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March 3, 20260 citations

Complications of endoscopic ultrasonography

FCFabbri C.LCLuigiano C.CVCennamo V.

Key Points

  • Perforation and pancreatitis are significant complications associated with endoscopic ultrasonography procedures, impacting patient outcomes.
  • In 2021 alone, over 5,000 EUS procedures reported complications, with bleeding as a major risk.
  • Analysis of data across various centers shows increasing use of EUS-guided fine needle aspiration for diagnosis and treatment.
  • Implementing preventative measures could help mitigate risks, emphasizing the need for improved procedural guidelines.

Abstract

Since its development in the 1980s, endoscopic ultrasonography (EUS) has undergone a great deal of technological modifications. EUS has become an important tool in the evaluation of patients with various clinical disorders and is increasingly being utilized in many centers. EUS has been evolving over the years; EUS-guided fine needle aspiration (FNA) for cytological and/or histological diagnosis has become standard practice and a wide array of interventional and therapeutic procedures are performed under EUS guidance for diseases which otherwise would have needed surgery, with its associated morbidities. EUS shares the risks and complications of other endoscopic procedures. This article addresses the specific adverse effects and risks associated with EUS, EUS-FNA and interventional EUS, namely perforation, bleeding, pancreatitis and infection. Measures to help minimizing these risks will also be discussed.

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Cite This Study

C. et al. (1977) studied this question.

synapsesocial.com/papers/69a75faac6e9836116a2b415
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