Endobronchialer Ultraschall (EBUS) – Update 2017

Abstract

Endobronchial Ultrasound (EBUS) with the two modalities curved and radial EBUS significantly improved the diagnostics in several pulmonary diseases. The examination and staging of mediastinal and hilar lymph nodes in patients with known or suspected lung malignancy as well as the evaluation of unknown pulmonary or mediastinal lesions can be achieved with minimal invasive means when using EBUS. More invasive surgical procedures for diagnostic purposes can be omitted. The diagnostic yield also increases when EBUS is applied in sarcoidosis or mediastinal lymph node tuberculosis but only to some extend in case of lymphoma. Samples obtained by EBUS-TBNA should be handled efficiently to allow molecular analysis in lung cancer. EBUS is a safe procedure, and complication rate is extremely low. Further advances of the EBUS technology focus on improving analysis of the information provided by the ultrasound image and a better tissue sampling by developing of new EBUS bronchoscopes and TBNA-needles.

Extraction of unexpectedly retained wire after endobronchial ultrasound

“…EBUS is established for the diagnosis and staging of various lung malignancies and evaluation of unknown mediastinal lesions. 3 According to studies, the rate of complications from EBUS is less than 1% with needle breakage is 0.2%. 4 In this case, the wire was inner stylet of the EBUS needle probably broke during the removal of the scope after taking samples.…”

Application of rigid bronchoscopy with endoscopic bronchial ultrasound-guided transbronchial node biopsy in pulmonary sarcoidosis

“…Endobronchial ultrasound (EBUS) has been shown to improve the diagnosis of mediastinal and hilar lymphadenopathy (10). Traditional endobronchial ultrasound-guided transbronchial needle aspiration (EBUS-TBNA) has become a well-established, minimally invasive technique for evaluating mediastinal disease (11).…”