- Çukurova Anestezi ve Cerrahi Bilimler Dergisi
- Vol: 6 Issue: 2
- Experiences in endoscopic ultrasonography at a tertiary center general surgery endoscopy unit
Experiences in endoscopic ultrasonography at a tertiary center general surgery endoscopy unit
Authors : Sercan Yüksel, Uğur Topal, Mert Uzunkulaoğlu, Şener Şimşek, Emrah Akin, Erdal Karaköse, Hasan Bektaş
Pages : 241-244
Doi:10.36516/jocass.1292736
View : 13 | Download : 38
Publication Date : 2023-08-31
Article Type : Research Article
Abstract :Aim: Endoscopic ultrasonography (EUS) is used for diagnosing pathologies in the gastrointestinal system and surrounding organs. This study aims to share the experiences and results of EUS and biopsy at a tertiary center general surgery endoscopy unit, in the context of the literature. Methods: Patients who underwent EUS imaging at the general surgery endoscopy unit between January 2021 and January 2022 were retrospectively reviewed. Demographic characteristics, EUS biopsy indications, clinical pre-diagnoses, preoperative imaging methods, biopsy counts, and results, as well as complications, were analyzed. Results: The mean age of the 292 patients was 56.5 years, with 53.8% being male. The most common EUS indication was a mass in the pancreas, accounting for 62%. Endoscopic fine-needle aspiration biopsy was performed on 127 (43.4%) patients, and the mean diameter of biopsied masses was 35.1 mm. Malignancy was detected in 58.2% of the biopsied patients. Based on biopsy and lesion characteristics, 49.3% of patients were followed up, 27.4% underwent surgery, 15.4% received oncological treatment, and 7.9% were given endoscopic retrograde cholangiopancreatography. Conclusion: The role of EUS in the diagnosis and treatment of gastrointestinal malignancies, pancreatic diseases, and biliary diseases continues to evolve. We believe that EUS plays a key role in the multidisciplinary management of complex surgical and oncology patients and those with pancreatobiliary disorders.Keywords : Endoskopik ultrasonografi, ince iğne aspirasyon biyopsisi, pankreas tümörü, gastrointestinal kitle, biliyer tıkanıklık