ESGE guidelines: update on endoscopic ultrasound-guided sampling

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Takeaway 

  • The European Society of Gastrointestinal Endoscopy (ESGE) offers an updated guideline for endoscopic ultrasound (EUS)-guided sampling in gastroenterology, representing evidence-based consensus on best practices as of early 2017.
  • The committee cautions that all decisions require consideration of clinical context and resource availability.

Highlights

  • EUS-guided sample recommended for pancreatic solid lesions as first-line procedure (strong recommendation).
  • With inconclusive/negative results but high degree of suspicion, recommendation is reevaluation of pathology slides, repeat sampling, or surgery (weak recommendation).
  • With pancreatitis and pancreatic mass, negative sampli...