Controversies in endobronchial ultrasound
Research output: Contribution to journal › Review › Research › peer-review
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Controversies in endobronchial ultrasound. / Dietrich, Christoph F.; Bugalho, Antonio; Carrara, Silvia; Clementsen, Paul Frost; Dong, Yi; Hocke, Michael; Kolekar, Shailesh Balasaheb; Konge, Lars; Ignee, André; Löwe, Axel; Jenssen, Christian.
In: Endoscopic Ultrasound, Vol. 13, No. 1, 2024, p. 6-15.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - Controversies in endobronchial ultrasound
AU - Dietrich, Christoph F.
AU - Bugalho, Antonio
AU - Carrara, Silvia
AU - Clementsen, Paul Frost
AU - Dong, Yi
AU - Hocke, Michael
AU - Kolekar, Shailesh Balasaheb
AU - Konge, Lars
AU - Ignee, André
AU - Löwe, Axel
AU - Jenssen, Christian
PY - 2024
Y1 - 2024
N2 - Endobronchial ultrasound (EBUS) is a minimally invasive highly accurate and safe endoscopic technique for the evaluation of mediastinal lymphadenopathy and mediastinal masses including centrally located lung tumors. The combination of transbronchial and transoesophageal tissue sampling has improved lung cancer staging, reducing the need for more invasive and surgical diagnostic procedures.Despite the high level of evidence regarding EBUS use in the aforementioned situations, there are still challenges and controversial issues such as follows: Should informed consent for EBUS and flexible bronchoscopy be different? Is EBUS able to replace standard bronchoscopy in patients with suspected lung cancer? Which is the best position, screen orientation, route of intubation, and sedation/anesthesia to perform EBUS? Is it advisable to use a balloon in all procedures? How should the operator acquire skills and how should competence be ensured? This Pro-Con article aims to address these open questions.
AB - Endobronchial ultrasound (EBUS) is a minimally invasive highly accurate and safe endoscopic technique for the evaluation of mediastinal lymphadenopathy and mediastinal masses including centrally located lung tumors. The combination of transbronchial and transoesophageal tissue sampling has improved lung cancer staging, reducing the need for more invasive and surgical diagnostic procedures.Despite the high level of evidence regarding EBUS use in the aforementioned situations, there are still challenges and controversial issues such as follows: Should informed consent for EBUS and flexible bronchoscopy be different? Is EBUS able to replace standard bronchoscopy in patients with suspected lung cancer? Which is the best position, screen orientation, route of intubation, and sedation/anesthesia to perform EBUS? Is it advisable to use a balloon in all procedures? How should the operator acquire skills and how should competence be ensured? This Pro-Con article aims to address these open questions.
U2 - 10.1097/eus.0000000000000034
DO - 10.1097/eus.0000000000000034
M3 - Review
VL - 13
SP - 6
EP - 15
JO - Endoscopic Ultrasound
JF - Endoscopic Ultrasound
SN - 2226-7190
IS - 1
ER -
ID: 376925257