ASGE DDW Videos from Around the World | 2023-HOW TO GET A HIGH QUALITY SPECIMEN FROM YOUR EUS GUIDED LIVER BIOPSY WITH ONE PASS EVERY TIME

HOW TO GET A HIGH QUALITY SPECIMEN FROM YOUR EUS GUIDED LIVER BIOPSY WITH ONE PASS EVERY TIME

Video Transcription

Video Summary

The video discusses the challenges and limitations of endoscopic ultrasound-guided liver biopsy (EOS-LB) and introduces a novel technique called the hydrostatic stylet technique. The video provides a step-by-step demonstration of the technique, which involves flushing the needle with sterile water, reinserting the stylet partially to reduce friction, visualizing the targeted liver, and advancing the needle with a single sharp thrust. The technique aims to maximize specimen adequacy while minimizing fragmentation, blood contamination, and the number of needle passes through the liver capsule. The video also presents data on the efficacy and safety of the technique, showing improved histological adequacy and a lower number of needle passes compared to previous techniques. The hydrostatic stylet technique is capable of obtaining high-quality liver biopsy specimens and can contribute to improving the standardization of EOS-LB.

Asset Subtitle

Honorable Mention

Keywords

endoscopic ultrasound-guided liver biopsy

EOS-LB

hydrostatic stylet technique

specimen adequacy

needle passes