ASGE 2023 Masterclass EUS: Principles, Best Practices & Innovative Paradigms (Virtual) | February 2023-EUS FNA and FNB: Current State of the Art and Which Needle Should I Use?

EUS FNA and FNB: Current State of the Art and Which Needle Should I Use?

Video Transcription

Video Summary

In this video summary, the speaker discusses the concepts, indications, and applications of endoscopic ultrasound (EUS) fine-needle aspiration (FNA) and fine-needle biopsy (FNB). They explain that EUS is capable of diagnosing diseases and targeting tissue in most areas of the body, except for the small bowel. The speaker describes the different needle designs used in EUS FNA and FNB procedures, highlighting the advantages of the fork tip and Francine needle designs. They discuss the diagnostic accuracy and yield of EUS FNA and FNB for various conditions, including solid pancreatic lesions, pancreatic cysts, strictures, lymphadenopathy, and subepithelial lesions. The speaker also compares the techniques and considerations for FNA and FNB procedures, including needle sizes, tissue volume, and specimen processing. They mention the importance of technique and the potential complications of EUS procedures. The speaker concludes by emphasizing the advancements and benefits of EUS FNA and FNB, particularly in challenging cases and salvage procedures.

Asset Subtitle

Vivek Kaul, MD, FASGE

Keywords

endoscopic ultrasound

fine-needle aspiration

fine-needle biopsy

EUS FNA

EUS FNB

diagnostic accuracy