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Endoscopic Tools/Techniques for Tissue Sampling

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Principles of Flexible Endoscopy for Surgeons

Abstract

In 1932, the semiflexible endoscope was developed by Rudolph Schindler, thus permitting endoscopic inspection of the stomach. A modification in 1938 allowed photo-documentation and introduced a working channel through which biopsies could be performed. The first fully flexible endoscope was then introduced in 1957 by Basil Hirschowitz. These developments set the foundation for modern gastrointestinal endoscopy. The flexible endoscope is now an indispensable tool for the visualization and diagnosis of inflammatory, infectious, premalignant and malignant gastrointestinal diseases. Endoscopic tissue sampling is an essential part of the diagnostic process and permits histopathologic evaluation of lesions detected by endoscopy. This chapter reviews tools and techniques for endoscopic tissue sampling. Image-enhanced techniques such as virtual histology and recommended biopsy and screening protocols for the most common gastrointestinal pathologies are also discussed.

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Author information

Authors and Affiliations

  1. Department of Interdisciplinary Endoscopy, University Hospital, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

    Daniel von Renteln M.D.

  2. Department of Surgery, Montreal General Hospital, McGill University, Montreal, QC, Canada

    Melina C. Vassiliou M.D., M.Ed.

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  1. Daniel von Renteln M.D.
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Correspondence to Melina C. Vassiliou M.D., M.Ed. .

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Editors and Affiliations

  1. Department of Surgery, University Hospitals Case Medical Center, Cleveland, Ohio, USA

    Jeffrey M. Marks

  2. The Methodist Hospital, Methodist Institute for Technology, Innovation and Education, Houston, Texas, USA

    Brian J. Dunkin

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EUS-FNA using the ProCore needle (M4V 9199 kb)

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von Renteln, D., Vassiliou, M.C. (2013). Endoscopic Tools/Techniques for Tissue Sampling. In: Marks, J., Dunkin, B. (eds) Principles of Flexible Endoscopy for Surgeons. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6330-6_7

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