Adverse events associated with EUS and EUS-guided procedures

Forbes, Nauzer; Coelho–Prabhu, Nayantara; Al‐Haddad, Mohammad; Kwon, Richard S.; Amateau, Stuart K.; Buxbaum, James; Calderwood, Audrey H.; Elhanafi, Sherif; Fujii-Lau, Larissa L.; Kohli, Divyanshoo R.; Pawa, Swati; Storm, Andrew C.; Thosani, Nirav; Qumseya, Bashar J.

doi:10.1016/j.gie.2021.09.009

Cited by 37 publications

(23 citation statements)

References 113 publications

(168 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The recommendations and findings of that study are similar to our own, where the majority needed 2 or 3 passes overall. Our rate of adverse events was low, in accordance with the literature and the standard guidelines [ 36 ].…”

Section: Discussionsupporting

confidence: 87%

Rapid on-site evaluation (ROSE) versus macroscopic on-site evaluation (MOSE) for endoscopic ultrasound-guided sampling of solid pancreatic lesions: a paired comparative analysis using newer-generation fine needle biopsy needles

Giri¹,

Chhanchure²,

Patil³

et al. 2023

aog

View full text Add to dashboard Cite

Section: Discussionsupporting

confidence: 87%

Rapid on-site evaluation (ROSE) versus macroscopic on-site evaluation (MOSE) for endoscopic ultrasound-guided sampling of solid pancreatic lesions: a paired comparative analysis using newer-generation fine needle biopsy needles

Giri¹,

Chhanchure²,

Patil³

et al. 2023

aog

View full text Add to dashboard Cite

“…ASGE recently looked at AEs associated with routine EUS, with or without FNA/FNB [100]. Luminal perforation was relatively rare and was associated with trainee involvement, operator inexperience, advanced patient age, history of difficult esophageal intubation, presence of esophageal malignancy, or cervical spine osteophytes.…”

Section: Recommendation 28mentioning

confidence: 99%

Curriculum for diagnostic endoscopic ultrasound training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Badaoui,

Teles de Campos,

Fusaroli

et al. 2023

Endoscopy

View full text Add to dashboard Cite

Main RecommendationsThe European Society of Gastrointestinal Endoscopy (ESGE) has recognized the need to formalize and enhance training in diagnostic endoscopic ultrasound (EUS). This manuscript represents the outcome of a formal Delphi process resulting in an official Position Statement of the ESGE and provides a framework to develop and maintain skills in diagnostic EUS. This curriculum is set out in terms of the prerequisites prior to training; the recommended steps of training to a defined syllabus; the quality of training; and how competence should be defined and evidenced before independent practice. 1 Trainees should have achieved competence in upper gastrointestinal endoscopy before training in diagnostic EUS. 2 The development of diagnostic EUS skills by methods that do not involve patients is advisable, but not mandatory, prior to commencing formal training in diagnostic EUS. 3 A trainee’s principal trainer should be performing adequate volumes of diagnostic EUSs to demonstrate maintenance of their own competence. 4 Training centers for diagnostic EUS should offer expertise, as well as a high volume of procedures per year, to ensure an optimal level of quality for training. Under these conditions, training centers should be able to provide trainees with a sufficient wealth of experience in diagnostic EUS for at least 12 months. 5 Trainees should engage in formal training and supplement this with a range of learning resources for diagnostic EUS, including EUS-guided fine-needle aspiration and biopsy (FNA/FNB). 6 EUS training should follow a structured syllabus to guide the learning program. 7 A minimum procedure volume should be offered to trainees during diagnostic EUS training to ensure that they have the opportunity to achieve competence in the technique. To evaluate competence in diagnostic EUS, trainees should have completed a minimum of 250 supervised EUS procedures: 80 for luminal tumors, 20 for subepithelial lesions, and 150 for pancreaticobiliary lesions. At least 75 EUS-FNA/FNBs should be performed, including mostly pancreaticobiliary lesions. 8 Competence assessment in diagnostic EUS should take into consideration not only technical skills, but also cognitive and integrative skills. A reliable valid assessment tool should be used regularly during diagnostic EUS training to track the acquisition of competence and to support trainee feedback. 9 A period of supervised practice should follow the start of independent activity. Supervision can be delivered either on site if other colleagues are already practicing EUS or by maintaining contacts with the training center and/or other EUS experts. 10 Key performance measures including the annual number of procedures, frequency of obtaining a diagnostic sample during EUS-FNA/FNB, and adverse events should be recorded within an electronic documentation system and evaluated.

show abstract

“…The occurrence of any adverse event was documented and adverse events were classified by type (bleeding, perforation, infection, pancreatitis, anesthesia-associated cardiopulmonary event, other-specified). Definitions and grading of adverse event severity were adapted from the EUS-specific American Society of Gastrointestinal Endoscopy adverse event consensus publication (11).…”

Section: Adverse Event Classificationmentioning

confidence: 99%

Landscape of Pediatric Endoscopic Ultrasound in a United States Tertiary Care Medical Center

Barakat

Cagil²,

Gugig³

2022

J. pediatr. gastroenterol. nutr.

View full text Add to dashboard Cite

Background: Endoscopic ultrasound (EUS) is a commonly used radiationsparing procedure in adult patients for diagnostic sampling of gastrointestinal lesions and fluid collections, gastric variceal hemostasis, biliary/pancreatic duct drainage, and endo-surgical interventions. Integration of EUS in pediatrics is still in its infancy with limited data regarding its use. The present study analyzes utilization, diagnostic and therapeutic roles of pediatric EUS and evolution in these parameters over time. Methods: Records of patients 18 years or younger from 2009 to 2020 at our tertiary pediatric care center were retrospectively identified. Patient demographics, symptoms, laboratory studies, EUS indications and interventions, and clinical outcomes of the procedures were analyzed. Statistical analysis was performed using Student t-test, Pearson's chisquare and Fisher exact tests. Results: 306 EUS procedures were performed during the study period, for 279 pediatric patients. These included 287 (93.8%) upper EUS and 19 (6.2%) lower EUS. Two hundred and twenty-nine procedures were diagnostic (74.8%) and 77 were therapeutic (25.2%). EUS indications included evaluation and therapy of the pancreaticobiliary region (231, 75.5%), subepithelial or regional lesion (54, 17.8%), celiac plexus block (19, 6.2%) and hemostasis (14, 4.5%). Diagnostic sampling was performed in 52 of these EUS procedures, with a 96.2% diagnostic yield. 98.7% of therapeutic procedures were technically successful and there were no associated adverse events. Conclusion:The diagnostic and therapeutic role for EUS in adults has expanded dramatically, however the role of EUS in pediatrics is not welldefined. In this, the largest pediatric EUS study to date, our data support the safety and utility of diagnostic and therapeutic EUS in pediatrics.

show abstract

Adverse events associated with EUS and EUS-guided procedures

Cited by 37 publications

References 113 publications

Rapid on-site evaluation (ROSE) versus macroscopic on-site evaluation (MOSE) for endoscopic ultrasound-guided sampling of solid pancreatic lesions: a paired comparative analysis using newer-generation fine needle biopsy needles

Rapid on-site evaluation (ROSE) versus macroscopic on-site evaluation (MOSE) for endoscopic ultrasound-guided sampling of solid pancreatic lesions: a paired comparative analysis using newer-generation fine needle biopsy needles

Curriculum for diagnostic endoscopic ultrasound training in Europe: European Society of Gastrointestinal Endoscopy (ESGE) Position Statement

Landscape of Pediatric Endoscopic Ultrasound in a United States Tertiary Care Medical Center

Contact Info

Product

Resources

About