Download PDF
CC BY 4.0 · Journal of Digestive Endoscopy 2022; 13(04): 240-242
DOI: 10.1055/s-0042-1756483
Review Article

Endoscopic Ultrasound Biopsy Needle

Nikhil Bush
1   Department of Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
,
Surinder Singh Rana
1   Department of Gastroenterology, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

In the past few years, endoscopic ultrasound (EUS)-guided fine-needle biopsy (EUS-FNB) has superseded EUS-fine-needle aspiration (EUS-FNA) for EUS-guided tissue acquisition. EUS-FNA does not retain the stroma as well as the surrounding tissue architecture and therefore had limitations in achieving a definitive diagnosis. Development of EUS-FNB needles had improved the diagnostic ability of EUS by providing core tissue sample that not only preserves surrounding tissue architecture but also provides adequate material for molecular typing and gene profiling of sampled lesions. At present, there are three commercially available third-generation EUS-FNB needles with unique needle tip designs. In this review, we aim to elucidate the technical aspects of the available EUS-FNB needles.

Keywords

Endoscopic ultrasound (EUS) - Fine needle aspiration (FNA) - Fine needle biopsy (FNB) - Tissue - Pancreatic

Authors' Contributions

Nikhil Bush contributed to collection and interpretation of data and drafting of manuscript.

Surinder Singh Rana was involved in collection and interpretation of data, drafting as well as critical evaluation of manuscript for intellectual content.




Publication History

Article published online:
15 December 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Kovacevic B, Vilmann P. EUS tissue acquisition: from A to B. Endosc Ultrasound 2020; 9 (04) 225-231
    Google Scholar
  • 2 Kandel P, Wallace MB. Recent advancement in EUS-guided fine needle sampling. J Gastroenterol 2019; 54 (05) 377-387
    CrossrefPubMedGoogle Scholar
  • 3 Rana A, Rana SS. Endoscopic ultrasound-guided tissue acquisition: techniques and challenges. J Cytol 2019; 36 (01) 1-7
    CrossrefPubMedGoogle Scholar
  • 4 Rana SS, Bhasin DK, Srinivasan R, Singh K. Endoscopic ultrasound-guided fine needle aspiration of peritoneal nodules in patients with ascites of unknown cause. Endoscopy 2011; 43 (11) 1010-1013
    Article in Thieme ConnectPubMedGoogle Scholar
  • 5 Rana SS, Bhasin DK, Srinivasan R, Singh K. Endoscopic ultrasound (EUS) features of mediastinal tubercular lymphadenopathy. Hepatogastroenterology 2011; 58 (107-108): 819-823
    PubMedGoogle Scholar
  • 6 Costache M-I, Iordache S, Karstensen JG, Săftoiu A, Vilmann P. Endoscopic ultrasound-guided fine needle aspiration: from the past to the future. Endosc Ultrasound 2013; 2 (02) 77-85
    CrossrefPubMedGoogle Scholar
  • 7 Rana SS, Gupta R, Nada R. et al. Clinical profile and treatment outcomes in autoimmune pancreatitis: a report from North India. Ann Gastroenterol 2018; 31 (04) 506-512
    PubMedGoogle Scholar
  • 8 Binmoeller KF, Jabusch HC, Seifert H, Soehendra N. Endosonography-guided fine-needle biopsy of indurated pancreatic lesions using an automated biopsy device. Endoscopy 1997; 29 (05) 384-388
    Article in Thieme ConnectPubMedGoogle Scholar
  • 9 James TW, Baron TH. A comprehensive review of endoscopic ultrasound core biopsy needles. Expert Rev Med Devices 2018; 15 (02) 127-135
    CrossrefPubMedGoogle Scholar
  • 10 Witt BL, Adler DG, Hilden K, Layfield LJ. A comparative needle study: EUS-FNA procedures using the HD ProCore(™) and EchoTip(®) 22-gauge needle types. Diagn Cytopathol 2013; 41 (12) 1069-1074
    CrossrefPubMedGoogle Scholar
  • 11 Soltani AK, Krishnan K. Current status of newer generation endoscopic ultrasound core needles in the diagnostic evaluation of gastrointestinal lesions. J Am Soc Cytopathol 2020; 9 (05) 389-395
    CrossrefPubMedGoogle Scholar
  • 12 Conti CB, Cereatti F, Grassia R. Endoscopic ultrasound-guided sampling of solid pancreatic masses: the fine needle aspiration or fine needle biopsy dilemma. Is the best needle yet to come?. World J Gastrointest Endosc 2019; 11 (08) 454-471
    CrossrefPubMedGoogle Scholar
  • 13 Moore JZ, McLaughlin PW, Shih AJ. Novel needle cutting edge geometry for end-cut biopsy. Med Phys 2012; 39 (01) 99-108
    CrossrefPubMedGoogle Scholar
  • 14 Rimba ŞM, Larghi A. 21 - Techniques for endoscopic ultrasound-guided fine-needle biopsy. In: Hawes RH, Fockens P, Varadarajulu S. eds. Endosonography. 4th edition.. Philadelphia: Elsevier; 2019: 261-271.e3 https://www.sciencedirect.com/science/article/pii/B978032354723900021X
    Google Scholar
  • 15 Han P, Che D, Pallav K, Ehmann K. Models of the cutting edge geometry of medical needles with applications to needle design. Int J Mech Sci 2012; 65: 157-167
    CrossrefGoogle Scholar