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ENDOSCOPIC ULTRASONOGRAPHY‐GUIDED FINE NEEDLE ASPIRATION BIOPSY IN A PATIENT WITH PRIOR BILLROTH II GASTRECTOMY
Author(s) -
ITOI TAKAO,
ITOKAWA FUMIHIDE,
SOFUNI ATSUSHI,
KURIHARA TOSHIO,
KAWAI TAKASHI
Publication year - 2011
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.2011.01116.x
Subject(s) - medicine , endoscopic ultrasonography , billroth ii , gastrectomy , radiology , biopsy , fine needle aspiration , ultrasonography , general surgery , billroth i , endoscopy , cancer
Endoscopic ultrasonography‐guided fine needle aspiration biopsy (EUS‐FNA) is a safe and accurate procedure for the diagnosis of pancreatic lesions. However, in general, surgically altered anatomy excluding Billroth I gastrectomy is considered a relative contraindication to EUS‐FNA. Herein, we described a successful case of EUS‐FNA in a patient with prior Billroth II gastrectomy. A 78‐year‐old man, who had previously undergone Billroth II gastrectomy for duodenal ulcer, undertook EUS‐FNA using a curved linear echoendoscope. An echoendoscope was advanced into the duodenum and EUS‐FNA could be carried out using a 22‐gauge needle without procedure‐related adverse event.