Author/Editor		Ćeranić, Davorin; Urlep, Dejan; Skalicky, Marjan; Skok, Pavel
Title		Endoskopsko - ultrazvočno vodena tankoigelna biopsija - naše prve izkušnje
Translated title		Endoscopic ultrasound guided fine-needle aspiration biopsy - our first experiences
Type		članek
Source		In: Hojs R, editor. Zbornik prispevkov 20. srečanje internistov in zdravnikov družinske medicine "Iz prakse za prakso" ; 2009 maj 8-9; Maribor. Maribor: Univerzitetni klinični center,
Publication year		2009
Volume		str. 61-9
Language		slo
Abstract		The accuracy of endoscopic ultrasound (EUS) in imaging of gastrointestinal and extraintestinal diseases has been established. While EUS is only imaging procedure, examinators have problems in differentiating benign from malignant lesion. Although detailed pathoanatomic information may be provided by EUS, a histologic diagnosis has been obtained by other biopsy techniques, including surgical and non-surgical methods. Endoscopic ultrasonography with guided fine-needle aspiration biopsy (EUS-FNA) was developed to overcome this problem. In the article the authors present current standard indication for EUS-FNA and patients to whom the procedure was done. With EUS-FNA accuracy of endosonography is higher for 10-20% and upgrading T-stage. Authors share the opinion that this diagnostic examination in our institution would help in better selection of patients for invasive or noninvasive therapy.
Summary		Endoskopski ultrazvok (EUZ) je potrdil svoj pomen v diagnostični obravnavi bolnikov z boleznimi prebavil, zlasti v lokalni zamejitvi tumorjev, pa tudi nekaterih drugih boleznih. Ker je EUZ le slikovna preiskava, ne moremo samo na osnovi morfoloških kriterijev opredeliti narave bolezenskega procesa ali natančno zamejiti bolezni, kar omogoči izbiro najprimernejšega zdravljenja. Zaradi te pomankljivosti so razvili linearni EUZ, ki omogoča endosonografsko vodeno tankoigelno aspiracijsko biopsijo (EUZ- TAB). V prispevku avtorji predstavijo indikacije za endosonografsko tankoigelno aspiracijsko biopsijo in bolnico, pri kateri so poseg izvedli. Podatki v mednarodni literaturi potrjujejo, da se zanesljivost EUZ poveča za 10 do 20 %, če se opravi tudi EUZ- TAB. Zapleti so opisani v 1-2 %, pogostejši so pri punkcijah cist. Avtorji so mnenja, da bo preiskava v bodoče omogočila primernejšo izbiro bolnikov za različne postopke zdravljenja.
Descriptors		ENDOSONOGRAPHY DIGESTIVE SYSTEM DISEASES