NDLI: When to puncture, when not to puncture: Submucosal tumors

Please wait, while we are loading the content...

When to puncture, when not to puncture: Submucosal tumors

Content Provider	PubMed Central
Author	Salah, Wajeeh Faigel, Douglas O.
Copyright Year	2014
Abstract	Subepithelial masses of the gastrointestinal (GI) tract are a frequent source of referral for endosonographic evaluation. Subepithelial tumors most often appear as protuberances in the GI tract with normal overlying mucosa. When there is a need to obtain a sample of the mass for diagnosis, endoscopic ultrasound (EUS) - guided fine-needle aspiration (FNA) is superior to other studies and should be the first choice to investigate any subepithelial lesion. When the decision is made to perform EUS-guided FNA several technical factors must be considered. The type and size of the needle chosen can affect diagnostic accuracy, adequacy of sample size and number of passes needed. The use of a stylet or suction and a fanning or standard technique during EUS-guided FNA are other factors that must be considered. Another method proposed to improve the efficacy of EUS-guided FNA is having an on-site cytopathologist or cytotechnician. Large or well-differentiated tumors may be more difficult to diagnose by standard EUS-FNA and the use of a biopsy needle can be used to acquire a histopathology sample. This can allow preservation of tissue architecture and cellularity of the lesion and may lead to a more definitive diagnosis. Alternatives to FNA such as taking bite-on-bite samples and endoscopic submucosal resection (ESMR) have been studied. Comparison of these two techniques found that ESMR has a significantly higher diagnostic yield. Most complications associated with EUS-FNA such as perforation, infection and pancreatitis are rare and the severity and incidence of these adverse events is not known. Controversy exists as to the optimal method in which to perform EUS-FNA and larger prospective trials are needed.
Related Links	http://dx.doi.org/10.4103/2303-9027.131038
Ending Page	108
Page Count	11
Starting Page	98
File Format	PDF
ISSN	23039027
e-ISSN	22267190
Journal	Endoscopic Ultrasound
Issue Number	2
Volume Number	3
Language	English
Publisher	Medknow Publications & Media Pvt Ltd
Publisher Date	2014-01-01
Access Restriction	Open
Rights Holder	Medknow Publications & Media Pvt Ltd
Subject Keyword	Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Hepatology Radiology, Nuclear Medicine and Imaging Gastroenterology

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

When to puncture, when not to puncture: Pancreatic masses

Endosonography-Assisted Diagnosis and Therapy of Gastrointestinal Submucosal Tumors

An unusual cause of gastric submucosal bulge on endoscopy

Endoscopic Ultrasound-Assisted Tunnel-Type Endoscopic Submucosal Dissection for the Treatment of Esophageal Tumors Arising in the Muscularis Propria (with video)

Esophageal Duplication Cyst in an Adult Masquerading as Submucosal Tumor

Stricture Occurring after Endoscopic Submucosal Dissection for Esophageal and Gastric Tumors

Injectable Drug Eluting Elastomeric Polymer: A Novel Submucosal Injection Material

Retraction Notice to "Endoscopic Resection for Rectal Carcinoid Tumors: Comparision of Polypectomy and Endoscopic Submucosal Resection with Band Ligation"

Is EUS Here to Stay? Accuracy Is Not an Indication…

When to puncture, when not to puncture: Submucosal tumors

Similar Documents

When to puncture, when not to puncture: Pancreatic masses

Endosonography-Assisted Diagnosis and Therapy of Gastrointestinal Submucosal Tumors

An unusual cause of gastric submucosal bulge on endoscopy

Endoscopic Ultrasound-Assisted Tunnel-Type Endoscopic Submucosal Dissection for the Treatment of Esophageal Tumors Arising in the Muscularis Propria (with video)

Esophageal Duplication Cyst in an Adult Masquerading as Submucosal Tumor

Stricture Occurring after Endoscopic Submucosal Dissection for Esophageal and Gastric Tumors

Injectable Drug Eluting Elastomeric Polymer: A Novel Submucosal Injection Material

Retraction Notice to "Endoscopic Resection for Rectal Carcinoid Tumors: Comparision of Polypectomy and Endoscopic Submucosal Resection with Band Ligation"

Is EUS Here to Stay? Accuracy Is Not an Indication…

When to puncture, when not to puncture: Submucosal tumors