Akademik Veri Yönetim Sistemi
Çukurova Anestezi ve Cerrahi Bilimler Dergisi, cilt.6, sa.2, ss.241-244, 2023 (Hakemli Dergi)
Aim: Endoscopic ultrasonography (EUS) is used for diagnosing pathologies in the gastrointestinal system and
surrounding organs. This study aims to share the experiences and results of EUS and biopsy at a tertiary center
general surgery endoscopy unit, in the context of the literature.
Methods: Patients who underwent EUS imaging at the general surgery endoscopy unit between January 2021
and January 2022 were retrospectively reviewed. Demographic characteristics, EUS biopsy indications, clinical
pre-diagnoses, preoperative imaging methods, biopsy counts, and results, as well as complications, were analyzed.
Results: The mean age of the 292 patients was 56.5±15.5 years, with 157 (53.8%) being male. The most common EUS indication was a mass in the pancreas, accounting for 181 (62%). Endoscopic fine-needle aspiration biopsy was performed on 127 (43.4%) patients, and the mean diameter of biopsied masses was 35.1±27.7 mm.
Malignancy was detected in 74 (58.2%) of the biopsied patients. Based on biopsy and lesion characteristics,
49.3% of patients were followed up, 80 (27.4%) underwent surgery, 45 (15.4%) received oncological treatment,
and 23 (7.9%) were given endoscopic retrograde cholangiopancreatography.
Conclusion: The role of EUS in the diagnosis and treatment of gastrointestinal malignancies, pancreatic diseases, and biliary diseases continues to evolve. We believe that EUS plays a key role in the multidisciplinary management of complex surgical and oncology patients and those with pancreatobiliary disorders.