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Review
. 2020 Nov 17;10(11):964.
doi: 10.3390/diagnostics10110964.

Complications of Endoscopic Ultrasound-Guided Fine Needle Aspiration: A Narrative Review

Masafumi Mizuide  1 , Shomei Ryozawa  1 , Akashi Fujita  1 , Tomoya Ogawa  1 , Hiromune Katsuda  1 , Masahiro Suzuki  1 , Tatsuya Noguchi  1 , Yuki Tanisaka  1
Affiliations
Review

Complications of Endoscopic Ultrasound-Guided Fine Needle Aspiration: A Narrative Review

Masafumi Mizuide et al. Diagnostics (Basel). .

Abstract

Considerable progress has been made recently in the use of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) to diagnose intra-luminal gastrointestinal lesions and extra-luminal lesions near the gastrointestinal tract. Numerous reports have indicated that EUS-FNA has high diagnostic performance and safety, which has led to the routine use of EUS-FNA and an increasing number of cases. Thus, while EUS-FNA has a low rate of complications, endoscopists may encounter these complications as the number of cases increases. Infrequent reports have also described life-threatening complications. Therefore, endoscopists should possess a comprehensive understanding of the complications of EUS-FNA, which include hemorrhage, perforation, infection, and acute pancreatitis, as well as their management. This review examines the available evidence regarding the complications associated with EUS-FNA, and the findings will be useful for ensuring that endoscopists perform EUS-FNA safely and appropriately.

Keywords: bleeding; complications; endoscopic ultrasound-guided fine-needle aspiration; infection; morbidity; mortality; needle tract seeding; pancreatitis; perforation.

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Conflict of interest statement

The authors declare no conflict of interest.

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