Practice patterns of endoscopic ultrasound-guided tissue acquisition of solid pancreatic masses: an international survey study - Report - MDSpire

Practice patterns of endoscopic ultrasound-guided tissue acquisition of solid pancreatic masses: an international survey study

  • By

  • Samuel Tanner

  • Ricardo Marin

  • Somashekar G. Krishna

  • Alberto Espino

  • Naveen Arya

  • Yen-I Chen

  • Vinay Dhir

  • Antonio Facciorusso

  • Nauzer Forbes

  • Anand V. Sahai

  • Anthony Teoh

  • Sachin Wani

  • C. Mel Wilcox

  • Veeral M. Oza

  • Truptesh Kothari

  • Sergio A. Sánchez-Luna

  • Jorge D. Machicado

  • July 14, 2026

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Global Survey on Endoscopic Ultrasound-Guided Tissue Acquisition Techniques

Background

Endoscopic ultrasound-guided tissue acquisition is critical for diagnosing solid pancreatic masses, which are often associated with poor prognoses. Recent guidelines emphasize the use of fine needle biopsy (FNB) techniques, yet real-world practices may vary significantly.

Data Highlights

No numerical data or trial results were provided in the source material.

Key Findings

  • Fine needle biopsy (FNB) with end-cutting tip needles is preferred over fine needle aspiration (FNA).
  • Routine rapid on-site evaluation (ROSE) is not required when using FNB needles.
  • No specific suction technique is favored in the guidelines.
  • Variability exists in recommendations regarding macroscopic on-site evaluation (MOSE) and needle movement.
  • Geographic location, experience, and procedural volume influence EUS-TA practices.

Clinical Implications

Endosonographers should be aware of the updated guidelines favoring FNB techniques for solid pancreatic masses. Continuous education and adherence to evidence-based practices can enhance diagnostic accuracy and patient management.

Conclusion

The survey underscores the need for a comprehensive understanding of EUS-TA practices to align with current guidelines and improve patient care in the management of solid pancreatic masses.

Related Resources & Content

  1. Journal of Gastroenterology, 2018 -- Role of Endoscopic Ultrasonography in the Diagnosis of Pancreatic Cancer
  2. Journal of Gastroenterology, 2019 -- Recent Developments in Fine Needle Sampling Guided by Endoscopic Ultrasound
  3. Surgical Endoscopy, 2022 -- Effectiveness and Predictive Determinants of Ethanol Ablation via Endoscopic Ultrasound in Benign Solid Pancreatic Tumors
  4. American Society for Gastrointestinal Endoscopy guideline, 2024 -- Summary and Recommendations
  5. Surgical Endoscopy — Assessing the Role of Endoscopic Ultrasonography in Differentiating Between Benign and Malignant Intraductal Papillary Mucinous Neoplasms
  6. 2025 ESGE Technical and Technology Review
  7. Diagnostic Performance of EUS-FNB in Solid Pancreatic Lesions
  8. EUS-FNB with and without ROSE for Genomic Profiling
  9. American Society for Gastrointestinal Endoscopy guideline on the role of endoscopy in the diagnosis and management of solid pancreatic masses: summary and recommendations - PubMed
  10. Precipitation-based versus filtration-based liquid-based cytology in endoscopic ultrasound—guided fine-needle biopsy specimens of solid pancreatic masses: a prospective, randomized trial (with video) - ScienceDirect
  11. Thieme E-Journals - Endoscopy / Full Text

Original Source(s)

Practice patterns of endoscopic ultrasound-guided tissue acquisition of solid pancreatic masses: an international survey study

  • by Samuel Tanner, Ricardo Marin, Somashekar G. Krishna, Alberto Espino, Naveen Arya, Yen-I Chen, Vinay Dhir, Antonio Facciorusso, Nauzer Forbes, Anand V. Sahai, Anthony Teoh, Sachin Wani, C. Mel Wilcox, Veeral M. Oza, Truptesh Kothari, Sergio A. Sánchez-Luna, Jorge D. Machicado

  • July 14, 2026

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