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World J Gastroenterol. May 7, 2024; 30(17): 2311-2320
Published online May 7, 2024. doi: 10.3748/wjg.v30.i17.2311
Contrast-enhanced guided endoscopic ultrasound procedures
Marcel Ioan Gheorghiu, Andrada Seicean, Cristina Pojoga, Claudia Hagiu, Radu Seicean, Zeno Sparchez
Marcel Ioan Gheorghiu, Andrada Seicean, Cristina Pojoga, Claudia Hagiu, Zeno Sparchez, Department of Gastroenterology, “Prof. Dr. Octavian Fodor” Regional Institute of Gastroenterology and Hepatology, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj-Napoca 400162, Cluj, Romania
Cristina Pojoga, Department of Clinical Psychology and Psychotherapy, International Institute for Advanced Study of Psychotherapy and Applied Mental Health, Babeș-Bolyai University, Cluj-Napoca 400375, Cluj, Romania
Radu Seicean, The First Surgical Clinic, "Iuliu Hatieganu" University of Medicine and Pharmacy, Cluj Napoca 400006, Cluj, Romania
Author contributions: Gheorghiu MI and Sparchez Z contributed to the manuscript writing and study design; Gheorghiu MI, Seicean A, Pojoga C, Hagiu C, Seicean R, and Sparchez Z reviewed the literature, revised the draft, and validated the final version of the manuscript.
Conflict-of-interest statement: The authors declare no conflicts of interest related to this article.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Andrada Seicean, MD, PhD, Professor, Department of Gastroenterology, “Prof. Dr. Octavian Fodor” Regional Institute of Gastroenterology and Hepatology, "Iuliu Hatieganu" University of Medicine and Pharmacy, No. 19-21 Str Croitorilor, Cluj-Napoca 400162, Cluj, Romania. andradaseicean@gmail.com
Received: January 28, 2024
Revised: March 10, 2024
Accepted: April 15, 2024
Published online: May 7, 2024
Core Tip

Core Tip: Contrast-enhanced endoscopic ultrasound may be better at identifying the targeted area in lesions by avoiding necrosis and vessels and improving the delineation of lesion margins. Guided fine-needle aspiration or fine-needle biopsy is simple and safe, but its benefit is limited to isoenhanced lesions or those with important surrounding fibrosis. These guided endoscopic ultrasound techniques can also be useful for guiding drainage in patients who have very echogenic content of pancreatic fluid collections or bile ducts.