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Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jan 14, 2016; 22(2): 628-640
Published online Jan 14, 2016. doi: 10.3748/wjg.v22.i2.628
Endoscopic ultrasonography guided-fine needle aspiration for the diagnosis of solid pancreaticobiliary lesions: Clinical aspects to improve the diagnosis
Hiroyuki Matsubayashi, Toru Matsui, Yohei Yabuuchi, Kenichiro Imai, Masaki Tanaka, Naomi Kakushima, Keiko Sasaki, Hiroyuki Ono
Hiroyuki Matsubayashi, Toru Matsui, Yohei Yabuuchi, Kenichiro Imai, Masaki Tanaka, Naomi Kakushima, Hiroyuki Ono, Division of Endoscopy, Shizuoka Cancer Center, Suntogun, Shizuoka 411-8777, Japan
Keiko Sasaki, Division of Pathology, Shizuoka Cancer Center, Suntogun, Shizuoka 411-8777, Japan
Author contributions: All authors contributed on this work.
Conflict-of-interest statement: All authors disclose no conflict of interest related to this work.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Hiroyuki Matsubayashi, MD, PhD, Division of Endoscopy, Shizuoka Cancer Center, 1007, Shimonagakubo, Nagaizumi, Suntogun, Shizuoka 411-8777, Japan. h.matsubayashi@scchr.jp
Telephone: +81-55-9895222 Fax: +81-55-9895692
Received: May 27, 2015
Peer-review started: May 28, 2015
First decision: September 11, 2015
Revised: September 20, 2015
Accepted: November 13, 2015
Article in press: November 13, 2015
Published online: January 14, 2016
Processing time: 224 Days and 14.5 Hours
Core Tip

Core tip: Since the first attempts in 1990th, the instruments and methodology associated with endoscopic ultrasonography-guided fine needle aspiration have been largely improved for greater safety and efficacy of the procedure and accuracy of diagnosis. Choices of suitable needle and puncture method (fanning, suction, stylet, number of the passes) are critical for the better diagnostic yields of the pancreaticobiliary lesions as well as improving endosonographic skills.