Avtor/Urednik		Ćeranić, Davorin; Urlep, Dejan; Skalicky, Marjan; Skok, Pavel
Naslov		Vloga endosonografsko (EUZ) vodene tankoigelne biopsije pri boleznih zgornjih prebavil
Prevedeni naslov		The importance of endosonographically (EUS) guided fine-needle aspiration biopsy in diseases of the upper gastro-intestinal tract
Tip		članek
Vir		In: Križman I, editor. Zbornik predavanj 3. kongres Združenja internistov Slovenije; 2009 sep 25-26; Ljubljana. Ljubljana: Združenje internistov SZD,
Leto izdaje		2009
Obseg		str. 175-9
Jezik		slo
Abstrakt		The importance of endoscopic ultrasound (EUS) in imaging gastrointestinal and extraintestinal diseases has been established. While EUS is an imaging procedure, examinators had problems with differentiating benign from malignant lesion. Although detailed pathoanatomic information may be provided by endosonography, a histologic diagnosis has been obtained by other biopsy techniques, including surgical and non-surgical methods. Endoscopic ultrasonography with guided fineneedle aspiration biopsy (EUS-FNA) was developed to overcome that problem. Presented are current standard indication and contraindications for EUS-FNA. With EUS-FNA accuracy of endosonography is higher for 20% and upgrading T-stage. Authors share the opinion that this diagnostic method in our hospital will help in the future in better selection of patients for different diagnostic procedures and modalities of treatment.
Izvleček		Endoskopski ultrazvok (EUZ) je v diagnostični obravnavi bolnikov z boleznimi prebavil potrdil svoj pomen, tako pri lokalni zamejitvi tumorjev, kot pri nekaterih drugih boleznih. Linearni EUZ so razvili zaradi usmerjene tankoigelne aspiracijske biopsije (EUZ- TAB), saj endosonografija kot slikovna preiskava ne omogoča histološkega vrednotenja opazovanih sprememb. Avtorji v prispevku predstavijo indikacije za tankoigelno aspiracijsko biopsijo vodeno z endoskopskim ultrazvokom. Po podatkih iz literature se zanesljivost izvidov endosonografije poveča za 10-20%, če se opravi tudi biopsija. Zapleti so opisani v 1-2%, pogostejši so pri punkcijah cist. Po mnenju avtorjev bo ta preiskava v prihodnosti tudi v našem okolju omogočila primemejšo izbiro bolnikov za različne diagnostične in postopke zdravljenja.
Deskriptorji		ENDOSONOGRAPHY