Published online Mar 16, 2024. doi: 10.4253/wjge.v16.i3.117
Peer-review started: October 19, 2023
First decision: December 19, 2023
Revised: December 30, 2023
Accepted: January 27, 2024
Article in press: January 27, 2024
Published online: March 16, 2024
Processing time: 146 Days and 16 Hours
Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is a means to procure adequate specimens for histological and cytologic analysis. The ideal EUS-FNA should be safe, accurate, and have a high sample adequacy rate and low adverse events rate. In recent years, many guidelines and trials on EUS-FNA have been published. The purpose of this article is to provide an update on the influence of some of the main factors on the diagnostic efficiency of EUS-FNA as well as a rare but serious complication known as needle tract seeding.
Core Tip: This review evaluates the influencing factors and limitations of endoscopic ultrasound-guided fine-needle aspiration of solid pancreatic lesions. The information presented here highlights multiple factors and the latest results, such as mass size, rapid on-site evaluation, and needle tract seeding for improving diagnostic efficiency. Therefore, this review may be highly beneficial for clinicians focusing on the management of endoscopic ultrasound-guided fine-needle aspiration.
