23rd International Conference on Gastroenterology, Hepatology & Endoscopy
London, UK
Abbas AliTasneem
Professor, Pakistan
Title: Utility of endoscopic ultrasound in the management of gastrointestinal tract related diseases: Experience from a tertiary care center in Karachi
Biography
Biography: Abbas AliTasneem
Abstract
Introduction
Endoscopic ultrasound (EUS) is a useful diagnostic and therapeutic modality employed for the management of gastrointestinal (GI) tract related diseases particularly when percutaneous ultrasound is not as useful. The aim of this study was to share our experience regarding the utility of this important modality.
Methods
All patients undergoing EUS from September 2019 to December 2020 were included. Clinical characteristics of patients, indication for the procedure and outcome were recorded. The EUS equipment used was Pentax (linear and radial) sonoscopes. Biopsies were taken with FNA and FNB (Boston scientific and Cook) needles.
Results
A total of 309 patients underwent EUS (males159 (51.5%); mean age 48.1 ± 15.1 years). Majority of the procedures were linear 201 (65%) [vs radial 108 (35%)] and diagnostic 280 (90.6%) [vs therapeutic 29 (9.4%)]. Commonest indications were, diagnostic: biopsies 146 (52.1%), ruling out bile duct stones 51 (18.2%), staging of GI cancers 41 (14.6%); and therapeutic: drainage of peri-pancreatic fluid collection 18 (62.1%), abdominal pain relief 10 (34.5%). Commonest procedures among the sub-groups were: biopsies [pancreatic masses 45 (30.8%), mediastinal lymph nodes (LN) 32 (21.9), hepatobiliary LN 21 (14.4%), gastric wall masses 6 (4.1%)]; staging of cancers [esophageal 14 (34.1%), rectal 13 (31.7%)]; drainage procedures [pseudocysts 13 (72%), walled-off necrosis 5 (28%)]; pain relief [celiac block 7 (70%), celiac neurolysis (30%)]. Diagnostic yield of FNB was better than FNA needle, while samples drawn from mediastinal LN carried higher yield.
Conclusion
The main utility of EUS procedure in our set up is for obtaining biopsy of GI tract related masses, ruling out bile duct stones, staging of GI cancers, drainage of peri-pancreatic collections and abdominal pain relief. Diagnostic yield of mediastinal LN was better than pancreatic masses, while FNB needles drew better samples than FNA needles.