Trans-esophageal endobronchial ultrasound-guided needle aspiration (EUS-B-NA): A road map for the chest physician.
نویسندگان
چکیده
The endobronchial ultrasound (EBUS) scope has been increasingly used in the gastrointestinal tract (EUS-B). Scientific data proves its efficacy and safety to provide a complete lung cancer staging, when combined with EBUS-TBNA, and in the diagnosis of para-esophageal lesions. There are multiple barriers to start performing EUS-B but probably the most important ones are related to knowledge and training, so new operators should follow a structured training curriculum. This review aims to reflect the best current knowledge regarding EUS-B and provide a road map to assist those who are incorporating the technique into their clinical practice.
منابع مشابه
Whither, Not Wither: Endoscopic Ultrasound-Guided Fine-Needle Aspiration by an Interventional Pulmonologist Using an Echobronchoscope?
We read with interest the article by Oki et al 1 and the accompanying editorial by Mehta et al 2 in CHEST (May 2015) on the randomized trial comparing the performance of transbronchial vs transesophageal needle aspiration using an ultrasound bronchoscope for the diagnosis of mediastinal lesions. Th e authors demonstrated equivalent findings via endoscopic ultrasound bronchoscopeguided fi ne-nee...
متن کاملTransesophageal Endoscopic Ultrasound-guided Fine Needle Aspiration for the Diagnosis of a Lung Nodule that Was Non-abutting on CT
An 80-year-old man presented with a right side lung tumor. The tumor was not abutting the bronchus or chest wall; thus, endobronchial ultrasound (EBUS) and CT-guided biopsy were considered to be technically difficult. We therefore attempted endoscopic ultrasound-guided fine needle aspiration (EUS-FNA). Although the nodule was not abutting the esophagus on CT, an irregularly shaped hypoechoic le...
متن کاملSingle bronchoscope combined endoscopic-endobronchial ultrasound-guided fine-needle aspiration for tuberculous mediastinal nodes.
We fully support the use of a single linear endobronchial ultrasound (EBUS) bronchoscope for both endobronchial ultrasoundguided transbronchial needle aspiration (EBUS-TBNA) and endoscopic ultrasound-guided fi ne-needle aspiration (EUS-FNA) of mediastinal lymph nodes, as reported in the recent CHEST article by Herth et al. 1 Having initially established and reported our own results with EBUS-TB...
متن کاملRelationship between pulmonary emphysema and renal function in smokers.
In the December 2012 issue of CHEST , Kennedy et al 1 raise an important point about acknowledging the boundaries of endobronchial ultrasound-guided transbronchial fi ne-needle aspiration (EBUS-TBNA), citing infectious complications after sampling a nonsubsternal thyroid nodule. There are a number of issues to consider. The fi rst is infection. Proximity to the vocal cords is likely to be an is...
متن کاملEndosonography for mediastinal disease: esophageal ultrasound vs. endobronchial ultrasound
BACKGROUND AND STUDY AIMS One can approach mediastinal pathology via esophageal ultrasound (EUS) and/or endobronchial ultrasound (EBUS). It has been suggested that EUS is better tolerated by patients. If so, EUS might be the procedure of choice when suspect lesions are accessible via EUS. We studied procedural characteristics of EUS with fine needle aspiration (EUS-FNA) and EBUS with transbronc...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
عنوان ژورنال:
- Pulmonology
دوره شماره
صفحات -
تاریخ انتشار 2017