Mayo Clinic, Division of Gastroenterology and Hepatology, 200 1 St. SW, Rochester, MN 55905, USA.
Endosc Ultrasound. 2014 Jan;3(1):35-45. doi: 10.4103/2303-9027.123006.
Endoscopic ultrasound (EUS) guided fine-needle aspiration (FNA) is often the preferred technique for tissue acquisition in the diagnosis of suspected intrathoracic and intraabdominal pathology. Although EUS FNA is a safe and accurate procedure, it has been associated with a low risk of adverse events. The unique properties of the echoendoscope and its ability to acquire tissue outside of the gastrointestinal lumen impart risks that are not associated with routine endoscopic procedures. In this review, we discuss the risk of perforation related to the echoendoscope itself and adverse events related to FNA of solid masses including infections, bleeding, pancreatitis and pancreatic duct leak, bile duct leak and tumor seeding. We also provide tips on how to avoid the most common adverse events related to EUS-FNA.
内镜超声（EUS）引导下细针抽吸（FNA）通常是诊断疑似胸内和腹腔内病变时获取组织的首选技术。尽管 EUS-FNA 是一种安全、准确的操作，但它也存在低风险的不良事件。超声内镜的独特特性及其在胃肠道腔外获取组织的能力带来了与常规内镜操作无关的风险。在这篇综述中，我们讨论了与超声内镜本身相关的穿孔风险，以及与实体肿块的 FNA 相关的不良事件，包括感染、出血、胰腺炎和胰管漏、胆管漏和肿瘤种植。我们还提供了一些关于如何避免与 EUS-FNA 相关的最常见不良事件的技巧。
