Öz
Introduction : Endoscopic ultrasonography (EUS) is widely used to determine the character of lesions in the hepatobiliary system, pancreas, mediastinum, and rectum, in addition to subepithelial lesions of the upper gastrointestinal tract and for staging in addition to sampling from the lesion.Aim: The aim of this study is to present the endoscopic ultrasonography experience of our clinic over the last year. Material and Methods: EUS indication were performed by two gastroenterologists using a Pentax EPK-i5000 video processor and linear and radial echoendoscopes, under the guidance of an anesthesiologist under sedoanalgesia. Data were analyzed using descriptive statistics. The study results were analyzed using SPSS vn. 22.0 software.Results: Evaluation was made of 155 patients who underwent endoscopic ultrasonography, comprising 88 (56.8%) females and 67 (43.2%) males with a mean age of 56.3±14.2 years (range: 19-91 years). The 41 patients who underwent the EUS procedure for pancreatic lesion comprised 24 (59%) males and 17 (41%) females with a mean age of 54.3±17.1 years.EUS was performed in 74 patients due to subepithelial lesions of the upper gastrointestinal tract. These patients comprised 39 (52.7%) females and 35 (47.3%) males with a mean age of 55.2±13.5 years. Discussion The results of this study show that EUS is a reliable and very useful tool in appropriate indications, especially for the evaluation of subepithelial and malignant lesions of the gastrointestinal tract, pancreas, and ampulla pathologies. Conclusion and suggestions: Endoscopic ultrasonography; It is an effective and guiding method used in the diagnosis of submucosal lesions of the gastrointestinal tract, staging of malignant lesions, and the diagnosis of cystic and solid lesions of the pancreas.
Anahtar Kelimeler
Kaynakça
- Guo, J., Liu, Z., Sun, S., Wang, S., Ge, N., Liu, X., . . . Liu, W. (2013). Endosonography-assisted diagnosis and therapy of gastrointestinal submucosal tumors. Endoscopic Ultrasound, 2(3), 125.
- Horwhat, J. D., Paulson, E. K., McGrath, K., Branch, M. S., Baillie, J., Tyler, D., . . . Stiffler, H. (2006). A randomized comparison of EUS-guided FNA versus CT or US-guided FNA for the evaluation of pancreatic mass lesions. Gastrointestinal endoscopy, 63(7), 966-975.
- Jenssen, C., & Dietrich, C. (2008). Endoscopic ultrasound of gastrointestinal subepithelial lesions. Ultraschall in der Medizin (Stuttgart, Germany: 1980), 29(3), 236-256; quiz 257.
- Karakan, T., Cindoruk, M., Alagozlu, H., Ergun, M., Dumlu, S., & Unal, S. (2009). EUS versus endoscopic retrograde cholangiography for patients with intermediate probability of bile duct stones: a prospective randomized trial. Gastrointestinal endoscopy, 69(2), 244-252.
- Moon, J. S. (2012). Endoscopic ultrasound-guided fine needle aspiration in submucosal lesion. Clinical Endoscopy, 45(2), 117.
- Noh, K. W., & Wallace, M. B. (2005). Endoscopic ultrasound-guided fine-needle aspiration in the diagnosis and staging of pancreatic adenocarcinoma. Medscape General Medicine, 7(2), 15.
- Papanikolaou, I. S., Fockens, P., Hawes, R., & Rösch, T. (2008). Update on endoscopic ultrasound: how much for imaging, needling, or therapy? Scandinavian journal of gastroenterology, 43(12), 1416-1424.
- Rösch, T. (2003). Endoscopic ultrasonography: imaging and beyond. Gut, 52(8), 1220-1226.
- Sakamoto, H., Kitano, M., & Kudo, M. (2010). Diagnosis of subepithelial tumors in the upper gastrointestinal tract by endoscopic ultrasonography. World Journal of Radiology, 2(8), 289.
- Sooklal, S., & Chahal, P. (2020). Endoscopic ultrasound. Surgical Clinics, 100(6), 1133-1150.
- Volmar, K. E., Vollmer, R. T., Jowell, P. S., Nelson, R. C., & Xie, H. B. (2005). Pancreatic FNA in 1000 cases: a comparison of imaging modalities. Gastrointestinal endoscopy, 61(7), 854-861.
- Wiersema, M. J., Hawes, R. H., Tao, L.-C., Wiersema, L. M., Kopecky, K. K., Rex, D. K., . . . Lehman, G. A. (1992). Endoscopic ultrasonography as an adjunct to fine needle aspiration cytology of the upper and lower gastrointestinal tract. Gastrointestinal endoscopy, 38(1), 35-39.
- Will, U., Mueller, A., Topalidis, T., & Meyer, F. (2010). Value of endoscopic ultrasonography-guided fine needle aspiration (FNA) in the diagnosis of neoplastic tumor (-like) pancreatic lesions in daily clinical practice. Ultraschall in der Medizin-European Journal of Ultrasound, 31(02), 169-174.
- Zhang, X.-C., Li, Q.-L., Yu, Y.-F., Yao, L.-Q., Xu, M.-D., Zhang, Y.-Q., . . . Zhou, P.-H. (2016). Diagnostic efficacy of endoscopic ultrasound-guided needle sampling for upper gastrointestinal subepithelial lesions: a meta-analysis. Surgical endoscopy, 30(6), 2431-2441.
Öz
Giriş: Endoskopik ultrasonografi (EUS), üst gastrointestinal sistemin subepitelyal lezyonlarına ek olarak hepatobiliyer sistem, pankreas, mediasten ve rektumdaki lezyonların karakterini belirlemek ve lezyondan örneklemeye ek olarak evreleme yapmak için yaygın olarak kullanılmaktadır. Amaç: Bu çalışmanın amacı kliniğimizin son bir yıldaki endoskopik ultrasonografi deneyimini sunmaktır. Gereç ve yöntemler: EUS endikasyonu iki gastroenterolog tarafından Pentax EPK-i5000 video işlemcisi ve lineer ve radyal ekoendoskoplar kullanılarak anestezi uzmanının rehberliğinde sedoanaljezi altında yapıldı. Veriler tanımlayıcı istatistikler kullanılarak analiz edildi. Çalışma sonuçları SPSS vn 22.0 software kullanılarak analiz edildi. Bulgular: Endoskopik ultrasonografi yapılan 155 hastanın analizinde 88’i (%56,8) kadın, 67’si (%43,2) erkek olmak üzere, yaş ortalaması 56,3±14,2 (dağılım: 19-91) idi. Pankreas lezyonu nedeniyle EUS prosedürü uygulanan 41 hastanın 24’ü (%59) erkek, 17’si (%41) kadındı ve ortalama yaşları 54.3±17,1 yıldı. 74 hastaya üst gastrointestinal sistemin subepitelyal lezyonları nedeniyle EUS uygulandı. Bu hastaların 39’u (%52,7) kadın, 35’i (%47,3) erkek olup yaş ortalaması 55,2±13,5 yıl idi. Sonuç ve öneriler: Bu çalışmanın sonuçları, EUS’nin özellikle gastrointestinal sistem, pankreas ve ampulla patolojilerinin subepitelyal ve malign lezyonlarının değerlendirilmesinde uygun endikasyonlarda güvenilir ve çok kullanışlı bir araç olduğunu göstermektedir. Öne Çıkanlar: Endoskopik ultrasonografi; gastrointestinal sistemin submukozal lezyonlarının teşhisinde, malign lezyonlarının evrelemesinde ve pankreasın kistik ve solid lezyonlarının tanısında uygulanan etkili ve yol gösterici bir yöntemdir.
Anahtar Kelimeler
Destekleyen Kurum
Yok
Kaynakça
- Guo, J., Liu, Z., Sun, S., Wang, S., Ge, N., Liu, X., . . . Liu, W. (2013). Endosonography-assisted diagnosis and therapy of gastrointestinal submucosal tumors. Endoscopic Ultrasound, 2(3), 125.
- Horwhat, J. D., Paulson, E. K., McGrath, K., Branch, M. S., Baillie, J., Tyler, D., . . . Stiffler, H. (2006). A randomized comparison of EUS-guided FNA versus CT or US-guided FNA for the evaluation of pancreatic mass lesions. Gastrointestinal endoscopy, 63(7), 966-975.
- Jenssen, C., & Dietrich, C. (2008). Endoscopic ultrasound of gastrointestinal subepithelial lesions. Ultraschall in der Medizin (Stuttgart, Germany: 1980), 29(3), 236-256; quiz 257.
- Karakan, T., Cindoruk, M., Alagozlu, H., Ergun, M., Dumlu, S., & Unal, S. (2009). EUS versus endoscopic retrograde cholangiography for patients with intermediate probability of bile duct stones: a prospective randomized trial. Gastrointestinal endoscopy, 69(2), 244-252.
- Moon, J. S. (2012). Endoscopic ultrasound-guided fine needle aspiration in submucosal lesion. Clinical Endoscopy, 45(2), 117.
- Noh, K. W., & Wallace, M. B. (2005). Endoscopic ultrasound-guided fine-needle aspiration in the diagnosis and staging of pancreatic adenocarcinoma. Medscape General Medicine, 7(2), 15.
- Papanikolaou, I. S., Fockens, P., Hawes, R., & Rösch, T. (2008). Update on endoscopic ultrasound: how much for imaging, needling, or therapy? Scandinavian journal of gastroenterology, 43(12), 1416-1424.
- Rösch, T. (2003). Endoscopic ultrasonography: imaging and beyond. Gut, 52(8), 1220-1226.
- Sakamoto, H., Kitano, M., & Kudo, M. (2010). Diagnosis of subepithelial tumors in the upper gastrointestinal tract by endoscopic ultrasonography. World Journal of Radiology, 2(8), 289.
- Sooklal, S., & Chahal, P. (2020). Endoscopic ultrasound. Surgical Clinics, 100(6), 1133-1150.
- Volmar, K. E., Vollmer, R. T., Jowell, P. S., Nelson, R. C., & Xie, H. B. (2005). Pancreatic FNA in 1000 cases: a comparison of imaging modalities. Gastrointestinal endoscopy, 61(7), 854-861.
- Wiersema, M. J., Hawes, R. H., Tao, L.-C., Wiersema, L. M., Kopecky, K. K., Rex, D. K., . . . Lehman, G. A. (1992). Endoscopic ultrasonography as an adjunct to fine needle aspiration cytology of the upper and lower gastrointestinal tract. Gastrointestinal endoscopy, 38(1), 35-39.
- Will, U., Mueller, A., Topalidis, T., & Meyer, F. (2010). Value of endoscopic ultrasonography-guided fine needle aspiration (FNA) in the diagnosis of neoplastic tumor (-like) pancreatic lesions in daily clinical practice. Ultraschall in der Medizin-European Journal of Ultrasound, 31(02), 169-174.
- Zhang, X.-C., Li, Q.-L., Yu, Y.-F., Yao, L.-Q., Xu, M.-D., Zhang, Y.-Q., . . . Zhou, P.-H. (2016). Diagnostic efficacy of endoscopic ultrasound-guided needle sampling for upper gastrointestinal subepithelial lesions: a meta-analysis. Surgical endoscopy, 30(6), 2431-2441.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Gastroenteroloji ve Hepatoloji |
| Bölüm | Orjinal Makaleler |
| Yazarlar | |
| Erken Görünüm Tarihi | 1 Eylül 2023 |
| Yayımlanma Tarihi | 1 Ağustos 2023 |
| Gönderilme Tarihi | 1 Mayıs 2022 |
| Kabul Tarihi | 22 Nisan 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 8 Sayı: 2 |
Sağlık Akademisi Kastamonu, 2017 yılından itibaren UAK doçentlik kriterlerine göre 1-b dergiler (SCI, SSCI, SCI-expanded, ESCI dışındaki uluslararası indekslerde taranan dergiler) sınıfında yer almaktadır. SAĞLIK AKADEMİSİ KASTAMONU Dergi kapağı Türk Patent Enstitüsü tarafından tescil edilmiştir.