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Updated: Aug 7, 2026

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Using the Endoscope for Endobronchial Ultrasound in the Esophagus
Published on: November 21, 2023
Multicentre retrospective study on endoscopic ultrasound complications
E Buscarini1, C De Angelis, P G Arcidiacono
1Gastroenterology Department, Ospedale Maggiore, Via Macallè 1, 26013 Crema, Italy. ebuscarini@rim.it
Summary
Endoscopic ultrasonography (EUS), both conventional and interventional, is a safe procedure with a low complication rate. This study found a 0.12% overall complication rate across 11,539 EUS procedures.
Area of Science:
- Gastroenterology
- Medical Imaging
- Interventional Endoscopy
Background:
- Endoscopic ultrasonography (EUS) use has increased over 20 years.
- EUS is considered safe, but complication rates require further study.
- This multicenter study aimed to determine the complication rate of EUS procedures.
Purpose of the Study:
- To establish the complication rate for conventional and interventional endoscopic ultrasonography.
- To analyze factors influencing complication rates in EUS procedures.
Main Methods:
- Data collected via questionnaire from six centers on 11,539 EUS procedures (10,731 conventional, 808 interventional).
- Information gathered on procedural details, sedation, instruments, and lesion characteristics for interventional EUS.
- Complications classified by severity (mild, moderate, severe, fatal) and onset (immediate, early, late).
Main Results:
- No deaths reported in 11,539 EUS procedures.
- Overall complication rate was 0.12% (14/11,539).
- Interventional EUS had a higher complication rate (1.11%) compared to conventional EUS (0.046%).
Conclusions:
- Both conventional and interventional endoscopic ultrasonography are acceptably safe techniques.
- The study confirms the low complication profile of EUS, even with interventional procedures.
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