Pulmonology Pulmonology
Pulmonol 2018;24:32-41 - Vol. 24 Num.1 DOI: 10.1016/j.rppnen.2017.10.004
Review
Trans-esophageal endobronchial ultrasound-guided needle aspiration (EUS-B-NA): A road map for the chest physician
A. Bugalhoa,b,, , M. de Santisc, , A. Szlubowskid, , A. Rozmane, , R. Eberhardtf,g,
a Pulmonology Unit, CUF Infante Santo Hospital, CUF Descobertas Hospital, Instituto CUF Oncologia (I.C.O.), Portugal
b Chronic Diseases Research Center (CEDOC), NOVA Medical School, Lisbon, Portugal
c Serviço de Pneumologia, Instituto Português de Oncologia (IPO), Coimbra, Portugal
d Endoscopy Unit, John Paul II Hospital, Krakow and Endoscopy Unit, Pulmonary Hospital Zakopane, Poland
e University Clinic of Pulmonary and Allergic Diseases Golnik, Slovenia
f Department of Pneumology and Critical Care Medicine, Thoraxklinik, University of Heidelberg, Germany
g Translational Lung Research Center Heidelberg (TLRCH), German Center for Lung Research (DZL), Heidelberg, Germany
Received 02 October 2017, Accepted 15 October 2017
Abstract

The endobronchial ultrasound (EBUS) scope has been increasingly used in the gastrointestinal tract (EUS-B). Scientific data proves its efficacy and safety to provide a complete lung cancer staging, when combined with EBUS-TBNA, and in the diagnosis of para-esophageal lesions. There are multiple barriers to start performing EUS-B but probably the most important ones are related to knowledge and training, so new operators should follow a structured training curriculum. This review aims to reflect the best current knowledge regarding EUS-B and provide a road map to assist those who are incorporating the technique into their clinical practice.

Keywords
Diagnosis, Endoscopic ultrasound-guided fine needle aspiration, Endobronchial ultrasound-guided transbronchial needle aspiration, Lymph nodes, Mediastinum, Non-small-cell lung cancer, Staging
Pulmonol 2018;24:32-41 - Vol. 24 Num.1 DOI: 10.1016/j.rppnen.2017.10.004