Hot topics in therapeutic EUS

Tabacelia, Daniela; Martiniuc, Alexandru; Burtea, Daniela Elena; Săftoiu, Adrian; Stroescu, Cezar

doi:10.4103/eus-d-22-00080

Cited by 3 publications

(1 citation statement)

References 20 publications

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“…The use of endoscopic ultrasound (EUS) in the diagnosis of gastrointestinal disorders has grown significantly. The development of EUS-guided fine needle aspiration (FNA) and fine needle biopsy (FNB) has led to novel and innovative interventional uses as well[ 8 ]. However, oblique-viewing optics make the procedures risky and technically challenging, and application of the curved linear array (CLA) echoendoscopes in the lower gastrointestinal tract has been restricted to the distal sigmoid colon and the rectum.…”

Section: Introductionmentioning

confidence: 99%

Beyond boundaries: Feasibility of curved linear array echoendoscope in appendiceal neoplasm detection

Daba,

Altonbary

2024

World J Gastrointest Endosc

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We recently read with great interest a study by Zhang et al in the World Journal of Gastroenterology . In our practice, we focus specifically on examining appendiceal mucinous neoplasms (AMNs) with endoscopic ultrasound (EUS) using different scopes. AMNs are rare neoplastic lesions characterized by an accumulation of mucin inside a cystic dilatation of the appendix. Clinically, they can present as nonspecific acute appendicitis. AMNs can turn into a life-threatening condition, termed pseudomyxoma peritonei, in which the ruptured appendix causes accumulation of mucin in the abdomen. Therefore, accurate and rapid diagnosis of AMN is essential. EUS is able to confirm and stage AMNs; although, EUS examination was once limited to the rectal and anal regions due to the conventional oblique-view scopes. With the emergence of new forward-view linear echoendoscopes and instruments like EUS miniprobes and overtubes, the scope of examination is changing. Herein, we discuss the feasibility of using the curved linear array echoendoscopes to examine cecal and appendiceal orifice lesions.

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Section: Introductionmentioning

confidence: 99%

Beyond boundaries: Feasibility of curved linear array echoendoscope in appendiceal neoplasm detection

Daba,

Altonbary

2024

World J Gastrointest Endosc

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Intraoperative Imaging Techniques in Oncology

Vulasala,

Sutphin,

Shyn

et al. 2024

Clinical Oncology

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Evaluation of appendiceal mucinous neoplasms by curved linear-array echoendoscope: A preliminary study

Zhang,

Ma,

Lan

et al. 2023

World J Gastrointest Endosc

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BACKGROUND Preoperative diagnosis of appendiceal mucinous neoplasms is challenging, and there are few reports regarding the endosonographic characteristics of these neoplasms. AIM To provide a retrospective assessment of the imaging features of appendiceal mucinous neoplasms using endoscopic ultrasound (EUS) by curved linear-array echoendoscope. METHODS A database of all patients with appendiceal mucinous neoplasms who had received EUS examination at our hospital between January 2018 and July 2023 was retrospectively analyzed. The EUS characteristics and patients’ clinical data were reviewed. RESULTS Twenty-two patients were included in the study. The linear-array echoendoscope successfully reached the ileocecal region in every patient. In the endoscopic view, we could observe the protrusion in the appendiceal orifice in all patients. A volcano sign was observed in two patients, and an atypical volcano sign was seen in two patients. EUS showed that all 22 lesions were submucosal cystic hypoechoic lesions with clear boundaries. No wall nodules were observed, but an onion-peeling sign was observed in 17 cases. CONCLUSION Linear-array echoendoscope is safe to reach the ileocecal region under the guidance of EUS. Image features on endoscopic and echoendosonograhic views could be used to diagnose appendiceal mucinous neoplasms.

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Hot topics in therapeutic EUS

Cited by 3 publications

References 20 publications

Beyond boundaries: Feasibility of curved linear array echoendoscope in appendiceal neoplasm detection

Beyond boundaries: Feasibility of curved linear array echoendoscope in appendiceal neoplasm detection

Intraoperative Imaging Techniques in Oncology

Evaluation of appendiceal mucinous neoplasms by curved linear-array echoendoscope: A preliminary study

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