Skip to main content
SpringerLink
Log in

Basic Endoscopic Tissue Sampling Techniques and Specimen Retrieval Methods

  • Chapter
  • First Online:
The SAGES Manual of Flexible Endoscopy

  • 674 Accesses

Abstract

Flexible endoscopy has become revolutionary in the examination of the gastrointestinal (GI) tract. It allows for adequate visualization into the lumen and has become the mainstay in obtaining tissue sampling from a variety of different organ systems. Here in we present a review of endoscopic tissue sampling instruments and the ways in which these instruments are used along the GI tract. An adequate understanding of the variety of endoscopic tools and methods for tissue biopsy is important in achieving appropriate diagnostic yield. Furthermore, organ and disease-specific screening and diagnostic protocols have been developed in order to increase the specificity and sensitivity of endoscopic tissue sampling. Endoscopy is a fundamental part of a general surgeon’s ability to make a diagnosis, screen for disease, and monitor for response to treatment and advancement of disease.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Faigel DO, Eisen GM, Baron TH, Dominitz JA, Goldstein JL, Hirota WK, et al. Tissue sampling and analysis. Gastrointest Endosc. 2003;57(7):811–6.

    Article  Google Scholar 

  2. Gilbert DA, DiMarino AJ, Jensen DM, Katon R, Kimmey MB, Laine LA, et al. Status evaluation: hot biopsy forceps. American Society for Gastrointestinal Endoscopy. Technology Assessment Committee. Gastrointest Endosc. 1992;38(6):753–6.

    Article  CAS  Google Scholar 

  3. Maera MP, Narula VK. Endoscopic tools: instruments. In: Kroh M, Reavis KM, editors. The SAGES manual: operating through the endoscope. Cham: Springer; 2016.

    Google Scholar 

  4. Loughrey MB, Johnston BT. Guidance on the effective use of upper gastrointestinal histopathology. Frontline Gastroenterol. 2014;5(2):88–95.

    Article  Google Scholar 

  5. American Gastroenterological Association, Spechler SJ, Sharma P, Souza RF, Inadomi JM, Shaheen NJ. American Gastroenterological Association medical position statement on the management of Barrett’s esophagus. Gastroenterology. 2011;140(3):1084–91.

    Article  Google Scholar 

  6. Shaheen NJ, Falk GW, Iyer PG, Gerson LB, American College of Gastroenterology. ACG clinical guideline: diagnosis and management of Barrett’s esophagus. Am J Gastroenterol. 2016;111(1):30–50; quiz 51.

    Article  CAS  Google Scholar 

  7. Meves V, Behrens A, Pohl J. Diagnostics and early diagnosis of esophageal cancer. Viszeralmedizin. 2015;31(5):315–8.

    PubMed  PubMed Central  Google Scholar 

  8. Wang KK, Wongkeesong M, Buttar NS. American Gastroenterological Association technical review on the role of the gastroenterologist in the management of esophageal carcinoma. Gastroenterology. 2005;128(5):1471–505.

    Article  Google Scholar 

  9. Dellon ES, Gonsalves N, Hirano I, Furuta GT, Liacouras CA, Katzka DA, et al. ACG clinical guideline: evidenced based approach to the diagnosis and management of esophageal eosinophilia and eosinophilic esophagitis (EoE). Am J Gastroenterol. 2013;108(5):679–92; quiz 693.

    Article  Google Scholar 

  10. Liacouras CA, Furuta GT, Hirano I, Atkins D, Attwood SE, Bonis PA, et al. Eosinophilic esophagitis: updated consensus recommendations for children and adults. J Allergy Clin Immunol. 2011;128(1):3–20.e6; quiz 21–2.

    Article  Google Scholar 

  11. Peixoto A, Silva M, Pereira P, Macedo G. Biopsies in gastrointestinal endoscopy: when and how. GE Port J Gastroenterol. 2016;23(1):19–27.

    Article  Google Scholar 

  12. ASGE Standards of Practice Committee, Sharaf RN, Shergill AK, Odze RD, Krinsky ML, Fukami N, et al. Endoscopic mucosal tissue sampling. Gastrointest Endosc. 2013;78(2):216–24.

    Article  Google Scholar 

  13. ASGE Standards of Practice Committee, Shaukat A, Wang A, Acosta RD, Bruining DH, Chandrasekhara V, et al. The role of endoscopy in dyspepsia. Gastrointest Endosc. 2015;82(2):227–32.

    Article  Google Scholar 

  14. Wang YK, Kuo FC, Liu CJ, Wu MC, Shih HY, Wang SS, et al. Diagnosis of Helicobacter pylori infection: current options and developments. World J Gastroenterol. 2015;21(40):11221–35.

    Article  CAS  Google Scholar 

  15. Nonaka K, Ohata K, Matsuhashi N, Shimizu M, Arai S, Hiejima Y, et al. Is narrow-band imaging useful for histological evaluation of gastric mucosa-associated lymphoid tissue lymphoma after treatment? Dig Endosc. 2014;26(3):358–64.

    Article  Google Scholar 

  16. Rubio-Tapia A, Hill ID, Kelly CP, Calderwood AH, Murray JA, American College of Gastroenterology. ACG clinical guidelines: diagnosis and management of celiac disease. Am J Gastroenterol. 2013;108(5):656–76; quiz 677.

    Article  CAS  Google Scholar 

  17. Navaneethan U, Njei B, Lourdusamy V, Konjeti R, Vargo JJ, Parsi MA. Comparative effectiveness of biliary brush cytology and intraductal biopsy for detection of malignant biliary strictures: a systematic review and meta-analysis. Gastrointest Endosc. 2015;81(1):168–76.

    Article  Google Scholar 

  18. Sadeghi A, Mohamadnejad M, Islami F, Keshtkar A, Biglari M, Malekzadeh R, et al. Diagnostic yield of EUS-guided FNA for malignant biliary stricture: a systematic review and meta-analysis. Gastrointest Endosc. 2016;83(2):290–8.e1.

    Article  Google Scholar 

  19. Uehara H, Tatsumi K, Masuda E, Kato M, Kizu T, Ishida T, et al. Scraping cytology with a guidewire for pancreatic-ductal strictures. Gastrointest Endosc. 2009;70(1):52–9.

    Article  Google Scholar 

  20. Rex DK, Boland CR, Dominitz JA, Giardiello FM, Johnson DA, Kaltenbach T, et al. Colorectal cancer screening: recommendations for physicians and patients from the U.S. Multi-Society Task Force on Colorectal Cancer. Gastroenterology. 2017;153(1):307–23.

    Article  Google Scholar 

  21. Lieberman DA, Rex DK, Winawer SJ, Giardiello FM, Johnson DA, Levin TR. Guidelines for colonoscopy surveillance after screening and polypectomy: a consensus update by the US Multi-Society Task Force on Colorectal Cancer. Gastroenterology. 2012;143(3):844–57.

    Article  Google Scholar 

  22. Yoshida N, Yagi N, Inada Y, Kugai M, Yanagisawa A, Naito Y. Therapeutic and diagnostic approaches in colonoscopy, endoscopy of GI tract, in endoscopy of GI tract. In: Amornyotin S, editor. Endoscopy of GI tract. London: IntechOpen; 2013.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. University of Hawaii, John A. Burns School of Medicine, Honolulu, HI, USA

    Kelli Ann K. Ifuku

  2. University of Hawaii, Department of Surgery, Honolulu, HI, USA

    Simon Che & Dean J. Mikami

Authors
  1. Kelli Ann K. Ifuku
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Simon Che
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Dean J. Mikami
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Dean J. Mikami .

Editor information

Editors and Affiliations

  1. University of Iowa, Iowa City, IA, USA

    Peter Nau

  2. Penn State Milton S. Hershey Medical Cen, Hershey, PA, USA

    Eric M. Pauli

  3. University of California, San Diego, La Jolla, CA, USA

    Bryan J. Sandler

  4. Dartmouth–Hitchcock Medical Center, Lebanon, NH, USA

    Thadeus L. Trus

Rights and permissions

Reprints and permissions

Copyright information

© 2020 Society of American Gastrointestinal and Endoscopic Surgeons (SAGES)

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ifuku, K.A.K., Che, S., Mikami, D.J. (2020). Basic Endoscopic Tissue Sampling Techniques and Specimen Retrieval Methods. In: Nau, P., Pauli, E., Sandler, B., Trus, T. (eds) The SAGES Manual of Flexible Endoscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-23590-1_10

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-23590-1_10

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-23589-5

  • Online ISBN: 978-3-030-23590-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation