Format

Send to:

Choose Destination
See comment in PubMed Commons below
Gastrointest Endosc. 2006 Jul;64(1):35-9.

EUS characteristics of celiac ganglia with cytologic and histologic confirmation.

Author information

  • 1Department of Medicine, Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, 200 Hawkins Drive-4568 JCP, Iowa City, IA 52242, USA.

Abstract

BACKGROUND:

Celiac ganglia have not been previously identified by EUS.

OBJECTIVE:

To assess whether celiac ganglia can be detected by EUS and to define their characteristics.

DESIGN:

Retrospective review followed by prospective study.

METHODS:

Retrospective characterization was performed of all celiac ganglia that were incidentally identified by EUS-guided FNA or tru-cut needle biopsy from January 2004 to October 2005. We also prospectively assessed if these structures could be visualized in consecutive patients undergoing curved linear-array EUS.

PATIENTS:

Seven patients with celiac ganglia diagnosed by EUS-guided FNA (n = 7) and/or tru-cut needle biopsy (n = 1) were reviewed. Twenty-two patients were prospectively evaluated by curved-linear-array EUS.

SETTINGS:

Division of Gastroenterology and Hepatology, University of Iowa Hospitals and Clinics, Iowa City, Iowa, USA.

MAIN OUTCOME MEASUREMENTS:

EUS features and detection rate of celiac ganglia.

RESULTS:

All retrospectively evaluated celiac ganglia were identified anterior to the aorta, slightly to the left, and cephalad to the celiac artery take-off, and medial to the left adrenal gland. The mean distance from the celiac artery take-off was 10 mm (+/-3 mm); mean size was 13 mm (+/-3 mm) by 6 mm (+/-2 mm). They appeared as hypoechoic and multilobulated structures with hyperechoic strands. Celiac ganglia with sonographic features as described above were identified in 16 of 22 prospectively evaluated patients (73%).

LIMITATIONS:

Small number of patients; no tissue confirmation of prospectively evaluated patients.

CONCLUSIONS:

Celiac ganglia can be identified with curved linear-array EUS in the majority of patients. Their typical EUS appearance allows distinction from celiac lymph nodes.

PMID:
16813800
[PubMed - indexed for MEDLINE]

LinkOut - more resources

Full Text Sources

Other Literature Sources

PubMed Commons home

PubMed Commons

0 comments
How to join PubMed Commons

    Supplemental Content

    Full text links

    Icon for Elsevier Science
    Loading ...
    Write to the Help Desk