Mizuide Masafumi, Ryozawa Shomei, Fujita Akashi, Ogawa Tomoya, Katsuda Hiromune, Suzuki Masahiro, Noguchi Tatsuya, Tanisaka Yuki
Department of Gastroenterology, Saitama Medical University International Medical Center, 1397-1, Yamane, Hidaka, Saitama 350-1298, Japan.
Diagnostics (Basel). 2020 Nov 17;10(11):964. doi: 10.3390/diagnostics10110964.
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.
近年来，在使用内镜超声引导下细针穿刺活检（EUS-FNA）诊断腔内胃肠道病变及胃肠道附近的腔外病变方面取得了显著进展。大量报告表明，EUS-FNA具有较高的诊断效能和安全性，这使得EUS-FNA得以常规应用且病例数量不断增加。因此，虽然EUS-FNA的并发症发生率较低，但随着病例数量的增加，内镜医师可能会遇到这些并发症。也有罕见报告描述了危及生命的并发症。所以，内镜医师应全面了解EUS-FNA的并发症，包括出血、穿孔、感染和急性胰腺炎及其处理方法。本综述探讨了与EUS-FNA相关并发症的现有证据，其结果将有助于确保内镜医师安全、适当地进行EUS-FNA操作。
