Complications of EUS-FNA

被引：0

作者：

Pesenti, Ch. ^{[1
]}

Bories, E. ^{[1
]}

Caillol, F. ^{[1
]}

Giovannini, M. ^{[1
]}

机构：

[1] Inst J Paoli I Calmettes, Unite Explorat Medicochirurg Oncol, F-13009 Marseille, France

来源：

ACTA ENDOSCOPICA | 2006年 / 36卷 / 01期

关键词：

acute pancreatitis; bacteriema; bile peritonitis; bleeding; EUS-FNA; perforations;

D O I：

10.1007/BF03006686

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

FNA is commonly performed to obtain tissue from masses or associated lymph nodes, as well as to aspirate the contents of cystic structures (i.e., pancreatic cysts) for analysis. One can assess that the risk of bacteremia after EUS-FNA is low and is comparable to that of diagnostic endoscopy. A prophylactic antibiotherapy is not recommended for FNA of solid masses and lymph nodes (except for patients with other risks such as diabetes or valvulopathy). The risk of pancreatitis associated with EUS-FNA of a pancreatic lesion is from 0% to 2%. Hemorrhage has been reported as a complication of EUS-FNA but is quite limited (1.3%). EUS is currently used to perform a celiac plexus block in patients with chronic pancreatitis or cancer of the pancreas with an antalgic aim. The complications of such procedure are a transient diarrhea in 4 to 15% of the cases, a transient increase of pain in 9% of cases and a risk of retro peritoneal abscess especially with corticosteroid therapy.

引用

页码：35 / 39

页数：5

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