Indications and outcomes of endoscopic ultrasound in Tanta-Egypt: Initial experience
Harras, H., El-Kalla, F., Elfert, A., Abo Ali, L., Soliman, S., Elkhalawany, W., Zamzam, Y., Alnadi, M., Esmail, I., Elkhouly, R. (2021). Indications and outcomes of endoscopic ultrasound in Tanta-Egypt: Initial experience. EKB Journal Management System, 5(1), 123-132. doi: 10.21608/jcbr.2020.35939.1058
Heba Harras; Ferial El-Kalla; Asem Elfert; Lobna Abo Ali; Samah Soliman; Walaa Elkhalawany; Yomna Zamzam; Mohamed Alnadi; Islam Esmail; Reham Elkhouly. "Indications and outcomes of endoscopic ultrasound in Tanta-Egypt: Initial experience". EKB Journal Management System, 5, 1, 2021, 123-132. doi: 10.21608/jcbr.2020.35939.1058
Harras, H., El-Kalla, F., Elfert, A., Abo Ali, L., Soliman, S., Elkhalawany, W., Zamzam, Y., Alnadi, M., Esmail, I., Elkhouly, R. (2021). 'Indications and outcomes of endoscopic ultrasound in Tanta-Egypt: Initial experience', EKB Journal Management System, 5(1), pp. 123-132. doi: 10.21608/jcbr.2020.35939.1058
Harras, H., El-Kalla, F., Elfert, A., Abo Ali, L., Soliman, S., Elkhalawany, W., Zamzam, Y., Alnadi, M., Esmail, I., Elkhouly, R. Indications and outcomes of endoscopic ultrasound in Tanta-Egypt: Initial experience. EKB Journal Management System, 2021; 5(1): 123-132. doi: 10.21608/jcbr.2020.35939.1058

Indications and outcomes of endoscopic ultrasound in Tanta-Egypt: Initial experience

Egyptian Journal of Cancer and Biomedical Research
Article 12, Volume 5, Issue 1, March 2021, Page 123-132  XML PDF (3.77 MB)
Document Type: Original Article
DOI: 10.21608/jcbr.2020.35939.1058
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Authors
Heba Harras email orcid 1; Ferial El-Kalla2; Asem Elfert2; Lobna Abo Ali2; Samah Soliman2; Walaa Elkhalawany2; Yomna Zamzam1; Mohamed Alnadi3; Islam Esmail2; Reham Elkhouly2
1Pathology Department, Faculty of Medicine, Tanta University, Tanta, Egypt
2Tropical Medicine and Infectious Diseases, Faculty of Medicine, Tanta University, Tanta, Egypt
3Internal Medicine, Cairo university
Abstract
Background: Endoscopic ultrasound (EUS) is valuable in the diagnosis and staging of gastrointestinal tumors and some extra-luminal malignancies. Aim: This study aimed to describe the initial experience with EUS and fine-needle aspiration (FNA) and the indications and outcomes of patients at the Tanta University Teaching Hospital. Subjects and Methods: This is a cross-sectional descriptive survey study analyzing 70 EUS cases seen at Tanta University Teaching Hospital from January to December 2019. FNA was performed for 61 patients. A provisional cytopathology diagnosis was made by on-site and the final cytology/histopathology report was given after immunostaining and review of slides. Results: The major indications for EUS were pancreatic, gastric, and ampulla of Vater lesions. EUS revealed pancreatic masses in 27, cysts in 1, and chronic pancreatitis in 1 case. Gastric masses were seen in 13, polyps in 5, and varices in 3 cases. Ampulla of Vater lesions were masses in 5, common bile duct (CBD) distal end stones in 3 cases, and one case proved normal. The final diagnosis of pancreatic lesions was adenocarcinoma in 25, cyst in 1 case, mucoepidermoid tumour in 1 case, neuroendocrine tumour in 1 case and chronic pancreatitis in 1 case. Gastric lesions were gastrointestinal stromal tumors (GIST) in 8, and adenocarcinoma in 5 cases, while 3 cases of polyps were hyperplastic, one inflammatory and one tubulovillous adenomatosis. Celiac axis block was done for 6 cases. No major complications were recorded. Conclusion: The major indications for EUS were pancreatic, gastric and ampulla of Vater lesions, while the main outcomes were pancreatic adenocarcinoma, gastric GIST, adenocarcinoma and ampullary adenocarcinoma.



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Keywords
Celiac axis block; Cytopathology; Endoscopic ultrasound; Fine needle aspiration; Pancreatic lesions
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