Techniques in Gastrointestinal Endoscopy最新文献_第8页

Cytology and histology: Complementary diagnostic modalities during endoscopic ultrasound-guided tissue acquisition 细胞学和组织学:超声内镜引导下组织采集的互补诊断模式

Techniques in Gastrointestinal Endoscopy Pub Date : 2018-01-01 DOI: 10.1016/j.tgie.2017.10.005

Norge Vergara MD, Roseann I. Wu MD, MPH, Stuti Shroff MD, PhD, Cindy M. McGrath MD

{"title":"Cytology and histology: Complementary diagnostic modalities during endoscopic ultrasound-guided tissue acquisition","authors":"Norge Vergara MD, Roseann I. Wu MD, MPH, Stuti Shroff MD, PhD, Cindy M. McGrath MD","doi":"10.1016/j.tgie.2017.10.005","DOIUrl":"10.1016/j.tgie.2017.10.005","url":null,"abstract":"<div>Endoscopic ultrasound-guided fine needle aspiration (FNA) has become the preferred method of sampling accessible intraintestinal and extraintestinal abdominal masses, as well as peri-intestinal lymphadenopathy. Despite the success of endoscopic ultrasound-guided-FNA, there are settings in which FNA appears to underperform when compared to other techniques. To overcome some of the limitations of FNA, endoscopists have used small-gauge cutting and core needle biopsies in conjunction with or as an alternative to FNA. This review, from the pathologists′ perspective, will cover these complementary techniques, including definitions, advantages, and limitations, as well as the role of rapid on-site evaluation. Our conclusions include that cytologic specimens, which use alcohol-based fixation during processing, appear preferable for molecular testing that relies on nucleic acid preservation, such as next-generation sequencing. However, core biopsy should be considered when immunohistochemistry and tissue architectural details are required for diagnosis.</div>","PeriodicalId":43887,"journal":{"name":"Techniques in Gastrointestinal Endoscopy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.tgie.2017.10.005","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44558447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 3

Future directions in endoscopic ultrasound-guided tissue acquisition 内窥镜超声引导下组织采集的未来方向

Techniques in Gastrointestinal Endoscopy Pub Date : 2018-01-01 DOI: 10.1016/j.tgie.2017.11.004

Saurabh S. Mukewar MD, V. Raman Muthusamy MD, MAS, FACG, FASGE, AGAF

引用次数: 0

Endoscopic ultrasound-guided tissue acquisition of subepithelial masses 内镜超声引导下上皮下肿块的组织采集

Techniques in Gastrointestinal Endoscopy Pub Date : 2018-01-01 DOI: 10.1016/j.tgie.2017.12.001

Jared J. Rejeski MD, Girish Mishra MD, MS, FASGE, FACG, FACP

{"title":"Endoscopic ultrasound-guided tissue acquisition of subepithelial masses","authors":"Jared J. Rejeski MD, Girish Mishra MD, MS, FASGE, FACG, FACP","doi":"10.1016/j.tgie.2017.12.001","DOIUrl":"10.1016/j.tgie.2017.12.001","url":null,"abstract":"<div>Difficult to diagnose on routine endoscopy, subepithelial masses typically require further investigation given their potential for malignancy. Endoscopic ultrasound has become an indispensable addition to the clinical algorithm; however, tissue sampling may still be necessary to provide an accurate diagnosis. Several modalities and variations within each modality exist for endoscopic tissue acquisition. While bite-on-bite techniques have traditionally produced disappointing results, newer techniques may improve clinical use. Fine-needle aspiration, currently recognized as the standard bearer, is plagued by modest diagnostic yields in randomized studies. Similar to fine-needle aspiration in technique, fine-needle biopsy is emerging as safe and successful with the introduction of improved needle technology. Additionally, new and exciting endoscopic techniques such as submucosal tunneling may change the paradigm of subepithelial management in the future. The following article will discuss techniques specific to endoscopic ultrasound-guided tissue acquisition.</div>","PeriodicalId":43887,"journal":{"name":"Techniques in Gastrointestinal Endoscopy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.tgie.2017.12.001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47903462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 1

Endoscopic ultrasound-guided tissue acquisition of pancreatic masses 超声内镜引导下胰腺肿块的组织采集

Techniques in Gastrointestinal Endoscopy Pub Date : 2018-01-01 DOI: 10.1016/j.tgie.2018.01.002

Ihab I. El Hajj MD, MPH, Mohammad Al-Haddad MBBS, MSc

引用次数: 4

Endoscopic ultrasound-guided tissue acquisition of lymph nodes 超声内镜引导下淋巴结组织采集

Techniques in Gastrointestinal Endoscopy Pub Date : 2018-01-01 DOI: 10.1016/j.tgie.2018.01.004

Juan Reyes Genere MD , Uzma D. Siddiqui MD, FASGE

{"title":"Endoscopic ultrasound-guided tissue acquisition of lymph nodes","authors":"Juan Reyes Genere MD , Uzma D. Siddiqui MD, FASGE","doi":"10.1016/j.tgie.2018.01.004","DOIUrl":"10.1016/j.tgie.2018.01.004","url":null,"abstract":"<div>One of the most common indications for endoscopic ultrasound (EUS)-guided tissue sampling is to diagnose the etiology of suspicious lymphadenopathy. Although most cases of lymphadenopathy are benign and self-limiting, patients with deep-seated lymph nodes living in tuberculosis endemic areas or with suspected malignancy require tissue diagnosis to guide treatment. Fine-needle aspirate and fine-needle biopsy systems have excellent reliability for evaluating both benign and malignant lymph node diseases. The advent of new technologies and addition of ancillary molecular diagnostics have improved the diagnostic potential obtained by fine-needle sampling. In turn, the clinical applications of EUS tissue sampling have evolved and further expanded to include granulomatous diseases and lymphoma. Optimizing tissue acquisition to obtain high-quality specimens is of utmost importance and may be achieved with operative strategies unique to lymph node sampling. This chapter discusses the powerful clinical impact of EUS-guided lymph node sampling and technical considerations of optimizing diagnostic yield.</div>","PeriodicalId":43887,"journal":{"name":"Techniques in Gastrointestinal Endoscopy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.tgie.2018.01.004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55156125","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Endosonographic drainage of pancreatic fluid collections and walled-off necrosis 胰液收集和壁闭塞性坏死的超声引流

Techniques in Gastrointestinal Endoscopy Pub Date : 2017-10-01 DOI: 10.1016/j.tgie.2017.11.002

Ahmed Akhter MD , Mark E. Benson MD , Deepak V. Gopal MD, FRCP(C), FACP, AGAF, FASGE, FACG

{"title":"Endosonographic drainage of pancreatic fluid collections and walled-off necrosis","authors":"Ahmed Akhter MD , Mark E. Benson MD , Deepak V. Gopal MD, FRCP(C), FACP, AGAF, FASGE, FACG","doi":"10.1016/j.tgie.2017.11.002","DOIUrl":"10.1016/j.tgie.2017.11.002","url":null,"abstract":"<div>Endosonographic drainage of pseudocysts and walled-off necrosis (WON) has not been standardized. Drainage of pseudocysts via endosonographic guidance has high rates of technical success via the transmural approach. Alternative modalities including transpapillary endoscopic retrograde pancreatography with pancreatic duct sphincterotomy and pancreatic duct stent placement are options for patients with small pseudocysts and in the presence of pancreatic duct disruption. Drainage of WON has a variety of approaches and may require a combination of endoscopic or percutaneous techniques to achieve the optimal outcome. Endosonographic drainage of WON has lower rates of mortality and morbidity compared to surgical intervention. Several options regarding stent placement exist including the use of fully covered self-expandable metal stents and lumen-apposing metal stents. Depending upon their properties, each type of stent carries its own risk including the risk of migration. The endoscopist performing drainage of these fluid collections must take into account the number and size of these collections as well as the presence and amount of necrotic debris in order to choose the most appropriate technique and equipment in order to achieve optimal outcomes.</div>","PeriodicalId":43887,"journal":{"name":"Techniques in Gastrointestinal Endoscopy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.tgie.2017.11.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48562672","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Role and technique of endoscopic ultrasound placement of fiducial markers in gastrointestinal malignancies 内镜超声放置基准标记物在胃肠道恶性肿瘤中的作用和技术

Techniques in Gastrointestinal Endoscopy Pub Date : 2017-10-01 DOI: 10.1016/j.tgie.2017.10.009

Antonio R. Cheesman MD, Christopher J. DiMaio MD

{"title":"Role and technique of endoscopic ultrasound placement of fiducial markers in gastrointestinal malignancies","authors":"Antonio R. Cheesman MD, Christopher J. DiMaio MD","doi":"10.1016/j.tgie.2017.10.009","DOIUrl":"10.1016/j.tgie.2017.10.009","url":null,"abstract":"<div>Stereotactic body radiation therapy may be used in the neoadjuvant, adjuvant, or palliative treatment of multiple cancers. Fiducials serve as radiographic reference points for real-time dynamic tracking and accurate radiation delivery. Endoscopic ultrasound with real-time Doppler imaging is a safe minimally invasive approach for fiducial implantation in lesions both within and adjacent to the gastrointestinal lumen. The decision to incorporate image-guided radiotherapy and specifics regarding fiducials and their use in a patient’s treatment plan depends on the multidisciplinary collaboration between gastroenterologists, radiation oncologists, medical oncologists, and surgical oncologists. This article will review the indications, controversies in timing, and use of endoscopic ultrasound-guided fiducial placement, the various types of fiducial markers, delivery systems, and deployment techniques available. Also covered will be associated technical and clinical success rates, in addition to previously reported complications.</div>","PeriodicalId":43887,"journal":{"name":"Techniques in Gastrointestinal Endoscopy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2017-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.tgie.2017.10.009","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44442886","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Endoscopic ultrasound directed gastroenterostomy 内镜超声引导胃肠造口术

Techniques in Gastrointestinal Endoscopy Pub Date : 2017-10-01 DOI: 10.1016/j.tgie.2017.10.001

Theodore W. James MD, Todd H. Baron MD

引用次数: 1

Endoscopic ultrasound celiac plexus block and neurolysis 超声内镜下腹腔神经丛阻滞和神经松解

Techniques in Gastrointestinal Endoscopy Pub Date : 2017-10-01 DOI: 10.1016/j.tgie.2017.10.007

Ashley Faulx MD, Peter J. Lee MBChB

引用次数: 0

Cover 封面

Techniques in Gastrointestinal Endoscopy Pub Date : 2017-10-01 DOI: 10.1016/S1096-2883(17)30089-X

引用次数: 0