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
Clinical Scorecard: Global Survey on Endoscopic Ultrasound-Guided Tissue Acquisition Techniques for Solid Pancreatic Masses
At a Glance
Category Detail
Condition Endoscopic Ultrasound-Guided Tissue Acquisition (EUS-TA) for Solid Pancreatic Masses Key Mechanisms Needle selection, sampling technique, specimen handling Target Population Endosonographers performing EUS-TA Care Setting International clinical practice
Key Highlights
Preference for fine needle biopsy (FNB) with end-cutting tip needles over fine needle aspiration (FNA) Routine rapid on-site evaluation (ROSE) not required with FNB needles No specific suction technique favored in guidelines Variability in recommendations regarding macroscopic on-site evaluation (MOSE) and needle movement Need for global assessment of EUS-TA practices to understand guideline adoption Guideline-Based Recommendations
Diagnosis
Use FNB needles for tissue acquisition in solid pancreatic masses Management
Adopt evidence-based guidelines from ASGE, ESGE, and AEG for EUS-TA Monitoring & Follow-up
Monitor quality indicators related to EUS-TA Risks
Consider variability in practice patterns and adherence to guidelines Patient & Prescribing Data
Patients with solid pancreatic masses undergoing EUS-TA
FNB is the primary recommended method for tissue acquisition
Clinical Best Practices
Utilize advanced imaging modalities like EUS elastography and contrast-enhanced EUS Evaluate the number of passes using visual on-site evaluation (VOSE) or predetermined methods Implement local quality indicators to assess EUS-TA performance Related Resources & Content
