventricular mass in a 23-year-old woman. The patient presented with unstable ventricular tachycardia requiring cardioversion and initiation of antiarrhythmic therapy. Cardiac MRI demonstrated a 7- x 7- x 3-cm mass, with …
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