{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,18]],"date-time":"2026-10-18T10:55:26Z","timestamp":1792320926786,"version":"4.4.0"},"reference-count":97,"publisher":"Elsevier BV","issue":"1","license":[{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2014,1,1]],"date-time":"2014-01-01T00:00:00Z","timestamp":1388534400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","theclinics.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Gastrointestinal Endoscopy Clinics of North America"],"published-print":{"date-parts":[[2014,1]]},"DOI":"10.1016\/j.giec.2013.08.009","type":"journal-article","created":{"date-parts":[[2013,11,9]],"date-time":"2013-11-09T01:15:40Z","timestamp":1383959740000},"page":"109-124","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"title":["Tips to Overcome Technical Challenges in EUS-guided Tissue Acquisition"],"prefix":"10.1016","volume":"24","author":[{"given":"Peter","family":"Vilmann","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrada","family":"Seicean","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"S\u0103ftoiu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.giec.2013.08.009_bib1","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1055\/s-0031-1291543","article-title":"Learning techniques and complications of endoscopic ultrasound (EUS)-guided sampling in gastroenterology: European Society of Gastrointestinal Endoscopy (ESGE) Technical Guideline","volume":"44","author":"Polkowski","year":"2012","journal-title":"Endoscopy"},{"key":"10.1016\/j.giec.2013.08.009_bib2","doi-asserted-by":"crossref","first-page":"S130","DOI":"10.1016\/j.gie.2008.12.018","article-title":"Tricks for improving EUS-FNA accuracy and maximizing cellular yield","volume":"69","author":"Savides","year":"2009","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib3","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.gie.2012.02.051","article-title":"Contrast-enhanced EUS for differential diagnosis of pancreatic mass lesions: a meta-analysi","volume":"75","author":"Gong","year":"2012","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib4","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1016\/j.gie.2012.04.005","article-title":"Flow, firmness, or FNA? Is enhanced EUS fantastic or just fancy?","volume":"76","author":"Romagnuolo","year":"2012","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib5","doi-asserted-by":"crossref","first-page":"728","DOI":"10.1016\/j.gie.2005.06.051","article-title":"Yield of EUS-guided FNA of pancreatic masses in the presence or the absence of chronic pancreatitis","volume":"62","author":"Varadarajulu","year":"2005","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib6","doi-asserted-by":"crossref","first-page":"76","DOI":"10.1016\/j.gie.2012.02.049","article-title":"Impact of biliary stents on EUS-guided FNA of pancreatic mass lesions","volume":"76","author":"Ranney","year":"2012","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib7","doi-asserted-by":"crossref","first-page":"21","DOI":"10.1097\/MPA.0b013e3181f66e64","article-title":"The impact of prior biliary stenting on the accuracy and complication rate of endoscopic ultrasound fine-needle aspiration for diagnosing pancreatic adenocarcinoma","volume":"40","author":"Fisher","year":"2011","journal-title":"Pancreas"},{"key":"10.1016\/j.giec.2013.08.009_bib8","doi-asserted-by":"crossref","first-page":"2438","DOI":"10.1007\/s10620-012-2170-z","article-title":"Comparison of the influence of plastic and fully covered metal biliary stents on the accuracy of EUS-FNA for the diagnosis of pancreatic cancer","volume":"57","author":"Siddiqui","year":"2012","journal-title":"Dig Dis Sci"},{"key":"10.1016\/j.giec.2013.08.009_bib9","doi-asserted-by":"crossref","first-page":"3112","DOI":"10.3748\/wjg.v13.i22.3112","article-title":"Diagnosis of pancreatic tumors by endoscopic ultrasound-guided fine-needle aspiration","volume":"13","author":"Ardengh","year":"2007","journal-title":"World J Gastroenterol"},{"key":"10.1016\/j.giec.2013.08.009_bib10","doi-asserted-by":"crossref","first-page":"3370","DOI":"10.1007\/s10620-011-1782-z","article-title":"Relationship of pancreatic mass size and diagnostic yield of endoscopic ultrasound-guided fine needle aspiration","volume":"56","author":"Siddiqui","year":"2011","journal-title":"Dig Dis Sci"},{"key":"10.1016\/j.giec.2013.08.009_bib11","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1111\/j.1440-1746.2006.04452.x","article-title":"Presence of intratumoral anechoic foci predicts an increased number of endoscopic ultrasound-guided fine-needle aspiration passes required for the diagnosis of pancreatic adenocarcinoma","volume":"22","author":"Cheng","year":"2007","journal-title":"J\u00a0Gastroenterol Hepatol"},{"key":"10.1016\/j.giec.2013.08.009_bib12","doi-asserted-by":"crossref","first-page":"441","DOI":"10.1067\/mge.2001.117764","article-title":"Randomized controlled trial of EUS-guided fine needle aspiration techniques for the detection of malignant lymphadenopathy","volume":"54","author":"Wallace","year":"2001","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib13","first-page":"181","article-title":"Irregular echogenic foci representing coagulation necrosis: a useful but perhaps under-recognized EUS echo feature of malignant lymph node invasion","volume":"18","author":"Bhutani","year":"2009","journal-title":"J\u00a0Gastrointestin Liver Dis"},{"key":"10.1016\/j.giec.2013.08.009_bib14","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1097\/MCG.0b013e3181eed6d2","article-title":"Cyst wall puncture and aspiration during EUS-guided fine needle aspiration may increase the diagnostic yield of mucinous cysts of the pancreas","volume":"45","author":"Rogart","year":"2011","journal-title":"J\u00a0Clin Gastroenterol"},{"key":"10.1016\/j.giec.2013.08.009_bib15","doi-asserted-by":"crossref","first-page":"574","DOI":"10.1016\/j.gie.2007.02.025","article-title":"Small-caliber endobronchial ultrasonic videoscope: successful transesophageal and transgastric FNA after failed passage of a standard ultrasonic endoscope","volume":"66","author":"Gupta","year":"2007","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib16","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1111\/j.1442-2050.2011.01179.x","article-title":"Transgastric endoscopic ultrasound (EUS) guided fine needle aspiration (FNA) in patients with esophageal narrowing using the ultrasonic bronchovideoscope","volume":"24","author":"Buxbaum","year":"2011","journal-title":"Dis Esophagus"},{"issue":"Suppl 2 UCTN","key":"10.1016\/j.giec.2013.08.009_bib17","first-page":"E298","article-title":"Endobronchial ultrasonic videoscope for transgastric\/transesophageal fine-needle aspiration in special situations: another tool for the gastrointestinal endosonographer","volume":"44","author":"Chatterjee","year":"2012","journal-title":"Endoscopy"},{"key":"10.1016\/j.giec.2013.08.009_bib18","doi-asserted-by":"crossref","first-page":"947","DOI":"10.1016\/j.gie.2010.07.016","article-title":"EUS in patients with surgically altered upper GI anatomy","volume":"72","author":"Wilson","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib19","doi-asserted-by":"crossref","first-page":"31","DOI":"10.4161\/jig.20132","article-title":"How to improve the success of endoscopic ultrasound guided fine needle aspiration cytology in the diagnosis of pancreatic lesions","volume":"2","author":"Gimeno-Garc\u00eda","year":"2012","journal-title":"J\u00a0Interv Gastroenterol"},{"key":"10.1016\/j.giec.2013.08.009_bib20","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1055\/s-0029-1214643","article-title":"Retrospective analysis of the utility of endoscopic ultrasound-guided fine-needle aspiration (EUS\u2013FNA) in pancreatic masses, using a 22-gauge or 25-gauge needle system: a multicenter experience","volume":"41","author":"Yusuf","year":"2009","journal-title":"Endoscopy"},{"key":"10.1016\/j.giec.2013.08.009_bib21","doi-asserted-by":"crossref","first-page":"709","DOI":"10.1055\/s-0030-1256482","article-title":"A\u00a0randomized clinical trial comparing 22G and 25G needles in endoscopic ultrasound-guided fine-needle aspiration of solid lesions","volume":"43","author":"Camellini","year":"2011","journal-title":"Endoscopy"},{"key":"10.1016\/j.giec.2013.08.009_bib22","doi-asserted-by":"crossref","first-page":"384","DOI":"10.1111\/j.1440-1746.2008.05636.x","article-title":"Prospective comparative study of the EUS guided 25-gauge FNA needle with the 19-gauge Trucut needle and 22-gauge FNA needle in patients with solid pancreatic masses","volume":"24","author":"Sakamoto","year":"2009","journal-title":"J Gastroenterol Hepatol"},{"key":"10.1016\/j.giec.2013.08.009_bib23","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1016\/j.gie.2008.07.017","article-title":"Experimental endoscopy: objective evaluation of EUS needles","volume":"69","author":"Itoi","year":"2009","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib24","doi-asserted-by":"crossref","first-page":"285","DOI":"10.1002\/cncr.11643","article-title":"Yield of endoscopic ultrasound-guided fine-needle aspiration biopsy in patients with suspected pancreatic carcinoma","volume":"99","author":"Eloubeidi","year":"2003","journal-title":"Cancer"},{"key":"10.1016\/j.giec.2013.08.009_bib25","doi-asserted-by":"crossref","first-page":"1757","DOI":"10.1007\/s10620-011-1646-6","article-title":"Yield and performance characteristics of endoscopic ultrasound-guided fine needle aspiration for diagnosing upper GI tract stromal tumors","volume":"56","author":"Watson","year":"2011","journal-title":"Dig Dis Sci"},{"key":"10.1016\/j.giec.2013.08.009_bib26","doi-asserted-by":"crossref","first-page":"1026","DOI":"10.1007\/s10620-012-2439-2","article-title":"Needle size has only a limited effect on outcomes in EUS-guided fine needle aspiration: a systematic review and meta-analysis","volume":"58","author":"Affolter","year":"2013","journal-title":"Dig Dis Sci"},{"key":"10.1016\/j.giec.2013.08.009_bib27","first-page":"102","article-title":"Comparison of diagnostic accuracy of endoscopic ultrasound-guided fine-needle aspiration with 22- and 25-gauge needles in the same patients","volume":"1","author":"Kida","year":"2011","journal-title":"J\u00a0Interv Gastroenterol"},{"key":"10.1016\/j.giec.2013.08.009_bib28","doi-asserted-by":"crossref","first-page":"567","DOI":"10.1111\/j.1440-1746.2007.05119.x","article-title":"Value of repeat endoscopic ultrasound-guided fine needle aspiration for suspected pancreatic cancer","volume":"23","author":"Eloubeidi","year":"2008","journal-title":"J\u00a0Gastroenterol Hepatol"},{"key":"10.1016\/j.giec.2013.08.009_bib29","doi-asserted-by":"crossref","first-page":"268290","DOI":"10.1155\/2010\/268290","article-title":"The utility of repeat endoscopic ultrasound-guided fine needle aspiration for suspected pancreatic cancer","volume":"2010","author":"Nicaud","year":"2010","journal-title":"Gastroenterol Res Pract"},{"key":"10.1016\/j.giec.2013.08.009_bib30","doi-asserted-by":"crossref","first-page":"377","DOI":"10.1159\/000177025","article-title":"Role of repeated endoscopic ultrasound-guided fine needle aspiration in small solid pancreatic masses with previous indeterminate and negative cytological findings","volume":"26","author":"Tadic","year":"2008","journal-title":"Dig Dis"},{"key":"10.1016\/j.giec.2013.08.009_bib31","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.gie.2008.10.008","article-title":"EUS-guided FNA of solid pancreatic masses: high yield of 2 passes with combined histologic-cytologic analysis","volume":"70","author":"M\u00f6ller","year":"2009","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib32","doi-asserted-by":"crossref","first-page":"289","DOI":"10.3748\/wjg.v13.i2.289","article-title":"Impact of endoscopic ultrasound-guided fine needle biopsy for diagnosis of pancreatic masses","volume":"13","author":"Iglesias-Garcia","year":"2007","journal-title":"World J Gastroenterol"},{"key":"10.1016\/j.giec.2013.08.009_bib33","doi-asserted-by":"crossref","first-page":"342","DOI":"10.1097\/MEG.0b013e3282f2a5cf","article-title":"Prospective pilot evaluation of a new needle prototype for endoscopic ultrasonography-guided fine-needle aspiration: comparison of cytology and histology yield","volume":"20","author":"Papanikolaou","year":"2008","journal-title":"Eur J Gastroenterol Hepatol"},{"key":"10.1016\/j.giec.2013.08.009_bib34","doi-asserted-by":"crossref","first-page":"712","DOI":"10.1111\/j.1440-1827.2009.02433.x","article-title":"Diagnostic findings of ultrasound-guided fine-needle aspiration cytology for gastrointestinal stromal tumors: proposal of a combined cytology with newly defined features and histology diagnosis","volume":"59","author":"Yoshida","year":"2009","journal-title":"Pathol Int"},{"key":"10.1016\/j.giec.2013.08.009_bib35","doi-asserted-by":"crossref","first-page":"808","DOI":"10.1002\/dc.21464","article-title":"Endoscopic ultrasonography-guided fine-needle\u00a0aspiration for diagnosing upper gastrointestinal submucosal lesions: a prospective study of 50 cases","volume":"39","author":"Turhan","year":"2011","journal-title":"Diagn Cytopathol"},{"key":"10.1016\/j.giec.2013.08.009_bib36","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1067\/mge.2002.120323","article-title":"The diagnosis of GI stromal tumors with EUS-guided fine needle aspiration with immunohistochemical analysis","volume":"55","author":"Ando","year":"2002","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib37","doi-asserted-by":"crossref","first-page":"546390","DOI":"10.1155\/2009\/546390","article-title":"A\u00a0prospective comparison of EUS-guided FNA using 25-gauge and 22-gauge needles","volume":"2009","author":"Imazu","year":"2009","journal-title":"Gastroenterol Res Pract"},{"key":"10.1016\/j.giec.2013.08.009_bib38","doi-asserted-by":"crossref","first-page":"2274","DOI":"10.1007\/s10620-009-0906-1","article-title":"Blinded prospective comparison of the performance of 22-gauge and 25-gauge needles in endoscopic ultrasound-guided fine needle aspiration of the pancreas and peri-pancreatic lesions","volume":"54","author":"Lee","year":"2009","journal-title":"Dig Dis Sci"},{"key":"10.1016\/j.giec.2013.08.009_bib39","doi-asserted-by":"crossref","first-page":"1093","DOI":"10.1016\/j.gie.2009.05.037","article-title":"EUS-guided FNA of solid pancreatic masses: a prospective, randomized trial comparing 22-gauge and 25-gauge needles","volume":"70","author":"Siddiqui","year":"2009","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib40","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1016\/j.dld.2011.04.005","article-title":"Endoscopic ultrasound-guided fine needle aspiration with 22- and 25-gauge needles in solid pancreatic masses: a prospective comparative study with randomisation of needle sequence","volume":"43","author":"Fabbri","year":"2011","journal-title":"Dig Liver Dis"},{"key":"10.1016\/j.giec.2013.08.009_bib41","doi-asserted-by":"crossref","first-page":"877","DOI":"10.3109\/00365521.2013.799222","article-title":"Multicenter randomized controlled trial comparing the performance of 22 gauge versus 25 gauge EUS-FNA needles in solid masses","volume":"48","author":"Vilmann","year":"2013","journal-title":"Scand J Gastroenterol"},{"key":"10.1016\/j.giec.2013.08.009_bib42","doi-asserted-by":"crossref","first-page":"1739","DOI":"10.1038\/ajg.2010.108","article-title":"The prospective randomized, controlled trial of endoscopic ultrasound-guided fine-needle aspiration using 22G and 19G aspiration needles for solid pancreatic or peripancreatic masses","volume":"105","author":"Song","year":"2010","journal-title":"Am J Gastroenterol"},{"issue":"5","key":"10.1016\/j.giec.2013.08.009_bib43","doi-asserted-by":"crossref","first-page":"472","DOI":"10.4318\/tjg.2011.0322","article-title":"Comparison of 19- and 22-gauge needles in EUS-guided fine needle aspiration in patients with mediastinal masses and lymph nodes","volume":"22","author":"Song\u00fcr","year":"2011","journal-title":"Turk J Gastroenterol"},{"key":"10.1016\/j.giec.2013.08.009_bib44","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1055\/s-2004-826156","article-title":"Puncture of solid pancreatic tumors guided by\u00a0endoscopic ultrasonography: a pilot study series comparing trucut and 19-gauge and 22-gauge aspiration needles","volume":"37","author":"Itoi","year":"2005","journal-title":"Endoscopy"},{"key":"10.1016\/j.giec.2013.08.009_bib45","doi-asserted-by":"crossref","first-page":"504","DOI":"10.1016\/j.gie.2011.05.014","article-title":"EUS-guided fine-needle tissue acquisition by using a 19-gauge needle in a selected patient population: a prospective study","volume":"74","author":"Larghi","year":"2011","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib46","doi-asserted-by":"crossref","first-page":"913","DOI":"10.1016\/j.gie.2009.11.044","article-title":"Diagnostic utility of EUS-guided FNA in patients with gastric submucosal tumors","volume":"71","author":"Mekky","year":"2010","journal-title":"Gastrointest Endosc"},{"issue":"7","key":"10.1016\/j.giec.2013.08.009_bib47","doi-asserted-by":"crossref","first-page":"1218","DOI":"10.1016\/j.gie.2008.09.045","article-title":"EUS-guided sampling of suspected GI stromal tumors","volume":"69","author":"Hoda","year":"2009","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib48","doi-asserted-by":"crossref","first-page":"1135","DOI":"10.1097\/MEG.0b013e328356eae2","article-title":"Endosonographic large-bore biopsy of gastric subepithelial tumors: a prospective multicenter study","volume":"24","author":"Eckardt","year":"2012","journal-title":"Eur J Gastroenterol Hepatol"},{"key":"10.1016\/j.giec.2013.08.009_bib49","doi-asserted-by":"crossref","first-page":"505","DOI":"10.1016\/j.gie.2006.02.056","article-title":"Advantage of EUS Trucut biopsy combined with fine-needle aspiration without immediate on-site cytopathologic examination","volume":"64","author":"Storch","year":"2006","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib50","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1080\/00365520600789800","article-title":"Endoscopic ultrasound (EUS)-guided Trucut biopsy adds significant information to EUS-guided fine-needleaspiration in selected patients: a prospective study","volume":"42","author":"S\u0103ftoiu","year":"2007","journal-title":"Scand J Gastroenterol"},{"key":"10.1016\/j.giec.2013.08.009_bib51","doi-asserted-by":"crossref","first-page":"417","DOI":"10.1016\/j.gie.2005.04.044","article-title":"EUS-guided Trucut biopsy","volume":"62","author":"Levy","year":"2005","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib52","doi-asserted-by":"crossref","first-page":"2192","DOI":"10.1007\/s00464-010-1522-z","article-title":"Endoscopic ultrasound-guided Trucut biopsy of gastrointestinal mesenchymal tumor","volume":"25","author":"DeWitt","year":"2011","journal-title":"Surg Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib53","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1016\/S0016-5107(03)02538-0","article-title":"EUS-guided trucut needle biopsies in patients with solid pancreatic masses: a prospective study","volume":"59","author":"Larghi","year":"2004","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib54","doi-asserted-by":"crossref","first-page":"292","DOI":"10.1055\/s-0029-1244074","article-title":"Endoscopic ultrasound-guided fine-needle aspiration and trucut biopsy in the diagnosis of gastric stromal tumors: a randomized crossover study","volume":"42","author":"Fern\u00e1ndez-Esparrach","year":"2010","journal-title":"Endoscopy"},{"issue":"1","key":"10.1016\/j.giec.2013.08.009_bib55","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1007\/s00464-007-9374-x","article-title":"Endoscopic ultrasound-guided fine-needle aspiration and Trucut biopsy in thoracic lesions: when tissue is the issue","volume":"22","author":"Storch","year":"2008","journal-title":"Surg Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib56","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1055\/s-0029-1214447","article-title":"Diagnostic yield and safety of endoscopic ultrasound-guided trucut [corrected] biopsy in patients with gastric submucosal tumors: a prospective study","volume":"41","author":"Polkowski","year":"2009","journal-title":"Endoscopy"},{"key":"10.1016\/j.giec.2013.08.009_bib57","doi-asserted-by":"crossref","first-page":"2351","DOI":"10.1007\/s00464-009-0345-2","article-title":"EUS-guided Trucut needle biopsies as first-line diagnostic method for patients with intestinal or extraintestinal mass lesions","volume":"23","author":"Wahnschaffe","year":"2009","journal-title":"Surg Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib58","doi-asserted-by":"crossref","first-page":"336","DOI":"10.1016\/j.gie.2012.04.455","article-title":"Assessment of the technical performance of the flexible 19-gauge EUS-FNA needle","volume":"76","author":"Varadarajulu","year":"2012","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib59","unstructured":"Witt BL, Adler DG, Hilden K, et al. A\u00a0comparative needle study: EUS-FNA procedures using the HD ProCore\u2122 and EchoTip\u00ae 22-gauge needle types. Diagn Cytopathol, in press."},{"key":"10.1016\/j.giec.2013.08.009_bib60","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1016\/j.gie.2012.03.1392","article-title":"Randomized trial comparing the 22-gauge aspiration and 22-gauge biopsy needles for EUS-guided sampling of solid pancreatic mass lesions","volume":"76","author":"Bang","year":"2012","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib61","doi-asserted-by":"crossref","first-page":"909","DOI":"10.1016\/j.gie.2013.01.001","article-title":"High single-pass diagnostic yield of a new 25-gauge core biopsy needle for EUS-guided FNA biopsy in solid pancreatic lesions","volume":"77","author":"Iwashita","year":"2013","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib62","doi-asserted-by":"crossref","first-page":"894","DOI":"10.1016\/j.gie.2006.08.047","article-title":"Safety and efficacy of cytology brushings versus standard FNA in evaluating cystic lesions of the pancreas: a pilot study","volume":"65","author":"Al-Haddad","year":"2007","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib63","doi-asserted-by":"crossref","first-page":"127","DOI":"10.1055\/s-0029-1215351","article-title":"Safety and efficacy of cytology brushings versus standard fine-needle aspiration in evaluating cystic pancreatic lesions: a controlled study","volume":"42","author":"Al-Haddad","year":"2010","journal-title":"Endoscopy"},{"key":"10.1016\/j.giec.2013.08.009_bib64","doi-asserted-by":"crossref","first-page":"1220","DOI":"10.1016\/j.gie.2009.05.038","article-title":"Preliminary experience with a new cytology brush in EUS-guided FNA","volume":"70","author":"Bruno","year":"2009","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib65","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1016\/j.gie.2012.11.029","article-title":"Objective assessment of an algorithmic approach to EUS-guided FNA and interventions","volume":"77","author":"Bang","year":"2013","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib66","doi-asserted-by":"crossref","first-page":"58","DOI":"10.1016\/j.gie.2011.02.015","article-title":"A\u00a0prospective, single-blind, randomized, controlled trial of EUS-guided FNA with and without a stylet","volume":"74","author":"Rastogi","year":"2011","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib67","doi-asserted-by":"crossref","first-page":"900","DOI":"10.1055\/s-0030-1255676","article-title":"A\u00a0prospective comparison of endoscopic ultrasound-guided fine needle aspiration results obtained in the same lesion, with and without the needle stylet","volume":"42","author":"Sahai","year":"2010","journal-title":"Endoscopy"},{"key":"10.1016\/j.giec.2013.08.009_bib68","doi-asserted-by":"crossref","first-page":"328","DOI":"10.1016\/j.gie.2012.03.1395","article-title":"Diagnostic yield of malignancy during EUS-guided FNA of solid lesions with and without a stylet: a prospective, single blind, randomized, controlled trial","volume":"76","author":"Wani","year":"2012","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib69","doi-asserted-by":"crossref","first-page":"303","DOI":"10.1111\/j.1443-1661.2012.01374.x","article-title":"Comparison of endoscopic ultrasonography-guided fine-needle aspiration cytology results with and without the stylet in 3364 cases","volume":"25","author":"Gimeno-Garc\u00eda","year":"2012","journal-title":"Dig Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib70","doi-asserted-by":"crossref","first-page":"2409","DOI":"10.1007\/s10620-011-1608-z","article-title":"A\u00a0comparative study of endoscopic ultrasound guided fine needle aspiration with and without a stylet","volume":"56","author":"Wani","year":"2011","journal-title":"Dig Dis Sci"},{"key":"10.1016\/j.giec.2013.08.009_bib71","doi-asserted-by":"crossref","first-page":"745","DOI":"10.1016\/j.gie.2012.12.009","article-title":"A\u00a0prospective, comparative trial to optimize sampling techniques in EUS-guided FNA of solid pancreatic masses","volume":"77","author":"Lee","year":"2013","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib72","first-page":"262","article-title":"Thin needle aspiration biopsy","volume":"26","author":"Thomson","year":"1982","journal-title":"Acta Cytol"},{"key":"10.1016\/j.giec.2013.08.009_bib73","doi-asserted-by":"crossref","first-page":"550","DOI":"10.1055\/s-1999-125","article-title":"Improved technique for performing endoscopic ultrasound guided fine needle aspiration of lymph nodes","volume":"31","author":"Bhutani","year":"1999","journal-title":"Endoscopy"},{"key":"10.1016\/j.giec.2013.08.009_bib74","doi-asserted-by":"crossref","first-page":"499","DOI":"10.1080\/00365520802647392","article-title":"Randomized controlled trial of endoscopic ultrasound-guided fine-needle sampling with or without suction for better cytological diagnosis","volume":"44","author":"Puri","year":"2009","journal-title":"Scand J Gastroenterol"},{"key":"10.1016\/j.giec.2013.08.009_bib75","doi-asserted-by":"crossref","first-page":"768","DOI":"10.1016\/j.gie.2005.05.014","article-title":"EUS-guided fine needle tissue acquisition by using high negative pressure suction for the evaluation of solid masses: a pilot study","volume":"62","author":"Larghi","year":"2005","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib76","doi-asserted-by":"crossref","first-page":"445","DOI":"10.1055\/s-0032-1326268","article-title":"Randomized trial comparing fanning with standard technique for endoscopic ultrasound-guided fine-needle aspiration of solid pancreatic mass lesions","volume":"45","author":"Bang","year":"2013","journal-title":"Endoscopy"},{"key":"10.1016\/j.giec.2013.08.009_bib77","doi-asserted-by":"crossref","first-page":"2357","DOI":"10.3748\/wjg.v18.i19.2357","article-title":"Endoscopic ultrasonography-guided fine needle aspiration: relatively low sensitivity in the endosonographer population","volume":"18","author":"Dumonceau","year":"2012","journal-title":"World J Gastroenterol"},{"key":"10.1016\/j.giec.2013.08.009_bib78","doi-asserted-by":"crossref","first-page":"184","DOI":"10.1016\/S0016-5107(00)70416-0","article-title":"Factors predicting the number of EUS-guided fine-needle passes for diagnosis of pancreatic malignancies","volume":"51","author":"Erickson","year":"2000","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib79","doi-asserted-by":"crossref","first-page":"358","DOI":"10.1111\/j.1443-1661.2012.01243.x","article-title":"Factors affecting the diagnostic accuracy of endoscopic ultrasonography-guided fine-needle aspiration (EUS-FNA) for upper gastrointestinal submucosal or extraluminal solid mass lesions","volume":"24","author":"Rong","year":"2012","journal-title":"Dig Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib80","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/S0016-5107(03)02863-3","article-title":"Optimal number of EUS-guided fine needle passes needed to obtain a correct diagnosis","volume":"59","author":"LeBlanc","year":"2004","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib81","doi-asserted-by":"crossref","first-page":"452","DOI":"10.1111\/j.1443-1661.2012.01311.x","article-title":"Prospective evaluation of the optimal number of 25-gauge needle passes for endoscopic ultrasound-guided fine-needle aspiration biopsy of solid pancreatic lesions in the absence of an onsite cytopathologist","volume":"24","author":"Suzuki","year":"2012","journal-title":"Dig Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib82","first-page":"584","article-title":"Efficacy, safety, and predictive factors for a positive yield of EUS-guided Trucut biopsy: a large tertiary referral center experience","volume":"104","author":"Thomas","year":"2009","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.giec.2013.08.009_bib83","doi-asserted-by":"crossref","first-page":"585","DOI":"10.1055\/s-0030-1256440","article-title":"Endoscopic ultrasound-guided fine-needle aspiration of pancreatic cystic lesions provides inadequate material for cytology and laboratory analysis: initial results from a prospective study","volume":"43","author":"de Jong","year":"2011","journal-title":"Endoscopy"},{"key":"10.1016\/j.giec.2013.08.009_bib84","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1016\/S0016-5107(03)02032-7","article-title":"Intraductal papillary mucinous tumors of the pancreas: the preoperative value of cytologic and histopathologic diagnosis","volume":"58","author":"Maire","year":"2003","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib85","doi-asserted-by":"crossref","first-page":"1751","DOI":"10.1007\/s10620-012-2528-2","article-title":"Factors determining diagnostic yield of endoscopic ultrasound guided fine-needle aspiration for pancreatic cystic lesions: a multicentre Asian study","volume":"58","author":"Lim","year":"2013","journal-title":"Dig Dis Sci"},{"key":"10.1016\/j.giec.2013.08.009_bib86","doi-asserted-by":"crossref","first-page":"1264","DOI":"10.1016\/j.gie.2008.08.030","article-title":"Reliability of gross visual assessment of specimen adequacy during EUS-guided FNA of pancreatic masses","volume":"69","author":"Nguyen","year":"2009","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib87","doi-asserted-by":"crossref","first-page":"389","DOI":"10.1055\/s-0029-1243841","article-title":"A\u00a0prospective study comparing rapid assessment of smears and ThinPrep for endoscopic ultrasound-guided fine-needle aspirates","volume":"42","author":"LeBlanc","year":"2010","journal-title":"Endoscopy"},{"key":"10.1016\/j.giec.2013.08.009_bib88","doi-asserted-by":"crossref","first-page":"2841","DOI":"10.1111\/j.1572-0241.2006.00852.x","article-title":"Agreement between rapid onsite and final cytologic interpretations of EUS-guided FNA specimens: implications for the endosonographer and patient management","volume":"101","author":"Eloubeidi","year":"2006","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.giec.2013.08.009_bib89","doi-asserted-by":"crossref","first-page":"1194","DOI":"10.1016\/j.gie.2010.01.029","article-title":"An evaluation of risk factors for inadequate cytology in EUS-guided FNA of pancreatic tumors and lymph nodes","volume":"71","author":"Cleveland","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib90","doi-asserted-by":"crossref","first-page":"1705","DOI":"10.1038\/ajg.2011.119","article-title":"Influence of on-site\u00a0cytopathology evaluation on the diagnostic accuracy of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) of solid pancreatic masses","volume":"106","author":"Iglesias-Garcia","year":"2011","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.giec.2013.08.009_bib91","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1155\/2009\/194351","article-title":"Does onsite cytotechnology evaluation improve the accuracy of endoscopic ultrasound-guided fine-needle aspiration biopsy?","volume":"23","author":"Alsohaibani","year":"2009","journal-title":"Can J Gastroenterol"},{"key":"10.1016\/j.giec.2013.08.009_bib92","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1016\/j.gie.2009.06.017","article-title":"Diagnosis of pancreatic neoplasia with EUS and FNA: a report of accuracy","volume":"71","author":"Turner","year":"2010","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib93","doi-asserted-by":"crossref","first-page":"868","DOI":"10.1007\/s00535-010-0217-5","article-title":"Diagnostic efficacy of the cell block method in comparison with smear cytology of tissue samples obtained by endoscopic ultrasound-guided fine-needle aspiration","volume":"45","author":"Noda","year":"2010","journal-title":"J\u00a0Gastroenterol"},{"key":"10.1016\/j.giec.2013.08.009_bib94","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1016\/j.gie.2006.11.014","article-title":"Can endosonographers evaluate on-site cytologic adequacy? A comparison with cytotechnologists","volume":"65","author":"Savoy","year":"2007","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.giec.2013.08.009_bib95","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1007\/s00535-009-0001-6","article-title":"Endoscopic ultrasound-guided fine-needle\u00a0aspiration of solid pancreatic masses with rapid on-site cytological evaluation by endosonographers without attendance of cytopathologists","volume":"44","author":"Hikichi","year":"2009","journal-title":"J Gastroenterol"},{"key":"10.1016\/j.giec.2013.08.009_bib96","doi-asserted-by":"crossref","first-page":"397","DOI":"10.1055\/s-2004-814316","article-title":"Comparison of EUS-guided 19-gauge Trucut needle biopsy with EUS-guided fine-needle aspiration","volume":"36","author":"Varadarajulu","year":"2004","journal-title":"Endoscopy"},{"key":"10.1016\/j.giec.2013.08.009_bib97","first-page":"AB174","article-title":"Quality assessment of current EUS-FNA assembly performance: adequate for use or opportunity for improvement?","volume":"73","author":"Varadarajulu","year":"2011","journal-title":"Gastrointest Endosc"}],"container-title":["Gastrointestinal Endoscopy Clinics of North America"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1052515713000950?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1052515713000950?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T07:16:04Z","timestamp":1760944564000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1052515713000950"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,1]]},"references-count":97,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2014,1]]}},"alternative-id":["S1052515713000950"],"URL":"https:\/\/doi.org\/10.1016\/j.giec.2013.08.009","relation":{},"ISSN":["1052-5157"],"issn-type":[{"value":"1052-5157","type":"print"}],"subject":[],"published":{"date-parts":[[2014,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Tips to Overcome Technical Challenges in EUS-guided Tissue Acquisition","name":"articletitle","label":"Article Title"},{"value":"Gastrointestinal Endoscopy Clinics of North America","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.giec.2013.08.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2014 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}