EUS with EUS-guided fine-needle aspiration as the first endoscopic test for the evaluation of obstructive jaundice

Erickson, Richard A.; Garza, Aldo A.

doi:10.1067/mge.2001.111772

Cited by 54 publications

(24 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Preliminary data from a prospective randomized trial 261 from our group comparing ERCP with MRCP, whose study population was mainly composed of patients with suspected choledocholithiasis, suggested a high rate of subsequent ERCPs in the MRCP arm (51%), with no differences between the groups in terms of rate of subsequent complications or overall duration of hospital stay. In a prospective study, performing EUS‐FNA as the first endoscopic procedure in patients suspected to have biliary obstruction obviated the need for about 50% of ERCPs, helped direct subsequent therapeutic ERCP, and substantially reduced costs by $3513 per patient 262 . Similarly, in a selected cohort of 44 patients with pancreatic cancer, EUS‐FNA may have avoided unnecessary surgery in 27% and further diagnostic testing in 57% for a saving of $3300 per patient 140 .…”

Section: Decision Models Cost‐effectiveness and Outcome Studiesmentioning

confidence: 99%

Nonoperative imaging techniques in suspected biliary tract obstruction

Tse

Barkun

Romagnuolo

et al. 2006

HPB

View full text Add to dashboard Cite

Evaluation of suspected biliary tract obstruction is a common clinical problem. Clinical data such as history, physical examination, and laboratory tests can accurately identify up to 90% of patients whose jaundice is caused by extrahepatic obstruction. However, complete assessment of extrahepatic obstruction often requires the use of various imaging modalities to confirm the presence, level, and cause of obstruction, and to aid in treatment plan. In the present summary, the literature on competing technologies including endoscopic retrograde cholangiopancreatography (ERCP), percutaneous transhepatic cholangiopancreatography (PTC), endoscopic ultrasound (EUS), intraductal ultrasonography (IDUS), magnetic resonance cholangiopancreatography (MRCP), helical CT (hCT) and helical CT cholangiography (hCTC) with regards to diagnostic performance characteristics, technical success, safety, and cost-effectiveness is reviewed. Patients with obstructive jaundice secondary to choledocholithiasis or pancreaticobiliary malignancies are the primary focus of this review. Algorithms for the management of suspected obstructive jaundice are put forward based on current evidence. Published data suggest an increasing role for EUS and other noninvasive imaging techniques such as MRCP, and hCT following an initial transabdominal ultrasound in the assessment of patients with suspected biliary obstruction to select candidates for surgery or therapeutic ERCP. The management of patients with a suspected pancreaticobiliary condition ultimately is dependent on local expertise, availability, cost, and the multidisciplinary collaboration between radiologists, surgeons, and gastroenterologists.

show abstract

Section: Decision Models Cost‐effectiveness and Outcome Studiesmentioning

confidence: 99%

Nonoperative imaging techniques in suspected biliary tract obstruction

Tse

Barkun

Romagnuolo

et al. 2006

HPB

View full text Add to dashboard Cite

show abstract

“…Erickson and Garza found that performing EUS with FNA as the initial modality for evaluation of obstructive jaundice obviates the need for about 50% of ERCPs. They also showed that the use of EUS as an initial modality for the evaluation of biliary tree lesions substantially reduced costs . In addition, some investigators have noted that in cases in which ERCP‐guided bile duct brushing proved inconclusive, EUS‐FNA successfully provided information that led to a definitive diagnosis of malignant neoplasm .…”

Section: Discussionmentioning

confidence: 99%

Endoscopic ultrasound guided brush/fine‐needle aspiration cytology: A 15‐month study

Santosh

Kothari

Sathe

et al. 2018

Diagnostic Cytopathology

View full text Add to dashboard Cite

show abstract

“…EUS-FNA is an excellent alternative to ERCP/brushings for evaluation of extra-hepatic bile duct and peri-ductal lesions that appear to arise in the intra-pancreatic ducts and gallbladder. [12162526]…”

Section: Follow-up In Relation To the Proposed Diagnostic Terminologymentioning

confidence: 99%

“…Steroids are the main treatment. [162627] There are no known specific complications of EUS-FNA of AIP. [27]…”

Section: Follow-up In Relation To the Proposed Diagnostic Terminologymentioning

confidence: 99%

Post-brushing and fine-needle aspiration biopsy follow-up and treatment options for patients with pancreatobiliary lesions: The Papanicolaou Society of Cytopathology Guidelines

et al. 2014

View full text Add to dashboard Cite

The Papanicolaou Society of Cytopathology (PSC) has developed a set of guidelines for pancreatobiliary cytology including indications for endoscopic ultrasound (EUS) guided fine-needle aspiration (FNA) biopsy, techniques of EUS-FNA, terminology and nomenclature for pancreatobiliary cytology, ancillary testing and post-procedure management. All documents are based on the expertise of the authors, a review of the literature and discussions of the draft document at several national and international meetings over an 18 month period and synthesis of online comments of the draft document on the PSC web site (www.papsociety.org). This document selectively presents the results of these discussions and focuses on the follow-up and treatment options for patients after procedures performed for obtaining cytology samples for the evaluation of biliary strictures and solid and cystic masses in the pancreas. These recommendations follow the six-tiered terminology and nomenclature scheme proposed by committee III.

show abstract

EUS with EUS-guided fine-needle aspiration as the first endoscopic test for the evaluation of obstructive jaundice

Cited by 54 publications

References 40 publications

Nonoperative imaging techniques in suspected biliary tract obstruction

Nonoperative imaging techniques in suspected biliary tract obstruction

Endoscopic ultrasound guided brush/fine‐needle aspiration cytology: A 15‐month study

Post-brushing and fine-needle aspiration biopsy follow-up and treatment options for patients with pancreatobiliary lesions: The Papanicolaou Society of Cytopathology Guidelines

Contact Info

Product

Resources

About