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2014 ; 3
(1
): 35-45
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Basic techniques in endoscopic ultrasound-guided fine needle aspiration for solid
lesions: Adverse events and avoiding them
#MMPMID24949409
Fujii LL
; Levy MJ
Endosc Ultrasound
2014[Jan]; 3
(1
): 35-45
PMID24949409
show ga
Endoscopic ultrasound (EUS) guided fine-needle aspiration (FNA) is often the
preferred technique for tissue acquisition in the diagnosis of suspected
intrathoracic and intraabdominal pathology. Although EUS FNA is a safe and
accurate procedure, it has been associated with a low risk of adverse events. The
unique properties of the echoendoscope and its ability to acquire tissue outside
of the gastrointestinal lumen impart risks that are not associated with routine
endoscopic procedures. In this review, we discuss the risk of perforation related
to the echoendoscope itself and adverse events related to FNA of solid masses
including infections, bleeding, pancreatitis and pancreatic duct leak, bile duct
leak and tumor seeding. We also provide tips on how to avoid the most common
adverse events related to EUS-FNA.