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- Title
Utility of forward-view endoscopic ultrasound in fine-needle aspiration in patients with a surgically altered upper gastrointestinal anatomy.
- Authors
Bakr, Asmaa; Kazuo Hara; Elshair, Moaz; Shin Haba; Takamichi Kuwahara; Nozomi Okuno; Daiki Fumihara; Takafumi Yanaidani; Zaky, Samy; Omar, Hanaa
- Abstract
Background/Aims: Endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) using oblique-view EUS in patients with a surgically altered anatomy (SAA) of the upper gastrointestinal tract is limited because of difficult scope insertion due to the disturbed anatomy. This study aimed to investigate the efficiency of forward-view (FV)-EUS in performing FNA in patients with a SAA. Methods: We retrospectively investigated 32 patients with a SAA of the upper gastrointestinal tract who visited Aichi Cancer Center Hospital in Nagoya, Japan, between January 2014 and December 2020. We performed upper gastrointestinal EUS-FNA using FV-EUS combined with fluoroscopic imaging to confirm tumor recurrence or to make a decision before chemotherapy or after a failure of diagnosis by radiology. Results: We successfully performed EUS-FNA in all studied patients (100% technical success), with the specificity, sensitivity, and accuracy of 100%, 87.5%, and 87.8%, respectively, with no complications. Conclusions: EUS-FNA using FV-EUS combined with fluoroscopic imaging is an effective and safe technique for tissue acquisition in patients with a SAA.
- Subjects
NAGOYA-shi (Japan); ENDOSCOPIC ultrasonography; EXAMINATION of the gastrointestinal system; ANATOMY; NEEDLE biopsy; GASTROINTESTINAL system; CANCER hospitals; GASTROINTESTINAL hemorrhage; DISEASE relapse
- Publication
Clinical Endoscopy, 2023, Vol 56, Issue 3, p367
- ISSN
2234-2400
- Publication type
Article
- DOI
10.5946/ce.2021.238