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116474

Indications and outcomes of endoscopic ultrasound in Tanta-Egypt: Initial experience

Article

Last updated: 22 Jan 2023

OverviewSimilar Items

Subjects

-

Tags

Inflammatory and cancer

Abstract

Background: Endoscopic ultrasound (EUS) is valuable in the diagnosis and staging of gastrointestinal tumors and some extra-luminal malignancies. Aim: This study aimed to describe the initial experience with EUS and fine-needle aspiration (FNA) and the indications and outcomes of patients at the Tanta University Teaching Hospital. Subjects and Methods: This is a cross-sectional descriptive survey study analyzing 70 EUS cases seen at Tanta University Teaching Hospital from January to December 2019. FNA was performed for 61 patients. A provisional cytopathology diagnosis was made by on-site and the final cytology/histopathology report was given after immunostaining and review of slides. Results: The major indications for EUS were pancreatic, gastric, and ampulla of Vater lesions. EUS revealed pancreatic masses in 27, cysts in 1, and chronic pancreatitis in 1 case. Gastric masses were seen in 13, polyps in 5, and varices in 3 cases. Ampulla of Vater lesions were masses in 5, common bile duct (CBD) distal end stones in 3 cases, and one case proved normal. The final diagnosis of pancreatic lesions was adenocarcinoma in 25, cyst in 1 case, mucoepidermoid tumour in 1 case, neuroendocrine tumour in 1 case and chronic pancreatitis in 1 case. Gastric lesions were gastrointestinal stromal tumors (GIST) in 8, and adenocarcinoma in 5 cases, while 3 cases of polyps were hyperplastic, one inflammatory and one tubulovillous adenomatosis. Celiac axis block was done for 6 cases. No major complications were recorded. Conclusion: The major indications for EUS were pancreatic, gastric and ampulla of Vater lesions, while the main outcomes were pancreatic adenocarcinoma, gastric GIST, adenocarcinoma and ampullary adenocarcinoma.



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DOI

10.21608/jcbr.2020.35939.1058

Keywords

celiac axis block, Cytopathology, Endoscopic ultrasound, fine needle aspiration, Pancreatic lesions

Authors

First Name

Heba

Last Name

Harras

MiddleName

-

Affiliation

Pathology Department, Faculty of Medicine, Tanta University, Tanta, Egypt

Email

heba.harras@med.tanta.edu.eg

City

Tanta

Orcid

0000000178519417

First Name

Ferial

Last Name

El-Kalla

MiddleName

-

Affiliation

Tropical Medicine and Infectious Diseases, Faculty of Medicine, Tanta University, Tanta, Egypt

Email

f.elkalla@med.tanta.edu.eg

City

tanta

Orcid

-

First Name

Asem

Last Name

Elfert

MiddleName

-

Affiliation

Tropical Medicine and Infectious Diseases, Faculty of Medicine, Tanta University, Tanta, Egypt

Email

asemelfert@med.tanta.edu.eg

City

tanta

Orcid

-

First Name

Lobna

Last Name

Abo Ali

MiddleName

-

Affiliation

Tropical Medicine and Infectious Diseases, Faculty of Medicine, Tanta University, Tanta, Egypt

Email

lobna.aboali@med.tanta.edu.eg

City

tanta

Orcid

-

First Name

Samah

Last Name

Soliman

MiddleName

-

Affiliation

Tropical Medicine and Infectious Diseases, Faculty of Medicine, Tanta University, Tanta, Egypt

Email

samah.soliman@med.tanta.edu.eg

City

tanta

Orcid

-

First Name

Walaa

Last Name

Elkhalawany

MiddleName

-

Affiliation

Tropical Medicine and Infectious Diseases, Faculty of Medicine, Tanta University, Tanta, Egypt

Email

walaa.elkhlowani@med.tanta.edu.eg

City

tanta

Orcid

-

First Name

Yomna

Last Name

Zamzam

MiddleName

-

Affiliation

Pathology Department, Faculty of Medicine, Tanta University, Tanta, Egypt

Email

yomnazamzam@hotmail.com

City

tanta

Orcid

-

First Name

Mohamed

Last Name

Alnadi

MiddleName

-

Affiliation

Internal Medicine, Cairo university

Email

mohamadalnadi@hotmail.com

City

cairo

Orcid

-

First Name

Islam

Last Name

Esmail

MiddleName

-

Affiliation

Tropical Medicine and Infectious Diseases, Faculty of Medicine, Tanta University, Tanta, Egypt

Email

eslam.esmail@med.tanta.edu.eg

City

tanta

Orcid

-

First Name

Reham

Last Name

Elkhouly

MiddleName

-

Affiliation

Tropical Medicine and Infectious Diseases, Faculty of Medicine, Tanta University, Tanta, Egypt

Email

reham.elkholy@med.tanta.edu.eg

City

Egypt

Orcid

-

Volume

5

Article Issue

1

Related Issue

23533

Issue Date

2021-03-01

Receive Date

2020-07-19

Publish Date

2021-03-01

Page Start

123

Page End

132

Print ISSN

2682-261X

Online ISSN

2682-2628

Article File

JCBR_Volume 5_Issue 1_Pages 123-132.pdf

PDF . 4.0MB

Link

https://jcbr.journals.ekb.eg/article_116474.html

Detail API

https://jcbr.journals.ekb.eg/service?article_code=116474

Order

12

Type

Original Article

Type Code

885

Publication Type

Journal

Publication Title

International Journal of Cancer and Biomedical Research

Publication Link

https://jcbr.journals.ekb.eg/

MainTitle

-

Details

Type

Article

Created At

22 Jan 2023