Clinical value of endoscopic ultrasound-guided fine needle aspiration for esophageal stricture lesions that cannot be diagnosed by endoscopic general biopsy
- VernacularTitle:超声内镜引导细针穿刺抽吸术对内镜普通活检无法诊断的食管狭窄性病变的应用价值
- Author:
Ting WANG
1
;
Shiyang MA
1
;
Cui FU
1
;
Lei DONG
1
;
Haitao SHI
1
Author Information
- Publication Type:Journal Article
- Keywords: endoscopic ultrasound-guided fine needle aspiration(EUS-FNA); esophageal stricture lesions; gastroscopic biopsy; diagnosis; application value
- From: China Journal of Endoscopy 2025;31(2):83-88
- CountryChina
- Language:Chinese
- Abstract: Objective To investigate the clinical value of endoscopic ultrasound-guided fine needle aspiration(EUS-FNA)for esophageal stricture lesions that cannot be diagnosed by endoscopic general biopsy.Methods The clinical data of 6 patients with esophageal stricture lesions with EUS-FNA that cannot be clearly diagnosed by endoscopic general biopsy from January 2021 to Jun 2023 were retrospectively analyzed,and the accuracy of EUS-FNA was analyzed for esophageal stricture lesions that cannot be diagnosed by endoscopic general biopsy,while the results of surgery pathology or final follow-up results was taken as the diagnostic criteria.Results All the patients underwent EUS-FNA.The puncture clearly diagnosed 5 cases of malignancy and 1 case of chronic inflammation.Among them,5 patients underwent surgical operations,and the postoperative pathological findings were consistent with the puncture pathology.One patient was followed up for a long time and had repeated gastroscopy.There was no evidence of malignant tumor in the clinical manifestations and routine gastroscopic findings,so it was still considered to be an inflammatory change,which was consistent with the puncture pathological result.All patients had no complications,including abdominal pain,bleeding,perforation,and infection.Conclusion EUS-FNA is an effective and safe method for esophageal stricture lesions that cannot be diagnosed by endoscopic general biopsy and has high clinical application value.
