Shrestha UK. Preventive strategies for complications after endoscopic ultrasound-guided fine-needle biopsy. World J Gastrointest Endosc 2026; 18(7): 119987 [DOI: 10.4253/wjge.119987]
Corresponding Author of This Article
Umid K Shrestha, MD, PhD, Professor, Department of Gastroenterology and Hepatology, Nepal Mediciti Hospital, Bhaisepati, Ward No. 18, Lalitpur 44700, Bagmati, Nepal. umidshrestha@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
editorial
Open-Access Policy of This Article
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/
World J Gastrointest Endosc. Jul 16, 2026; 18(7): 119987 Published online Jul 16, 2026. doi: 10.4253/wjge.119987
Preventive strategies for complications after endoscopic ultrasound-guided fine-needle biopsy
Umid K Shrestha
Umid K Shrestha, Department of Gastroenterology and Hepatology, Nepal Mediciti Hospital, Lalitpur 44700, Bagmati, Nepal
Author contributions: Shrestha UK contributed to the conceptualization and design, wrote the original draft, and reviewed and edited.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Umid K Shrestha, MD, PhD, Professor, Department of Gastroenterology and Hepatology, Nepal Mediciti Hospital, Bhaisepati, Ward No. 18, Lalitpur 44700, Bagmati, Nepal. umidshrestha@gmail.com
Received: February 12, 2026 Revised: March 4, 2026 Accepted: April 3, 2026 Published online: July 16, 2026 Processing time: 154 Days and 18.5 Hours
Core Tip
Core Tip: The major complications of endoscopic ultrasound-guided fine-needle biopsy (EUS-FNB) include perforation, bleeding, infection, acute pancreatitis when sampling pancreatic lesions, bile peritonitis, needle tract seeding where tumor cells are deposited along the needle track, and device-related malfunctions. The preventive strategies for complications following EUS-FNB include careful pre-procedural planning, technical efficiency during the procedure, and appropriate post-procedure care. EUS-FNB needs specific ethical considerations, which involve the balancing of the need for accurate histological diagnosis with patient safety, procedural risks, and informed consent. The proper use of suitable strategies to avoid complications will help the endosonographer to perform EUS-FNB safely and effectively.
