Skip to main content
SpringerLink
Log in
Book cover

Diagnostic and Therapeutic Procedures in Gastroenterology pp 473–491Cite as

Technique of Endoscopic Ultrasound-Guided Fine Needle Aspiration (EUS-FNA)

  • Chapter
  • First Online:

  • 1817 Accesses

Part of the book series: Clinical Gastroenterology ((CG))

Abstract

The advent of endoscopic ultrasound (EUS) and guided fine needle aspiration (FNA) has significantly altered the management of benign and malignant gastrointestinal, biliary-pancreatic, and mediastinal disorders. Over the past two decades, EUS has evolved from being a diagnostic imaging test to an interventional modality. Several evolving therapeutic applications are paving the way to previously unimaginable procedures such as transluminal endosurgery. The technique of EUS-guided fine needle aspiration (EUS-FNA) forms the basis for all of the more invasive applications such as EUS-guided celiac ganglion neurolysis, pseudocyst drainage, pancreatic necrosectomy, periluminal abscess drainages, transgastric or transduodenal biliary-pancreatic drainage procedures, etc. In this chapter, we discuss the technique of the EUS-guided needle aspiration including the indications, contraindications, and complications of this procedure.

This is a preview of subscription content, 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   109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover 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

Learn about institutional subscriptions

References

  1. Adler DG, Conway JD, Coffie JM, Disario JA, Mishkin DS, Shah RJ, et al. EUS accessories. Gastrointest Endosc. 2007;66(6):1076–81.

    Article  PubMed  Google Scholar 

  2. Al-Haddad M, Wallace MB, Woodward TA, Gross SA, Hodgens CM, Toton RD, et al. The safety of fine-needle aspiration guided by endoscopic ultrasound: a prospective study. Endoscopy. 2008;40(3):204–8.

    Article  CAS  PubMed  Google Scholar 

  3. Al-Haddad M, Gill KR, Raimondo M, Woodward TA, Krishna M, Crook JE, Skarvinko LN, Jamil LH, Hasan M, Wallace MB. Safety and efficacy of cytology brushings versus standard fine-needle aspiration in evaluating cystic pancreatic lesions: a controlled study. Endoscopy. 2010;42(2):127–32.

    Article  CAS  PubMed  Google Scholar 

  4. Binmoeller KF, Rathod VD. Difficult pancreatic mass FNA: tips for success. Gastrointest Endosc. 2002;56(4 Suppl):S86–91.

    Article  PubMed  Google Scholar 

  5. Erickson RA. EUS-guided FNA. Gastrointest Endosc. 2004;60(2):267–79.

    Article  PubMed  Google Scholar 

  6. Fisher L, Segarajasingam DS, Stewart C, Deboer WB, Yusoff IF. Endoscopic ultrasound guided fine needle aspiration of solid pancreatic lesions: performance and outcomes. J Gastroenterol Hepatol. 2009;24(1):90–6.

    Article  PubMed  Google Scholar 

  7. Fritscher-Ravens A, Brand B, Bohnacker S, Sriram P, Soehendra N. Technique of endoscopic ultrasonography-guided fine-needle aspiration of the lymph nodes. Tech Gastrointest Endosc. 2000b;2(3):142–8.

    Article  Google Scholar 

  8. Fritscher-Ravens A, Broering DC, Sriram PV, Topalidis T, Jaeckle S, Thonke F, et al. EUS-guided fine-needle aspiration cytodiagnosis of hilar cholangiocarcinoma: a case series. Gastrointest Endosc. 2000a;52(4):534–40.

    Article  CAS  PubMed  Google Scholar 

  9. Fritscher-ravns A. EUS-experimental and evolving techniques. Endoscopy. 2006;38(S1):S1–4.

    Google Scholar 

  10. Giovannini M. Ultrasound-guided endoscopic surgery. Best Pract Res Clin Gastroenterol. 2004;18:183–200.

    Article  CAS  PubMed  Google Scholar 

  11. Kien-Fong Vu C, Chang F, Doig L, Meenan J. A prospective control study of the safety and cellular yield of EUS-guided FNA or Trucut biopsy in patients taking aspirin, nonsteroidal anti-inflammatory drugs, or prophylactic low molecular weight heparin. Gastrointest Endosc. 2006;63(6):808–13.

    Article  PubMed  Google Scholar 

  12. Hwang JH, Aslanian HR, Thosani N, Goodman A, Manfredi M, Navaneethan U, Pannala R, Parsi MA, Smith ZL, Sullivan SA, Banerjee S. Devices for use with EUS. VideoGIE. 2017;2(3):35–45.

    Article  Google Scholar 

  13. Mitsuhashi T, Ghafari S, Chang CY, Gu M. Endoscopic ultrasound-guided fine needle aspiration of the pancreas: cytomorphological evaluation with emphasis on adequacy assessment, diagnostic criteria and contamination from the gastrointestinal tract. Cytopathology. 2006;17(1):34–41.

    Article  CAS  PubMed  Google Scholar 

  14. Murad FM, Komanduri S, Abu Dayyeh BK, Chauhan SS, Enestvedt BK, Fujii-Lau LL, Konda V, Maple JT, Pannala R, Thosani NC, Banerjee S. Echoendoscopes. Gastrointest Endosc. 2015;82(2):189–202.

    Article  PubMed  Google Scholar 

  15. Nguyen YP, Maple JT, Zhang Q, Ylagan LR, Zhai J, Kohlmeier C, et al. Reliability of gross visual assessment of specimen adequacy during EUS-guided FNA of pancreatic masses. Gastrointest Endosc. 2009;69(7):1264–70.

    Article  PubMed  Google Scholar 

  16. Noh KW, Woodward TA, Raimondo M, Savoy AD, Pungpapong S, Hardee JD, et al. Changing trends in endosonography: linear imaging and tissue are increasingly the issue. Dig Dis Sci. 2007;52(4):1014–8.

    Article  PubMed  Google Scholar 

  17. Puri R, Vilmann P, Săftoiu A, Skov BG, Linnemann D, Hassan H, et al. Randomized controlled trial of endoscopic ultrasound-guided fine-needle sampling with or without suction for better cytological diagnosis. Scand J Gastroenterol. 2009;44(4):499–504.

    Article  PubMed  Google Scholar 

  18. Savides TJ. Tricks for improving EUS-FNA accuracy and maximizing cellular yield. Gastrointest Endosc. 2009;69(2 Suppl):S130–3.

    Article  PubMed  Google Scholar 

  19. Shah JN, Muthusamy VR. Minimizing complications of endoscopic ultrasound and EUS-guided fine needle aspiration. Gastrointest Endosc Clin N Am. 2007;17(1):129–43. vii–viii

    Article  PubMed  Google Scholar 

  20. Vilmann P, Săftoiu A. Endoscopic ultrasound-guided fine needle aspiration biopsy: equipment and technique. J Gastroenterol Hepatol. 2006;21(11):1646–55.

    Article  PubMed  Google Scholar 

  21. Wani S, Muthusamy VR, Komanduri S. EUS-guided tissue acquisition: an evidence-based approach (with videos). Gastrointest Endosc. 2014;80:939–59.e7.

    Article  PubMed  Google Scholar 

  22. Yamao K, Mizuno N, Takagi T, Hara K. How I do it and when I use (and do not use) EUS-FNA. Gastrointest Endosc. 2009;69(2 Suppl):S134–7.

    Article  PubMed  Google Scholar 

  23. Yusuf TE, Tsutaki S, Wagh MS, Waxman I, Brugge WR. The EUS hardware store: state of the art technical review of instruments and equipment (with videos). Gastrointest Endosc. 2007;66(1):131–43.

    Article  PubMed  Google Scholar 

  24. Yusuf TE, Ho S, Pavey DA, Michael H, Gress FG. Retrospective analysis of the utility of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) in pancreatic masses, using a 22-gauge or 25-gauge needle system: a multicenter experience. Endoscopy. 2009;41(5):445–8.

    Article  CAS  PubMed  Google Scholar 

Download references

Acknowledgment

Dr. Sreeram V.J. Parupudi M.D., FACP, FACG, Professor, Section of Gastroenterology, University of Texas Medical Branch School of Medicine, 301, University Blvd., Galveston, TX 77555, USA, for critically reviewing the chapter.

Author information

Authors and Affiliations

  1. Advanced Endoscopy, Digestive Health Center, Section of Gastroenterology & Hepatology, Medical College of Georgia, Augusta University, AD-2226, 1120, 15th Street, Augusta, GA, 30912, USA

    Subbaramiah Sridhar

  2. Digestive Health Center, Section of Gastroenterology & Hepatology, Medical College of Georgia, Augusta University, 15th Street, Augusta, GA, 30912, USA

    Pornchai Leelasinjaroen

Authors
  1. Subbaramiah Sridhar
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Pornchai Leelasinjaroen
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Subbaramiah Sridhar .

Editor information

Editors and Affiliations

  1. Advanced Endoscopy, Digestive Health Center, Section of Gastroenterology & Hepatology, Medical College of Georgia, Augusta University, Augusta, Georgia, USA

    Subbaramiah Sridhar

  2. Division of Gastroenterology-Hepatology, University of Connecticut Health Center, Farmington, Connecticut, USA

    George Y. Wu

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Sridhar, S., Leelasinjaroen, P. (2018). Technique of Endoscopic Ultrasound-Guided Fine Needle Aspiration (EUS-FNA). In: Sridhar, S., Wu, G. (eds) Diagnostic and Therapeutic Procedures in Gastroenterology. Clinical Gastroenterology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-62993-3_37

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-62993-3_37

  • Published:

  • Publisher Name: Humana Press, Cham

  • Print ISBN: 978-3-319-62991-9

  • Online ISBN: 978-3-319-62993-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation