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Endoscopic Ultrasound for the Diagnosis of Disease and Staging of Cancers in Adult Patients with Gastroenterological or Oncological Disease: A Review of the Clinical Effectiveness, Cost-effectiveness and Safety [Internet]. Ottawa (ON): Canadian Agency for Drugs and Technologies in Health; 2014 Mar 18.

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Endoscopic Ultrasound for the Diagnosis of Disease and Staging of Cancers in Adult Patients with Gastroenterological or Oncological Disease: A Review of the Clinical Effectiveness, Cost-effectiveness and Safety [Internet].

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KEY FINDINGS

Evidence suggests that endoscopic ultrasound (EUS) has similar accuracy to endoscopic retrograde cholangiopancreatography (ERCP) for detecting choledocholithiasis, and was associated with a reduced risk for complications in patients with mild or moderate acute biliary pancreatitis and a reduction in ERCP exposure. Endobronchial ultrasound-guided transbronchial lung biopsy was as accurate for identifying lung cancer in patients with peripheral pulmonary lesions as CT-guided percutaneous needle biopsy, and was associated with a reduced risk for procedural complications. Results were inconsistent among the studies included evaluating EUS and CT in pancreatic cancer. One Australian economic analysis suggested that endobronchial ultrasound-guided lung biopsy was associated with similar costs compared with CT-guided needle biopsy, but was sensitive to complication costs.

Copyright © 2014 Canadian Agency for Drugs and Technologies in Health.

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Except where otherwise noted, this work is distributed under the terms of a Creative Commons Attribution-NonCommercial- NoDerivatives 4.0 International licence (CC BY-NC-ND), a copy of which is available at http://creativecommons.org/licenses/by-nc-nd/4.0/

Bookshelf ID: NBK268811

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