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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Endoscopic ultrasound-guided fine needle aspiration &#40;EUS-FNA&#41; is a safe and effective technique for the diagnosis of focal pancreatic lesions and enlarged abdominal lymph nodes&#46; The aim of this study was to assess the usefulness of EUS-FNA in the diagnosis of mediastinal lesions&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">A retrospective review was performed of all consecutive cases in which EUS-FNA was used for the diagnosis of a mediastinal lesion between January 2001 and September 2003&#46; We used a radial echoendoscope to assess the characteristics of the lesion and a linear-array echoendoscope to perform transesophageal needle aspiration with a 22-gauge needle&#46; Histopathology of the resected specimen was considered as the gold standard in surgically treated patients whereas cytology obtained by EUS-FNA was the gold standard when surgery was not indicated&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">EUS-FNA was performed in 59 patients with a total of 89 lesions with mean &#40;SD&#41; dimensions of 2&#46;4 &#40;2&#46;0&#41; cm &#215; 1&#46;6 &#40;1&#46;4&#41; cm&#46; Malignant lesions were larger than benign ones &#40;short axis&#44; 2&#46;7 &#91;1&#46;4&#93; as compared with 1&#46;0 &#91;0&#46;9&#93; cm&#59; <span class="elsevierStyleItalic">P</span> &#60;&#46;001&#41;&#46; The diagnosis was obtained for 53 patients &#40;90&#37;&#41; and 81 lesions &#40;91&#37;&#41; with a mean of 2 &#40;1&#41; passes per lesion&#46; The sensitivity&#44; specificity&#44; positive and negative predictive values&#44; and diagnostic accuracy of EUS-FNA were 81&#37;&#44; 100&#37;&#44; 100&#37;&#44; 75&#37;&#44; and 88&#37;&#44; respectively&#44; when analyzed by lesion&#44; and 88&#37;&#44; 100&#37;&#44; 100&#37;&#44; 80&#37;&#44; and 92&#37; when analyzed by patient&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">EUS-FNA is an effective technique for the diagnosis of mediastinal lesions&#46; The likelihood of malignancy increases with size&#46;</p>"
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">La punci&#243;n aspirativa con aguja fina guiada por ultrasonograf&#237;a endosc&#243;pica &#40;USE-PAAF&#41; es una t&#233;cnica eficaz y segura en el diagn&#243;stico de las lesiones focales del p&#225;ncreas y las adenopat&#237;as intraabdominales&#46; El objetivo de este estudio es describir su utilidad en el diagn&#243;stico de las lesiones mediast&#237;nicas&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se han revisado todos los casos consecutivos a los que se realiz&#243; una USE-PAAF para estudio de una lesi&#243;n mediast&#237;nica desde enero de 2001 hasta septiembre de 2003&#46; Las exploraciones se efectuaron con un ecoendoscopio radial para estudio de las caracter&#237;sticas de la lesi&#243;n y un ecoendoscopio sectorial para realizar la punci&#243;n transesof&#225;gica usando una aguja de 22 G&#46; Se utiliz&#243; como referencia la cirug&#237;a en los pacientes operados y el resultado de la citolog&#237;a obtenida con la USE-PAAF en los casos en que el tratamiento quir&#250;rgico no estaba indicado&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se realiz&#243; USE-PAAF a 59 pacientes con un total de 89 lesiones&#44; con di&#225;metro medio &#177; desviaci&#243;n est&#225;ndar de 2&#44;4 &#177; 2 &#215; 1&#44;6 &#177; 1&#44;4 cm&#46; El tama&#241;o de las lesiones malignas fue mayor que el de las benignas &#40;di&#225;metro corto&#58; 2&#44;7 &#177; 1&#44;4 frente a 1 &#177; 0&#44;9 cm&#44; respectivamente&#59; p &#60; 0&#44;001&#41;&#46; El material obtenido permiti&#243; el diagn&#243;stico en 53 pacientes &#40;90&#37;&#41; y en 81 lesiones &#40;91&#37;&#41;&#44; y el n&#250;mero de pases fue de 2 &#177; 1 por lesi&#243;n&#46; La sensibilidad&#44; la especificidad&#44; el valor predictivo positivo&#44; el valor predictivo negativo y la precisi&#243;n para el diagn&#243;stico fueron del 81&#44; el 100&#44; el 100&#44; el 75 y el 88&#37;&#44; respectivamente &#40;el 88&#44; el 100&#44; el 100&#44; el 80 y el 92&#37; al analizarlos por paciente&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La USE-PAAF es una t&#233;cnica eficaz en el estudio de la patolog&#237;a mediast&#237;nica&#46; La probabilidad de malignidad es mayor cuanto mayor es el tama&#241;o de la lesi&#243;n&#46;</p>"
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                      "doi" => "10.1148/radiographics.18.5.9747607"
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                        "tituloSerie" => "Radiographics"
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                        "paginaFinal" => "1069"
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                          "autores" => array:5 [
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                            4 => "NJ Douglas"
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                        "paginaFinal" => "341"
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                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "1996"
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                        "paginaInicial" => "1441"
                        "paginaFinal" => "1446"
                        "link" => array:1 [
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                          "autores" => array:6 [
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                            1 => "N Soehendra"
                            2 => "L Schirrow"
                            3 => "PV Sriram"
                            4 => "A Meyer"
                            5 => "HP Hauber"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2000"
                        "volumen" => "117"
                        "paginaInicial" => "339"
                        "paginaFinal" => "345"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10669672"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Impact of EUS-guided fine-needle aspiration on lymph node staging in patients with esophageal carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "E V&#225;zquez-Sequeiros"
                            1 => "ID Norton"
                            2 => "JE Clain"
                            3 => "KK Wang"
                            4 => "A Affi"
                            5 => "M Allen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1067/mge.2001.112741"
                      "Revista" => array:6 [
                        "tituloSerie" => "Gastrointest Endosc"
                        "fecha" => "2001"
                        "volumen" => "53"
                        "paginaInicial" => "751"
                        "paginaFinal" => "757"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11375583"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Real-time endoscopic ultrasound-guided fine-needle aspiration of a mediastinal lymph node"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "MJ Wiersema"
                            1 => "ML Kochman"
                            2 => "A Chak"
                            3 => "HM Cramer"
                            4 => "KA Kesler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Gastrointest Endosc"
                        "fecha" => "1993"
                        "volumen" => "39"
                        "paginaInicial" => "429"
                        "paginaFinal" => "431"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8390383"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "An early comparison between endoscopic ultrasound-guided fineneedle aspiration and mediastinoscopy for diagnosis of mediastinal malignancy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "DL Serna"
                            1 => "HE Aryan"
                            2 => "KJ Chang"
                            3 => "M Brenner"
                            4 => "LM Tran"
                            5 => "JC Chen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Surg"
                        "fecha" => "1998"
                        "volumen" => "64"
                        "paginaInicial" => "1014"
                        "paginaFinal" => "1018"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9764715"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Mediastinal lymphadenopathy in patients with or without obvious malignancy&#58; EUS-FNA based differential cytodiagnosis in 153 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A Fritscher-Ravens"
                            1 => "PV Sriram"
                            2 => "C Bobrowski"
                            3 => "A Pforte"
                            4 => "T Topalidis"
                            5 => "C Krause"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1572-0241.2000.02243.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Gastroenterol"
                        "fecha" => "2000"
                        "volumen" => "95"
                        "paginaInicial" => "2278"
                        "paginaFinal" => "2284"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11007229"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A descriptive analysis of EUS-FNA for mediastinal lymphadenopathy&#58; an emphasis on clinical impact and false negative results"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "LV Hern&#225;ndez"
                            1 => "G Mishra"
                            2 => "S George"
                            3 => "M Buthani"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Gastroenterol"
                        "fecha" => "2004"
                        "volumen" => "99"
                        "paginaInicial" => "249"
                        "paginaFinal" => "254"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15046212"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endoscopic ultrasound guided biopsy of mediastinal lesions has a major impact on patient management"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "SS Larsen"
                            1 => "M Krasnik"
                            2 => "P Vilmann"
                            3 => "GK Jacobsen"
                            4 => "JH Pedersen"
                            5 => "P Faurschou"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "2002"
                        "volumen" => "57"
                        "paginaInicial" => "98"
                        "paginaFinal" => "103"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11828036"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epidemiology of extrapulmonary tuberculosis&#46; A comparative analysis with pre-AIDS era"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "JB Menta"
                            1 => "A Dutt"
                            2 => "L Harvill"
                            3 => "KM Mathews"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1991"
                        "volumen" => "99"
                        "paginaInicial" => "1134"
                        "paginaFinal" => "1138"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2019168"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tuberculosis e infecci&#243;n por VIH&#46; Evaluaci&#243;n de 132 casos"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "V C&#225;rcaba"
                            1 => "JA Cart&#243;n"
                            2 => "J Mor&#237;s"
                            3 => "Z Garc&#237;a Amor&#237;n"
                            4 => "M Garc&#237;a Clemente"
                            5 => "M Rodr&#237;guez Junquera"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Clin Esp"
                        "fecha" => "1993"
                        "volumen" => "193"
                        "paginaInicial" => "12"
                        "paginaFinal" => "16"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8337453"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intrathoracic lymph node metastases from extrathoracic neoplasms"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "T McCloud"
                            1 => "L Kalisher"
                            2 => "L Stark"
                            3 => "R Greene"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "JR Am J Roentgenol"
                        "fecha" => "1978"
                        "volumen" => "131"
                        "paginaInicial" => "403"
                        "paginaFinal" => "407"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endoscopic ultrasound-guided fine-needle aspiration in patients with mediastinal abnormalities and previous extrathoracic malignancy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "H Kramer"
                            1 => "GH Koeter"
                            2 => "DT Sleijfer"
                            3 => "JW Van Putten"
                            4 => "HJ Groen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ejca.2003.11.010"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Cancer"
                        "fecha" => "2004"
                        "volumen" => "40"
                        "paginaInicial" => "559"
                        "paginaFinal" => "562"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14962723"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Fine-needle aspiration cytology guided by endoscopic ultrasonography&#58; results in 141 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M Giovanini"
                            1 => "JF Seitz"
                            2 => "G Monges"
                            3 => "H Perrier"
                            4 => "I Rabbia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1055/s-2007-1005657"
                      "Revista" => array:6 [
                        "tituloSerie" => "Endoscopy"
                        "fecha" => "1995"
                        "volumen" => "27"
                        "paginaInicial" => "171"
                        "paginaFinal" => "177"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7601050"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endosonography-guided fine-needle aspiration biopsy&#58; diagnostic accuracy and complication assessment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "MJ Wiersema"
                            1 => "P Vilmann"
                            2 => "M Giovannini"
                            3 => "KJ Chang"
                            4 => "LM Wiersema"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Gastroenterology"
                        "fecha" => "1997"
                        "volumen" => "112"
                        "paginaInicial" => "1087"
                        "paginaFinal" => "1095"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9097990"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical impact of endoscopic ultrasound-guided fine needle aspiration biopsy in patients with upper gastrointestinal tract malignancies&#46; A prospective study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "MB Mortensen"
                            1 => "T Pless"
                            2 => "AP Ainsworth"
                            3 => "GJ Plagborg"
                            4 => "C Hovendal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1055/s-2001-14966"
                      "Revista" => array:6 [
                        "tituloSerie" => "Endoscopy"
                        "fecha" => "2001"
                        "volumen" => "33"
                        "paginaInicial" => "478"
                        "paginaFinal" => "483"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11437039"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endoscopic ultrasound-guided fine needle aspiration is superior to lymph node echofeatures&#58; a prospective evaluation of mediastinal and peri-intestinal lymphadenopathy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "VK Chen"
                            1 => "MA Eloubeidi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1572-0241.2004.04064.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Gastroenterol"
                        "fecha" => "2004"
                        "volumen" => "99"
                        "paginaInicial" => "628"
                        "paginaFinal" => "633"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15089893"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cost-efficacy of endoscopic ultrasonography with fine-needle aspiration vs mediastinotomy in patients with lung cancer and suspected mediastinal adenopathy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "L Aabakken"
                            1 => "GA Silvestri"
                            2 => "R Hawes"
                            3 => "CE Reed"
                            4 => "V Marsi"
                            5 => "B Hoffman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1055/s-1999-74"
                      "Revista" => array:6 [
                        "tituloSerie" => "Endoscopy"
                        "fecha" => "1999"
                        "volumen" => "31"
                        "paginaInicial" => "707"
                        "paginaFinal" => "711"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10604611"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endoscopic ultrasound versus computed tomography in the evaluation of the mediastinum in patients with non-small cell lung cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R Hawes"
                            1 => "F Gress"
                            2 => "K Kesler"
                            3 => "O Cummings"
                            4 => "D Conces"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1055/s-2007-1009106"
                      "Revista" => array:6 [
                        "tituloSerie" => "Endoscopy"
                        "fecha" => "1994"
                        "volumen" => "26"
                        "paginaInicial" => "784"
                        "paginaFinal" => "787"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7712989"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluation of mediastinal lymphadenopathy with endoscopic US-guided fineneedle aspiration biopsy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "MJ Wiersema"
                            1 => "E V&#225;zquez-Sequeiros"
                            2 => "LM Wiersema"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiology.219.1.r01ap44252"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "2001"
                        "volumen" => "219"
                        "paginaInicial" => "252"
                        "paginaFinal" => "257"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11274566"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endobronchial and endoscopic ultrasound-guided real-time fine-needle aspiration for mediastinal staging"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "RC Rintoul"
                            1 => "KM Skwarski"
                            2 => "JT Murchison"
                            3 => "WA Wallace"
                            4 => "WS Walker"
                            5 => "ID Penman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1183/09031936.05.00095404"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "2005"
                        "volumen" => "25"
                        "paginaInicial" => "416"
                        "paginaFinal" => "421"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15738283"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
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Original Articles
Usefulness of Endoscopic Ultrasound-Guided Fine Needle Aspiration in the Diagnosis of Mediastinal Lesions
Glòria Fernández-Esparracha, Maria Pelliséa, Manel Soléb, Josep Beldac, Oriol Sendinoa, Josep Llacha, Alfredo Mataa, Josep Maria Bordasa, Àngels Ginèsa,
Corresponding author
magines@clinic.ub.es

Correspondence: Dra. A. Ginès. Unidad de Endoscopia. Institut de Malalties Digestives. Hospital Clínic. Villarroel, 170. 08036 Barcelona. España
a Unidad de Endoscopia, Institut de Malalties Digestives i Metabòliques, Hospital Clínic, Barcelona, Spain
b Departamento de Patología, Centre de Diagnòstic Biomèdic, Barcelona, Spain
c Servicio de Cirugía Torácica, Hospital Clínic, IDIBAPS, Universidad de Barcelona, Barcelona, Spain
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        "resumen" => "<span class="elsevierStyleSectionTitle">Objective</span><p class="elsevierStyleSimplePara elsevierViewall">Endoscopic ultrasound-guided fine needle aspiration &#40;EUS-FNA&#41; is a safe and effective technique for the diagnosis of focal pancreatic lesions and enlarged abdominal lymph nodes&#46; The aim of this study was to assess the usefulness of EUS-FNA in the diagnosis of mediastinal lesions&#46;</p> <span class="elsevierStyleSectionTitle">Patients and methods</span><p class="elsevierStyleSimplePara elsevierViewall">A retrospective review was performed of all consecutive cases in which EUS-FNA was used for the diagnosis of a mediastinal lesion between January 2001 and September 2003&#46; We used a radial echoendoscope to assess the characteristics of the lesion and a linear-array echoendoscope to perform transesophageal needle aspiration with a 22-gauge needle&#46; Histopathology of the resected specimen was considered as the gold standard in surgically treated patients whereas cytology obtained by EUS-FNA was the gold standard when surgery was not indicated&#46;</p> <span class="elsevierStyleSectionTitle">Results</span><p class="elsevierStyleSimplePara elsevierViewall">EUS-FNA was performed in 59 patients with a total of 89 lesions with mean &#40;SD&#41; dimensions of 2&#46;4 &#40;2&#46;0&#41; cm &#215; 1&#46;6 &#40;1&#46;4&#41; cm&#46; Malignant lesions were larger than benign ones &#40;short axis&#44; 2&#46;7 &#91;1&#46;4&#93; as compared with 1&#46;0 &#91;0&#46;9&#93; cm&#59; <span class="elsevierStyleItalic">P</span> &#60;&#46;001&#41;&#46; The diagnosis was obtained for 53 patients &#40;90&#37;&#41; and 81 lesions &#40;91&#37;&#41; with a mean of 2 &#40;1&#41; passes per lesion&#46; The sensitivity&#44; specificity&#44; positive and negative predictive values&#44; and diagnostic accuracy of EUS-FNA were 81&#37;&#44; 100&#37;&#44; 100&#37;&#44; 75&#37;&#44; and 88&#37;&#44; respectively&#44; when analyzed by lesion&#44; and 88&#37;&#44; 100&#37;&#44; 100&#37;&#44; 80&#37;&#44; and 92&#37; when analyzed by patient&#46;</p> <span class="elsevierStyleSectionTitle">Conclusions</span><p class="elsevierStyleSimplePara elsevierViewall">EUS-FNA is an effective technique for the diagnosis of mediastinal lesions&#46; The likelihood of malignancy increases with size&#46;</p>"
      ]
      "es" => array:1 [
        "resumen" => "<span class="elsevierStyleSectionTitle">Objetivo</span><p class="elsevierStyleSimplePara elsevierViewall">La punci&#243;n aspirativa con aguja fina guiada por ultrasonograf&#237;a endosc&#243;pica &#40;USE-PAAF&#41; es una t&#233;cnica eficaz y segura en el diagn&#243;stico de las lesiones focales del p&#225;ncreas y las adenopat&#237;as intraabdominales&#46; El objetivo de este estudio es describir su utilidad en el diagn&#243;stico de las lesiones mediast&#237;nicas&#46;</p> <span class="elsevierStyleSectionTitle">Pacientes y m&#233;todos</span><p class="elsevierStyleSimplePara elsevierViewall">Se han revisado todos los casos consecutivos a los que se realiz&#243; una USE-PAAF para estudio de una lesi&#243;n mediast&#237;nica desde enero de 2001 hasta septiembre de 2003&#46; Las exploraciones se efectuaron con un ecoendoscopio radial para estudio de las caracter&#237;sticas de la lesi&#243;n y un ecoendoscopio sectorial para realizar la punci&#243;n transesof&#225;gica usando una aguja de 22 G&#46; Se utiliz&#243; como referencia la cirug&#237;a en los pacientes operados y el resultado de la citolog&#237;a obtenida con la USE-PAAF en los casos en que el tratamiento quir&#250;rgico no estaba indicado&#46;</p> <span class="elsevierStyleSectionTitle">Resultados</span><p class="elsevierStyleSimplePara elsevierViewall">Se realiz&#243; USE-PAAF a 59 pacientes con un total de 89 lesiones&#44; con di&#225;metro medio &#177; desviaci&#243;n est&#225;ndar de 2&#44;4 &#177; 2 &#215; 1&#44;6 &#177; 1&#44;4 cm&#46; El tama&#241;o de las lesiones malignas fue mayor que el de las benignas &#40;di&#225;metro corto&#58; 2&#44;7 &#177; 1&#44;4 frente a 1 &#177; 0&#44;9 cm&#44; respectivamente&#59; p &#60; 0&#44;001&#41;&#46; El material obtenido permiti&#243; el diagn&#243;stico en 53 pacientes &#40;90&#37;&#41; y en 81 lesiones &#40;91&#37;&#41;&#44; y el n&#250;mero de pases fue de 2 &#177; 1 por lesi&#243;n&#46; La sensibilidad&#44; la especificidad&#44; el valor predictivo positivo&#44; el valor predictivo negativo y la precisi&#243;n para el diagn&#243;stico fueron del 81&#44; el 100&#44; el 100&#44; el 75 y el 88&#37;&#44; respectivamente &#40;el 88&#44; el 100&#44; el 100&#44; el 80 y el 92&#37; al analizarlos por paciente&#41;&#46;</p> <span class="elsevierStyleSectionTitle">Conclusiones</span><p class="elsevierStyleSimplePara elsevierViewall">La USE-PAAF es una t&#233;cnica eficaz en el estudio de la patolog&#237;a mediast&#237;nica&#46; La probabilidad de malignidad es mayor cuanto mayor es el tama&#241;o de la lesi&#243;n&#46;</p>"
      ]
    ]
    "NotaPie" => array:1 [
      0 => array:1 [
        "nota" => "<p class="elsevierStyleNotepara">This study was partially funded by a grant from Instituto de Salud Carlos III &#40;03&#47;10066&#41;&#46;</p>"
      ]
    ]
    "bibliografia" => array:2 [
      "titulo" => "References"
      "seccion" => array:1 [
        0 => array:1 [
          "bibliografiaReferencia" => array:30 [
            0 => array:3 [
              "identificador" => "bib1"
              "etiqueta" => "1"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Imaging of mediastinal lymph nodes&#58; CT&#44; MR&#44; and FDG PET"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "PM Boiselle"
                            1 => "EF Patz"
                            2 => "DJ Vining"
                            3 => "R Weissleder"
                            4 => "JA Shepard"
                            5 => "TC McLoud"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiographics.18.5.9747607"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiographics"
                        "fecha" => "1998"
                        "volumen" => "18"
                        "paginaInicial" => "1061"
                        "paginaFinal" => "1069"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9747607"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            1 => array:3 [
              "identificador" => "bib2"
              "etiqueta" => "2"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Pathological assessment of mediastinal lymph nodes in lung cancer&#58; Implications for non-invasive mediastinal staging"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "KM Kerr"
                            1 => "D Lamb"
                            2 => "GG Wathen"
                            3 => "WS Walker"
                            4 => "NJ Douglas"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "1992"
                        "volumen" => "47"
                        "paginaInicial" => "337"
                        "paginaFinal" => "341"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/1609375"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            2 => array:3 [
              "identificador" => "bib3"
              "etiqueta" => "3"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endoscopic ultrasound with fine-needle aspiration in the diagnosis and staging of lung cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "GA Silvestri"
                            1 => "BJ Hoffman"
                            2 => "MS Buthani"
                            3 => "RH Hawes"
                            4 => "L Coppage"
                            5 => "A Sanders-Cliette"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/0003-4975(95)00052-6"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "1996"
                        "volumen" => "61"
                        "paginaInicial" => "1441"
                        "paginaFinal" => "1446"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8633956"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            3 => array:3 [
              "identificador" => "bib4"
              "etiqueta" => "4"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endoscopic ultrasonography&#44; fine needle aspiration guided by endoscopic ultrasonography and computed tomography in the preoperative staging of non-small cell lung cancer&#58; a comparison study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "F Gress"
                            1 => "TJ Savides"
                            2 => "A Sandier"
                            3 => "K Kesler"
                            4 => "D Conces"
                            5 => "O Cummings"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Intern Med"
                        "fecha" => "1997"
                        "volumen" => "127"
                        "paginaInicial" => "604"
                        "paginaFinal" => "612"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9341058"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            4 => array:3 [
              "identificador" => "bib5"
              "etiqueta" => "5"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Role of transesophageal endosonography-guided fine-needle aspiration in the diagnosis of lung cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A Fritscher-Ravens"
                            1 => "N Soehendra"
                            2 => "L Schirrow"
                            3 => "PV Sriram"
                            4 => "A Meyer"
                            5 => "HP Hauber"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2000"
                        "volumen" => "117"
                        "paginaInicial" => "339"
                        "paginaFinal" => "345"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10669672"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            5 => array:3 [
              "identificador" => "bib6"
              "etiqueta" => "6"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Impact of EUS-guided fine-needle aspiration on lymph node staging in patients with esophageal carcinoma"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "E V&#225;zquez-Sequeiros"
                            1 => "ID Norton"
                            2 => "JE Clain"
                            3 => "KK Wang"
                            4 => "A Affi"
                            5 => "M Allen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1067/mge.2001.112741"
                      "Revista" => array:6 [
                        "tituloSerie" => "Gastrointest Endosc"
                        "fecha" => "2001"
                        "volumen" => "53"
                        "paginaInicial" => "751"
                        "paginaFinal" => "757"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11375583"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            6 => array:3 [
              "identificador" => "bib7"
              "etiqueta" => "7"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Real-time endoscopic ultrasound-guided fine-needle aspiration of a mediastinal lymph node"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "MJ Wiersema"
                            1 => "ML Kochman"
                            2 => "A Chak"
                            3 => "HM Cramer"
                            4 => "KA Kesler"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Gastrointest Endosc"
                        "fecha" => "1993"
                        "volumen" => "39"
                        "paginaInicial" => "429"
                        "paginaFinal" => "431"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8390383"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            7 => array:3 [
              "identificador" => "bib8"
              "etiqueta" => "8"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "An early comparison between endoscopic ultrasound-guided fineneedle aspiration and mediastinoscopy for diagnosis of mediastinal malignancy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "DL Serna"
                            1 => "HE Aryan"
                            2 => "KJ Chang"
                            3 => "M Brenner"
                            4 => "LM Tran"
                            5 => "JC Chen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am Surg"
                        "fecha" => "1998"
                        "volumen" => "64"
                        "paginaInicial" => "1014"
                        "paginaFinal" => "1018"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9764715"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            8 => array:3 [
              "identificador" => "bib9"
              "etiqueta" => "9"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Mediastinal lymphadenopathy in patients with or without obvious malignancy&#58; EUS-FNA based differential cytodiagnosis in 153 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "A Fritscher-Ravens"
                            1 => "PV Sriram"
                            2 => "C Bobrowski"
                            3 => "A Pforte"
                            4 => "T Topalidis"
                            5 => "C Krause"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1572-0241.2000.02243.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Gastroenterol"
                        "fecha" => "2000"
                        "volumen" => "95"
                        "paginaInicial" => "2278"
                        "paginaFinal" => "2284"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11007229"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            9 => array:3 [
              "identificador" => "bib10"
              "etiqueta" => "10"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "A descriptive analysis of EUS-FNA for mediastinal lymphadenopathy&#58; an emphasis on clinical impact and false negative results"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "LV Hern&#225;ndez"
                            1 => "G Mishra"
                            2 => "S George"
                            3 => "M Buthani"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Gastroenterol"
                        "fecha" => "2004"
                        "volumen" => "99"
                        "paginaInicial" => "249"
                        "paginaFinal" => "254"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15046212"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            10 => array:3 [
              "identificador" => "bib11"
              "etiqueta" => "11"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endoscopic ultrasound guided biopsy of mediastinal lesions has a major impact on patient management"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "SS Larsen"
                            1 => "M Krasnik"
                            2 => "P Vilmann"
                            3 => "GK Jacobsen"
                            4 => "JH Pedersen"
                            5 => "P Faurschou"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Thorax"
                        "fecha" => "2002"
                        "volumen" => "57"
                        "paginaInicial" => "98"
                        "paginaFinal" => "103"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11828036"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            11 => array:3 [
              "identificador" => "bib12"
              "etiqueta" => "12"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Epidemiology of extrapulmonary tuberculosis&#46; A comparative analysis with pre-AIDS era"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "JB Menta"
                            1 => "A Dutt"
                            2 => "L Harvill"
                            3 => "KM Mathews"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "1991"
                        "volumen" => "99"
                        "paginaInicial" => "1134"
                        "paginaFinal" => "1138"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/2019168"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            12 => array:3 [
              "identificador" => "bib13"
              "etiqueta" => "13"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Tuberculosis e infecci&#243;n por VIH&#46; Evaluaci&#243;n de 132 casos"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "V C&#225;rcaba"
                            1 => "JA Cart&#243;n"
                            2 => "J Mor&#237;s"
                            3 => "Z Garc&#237;a Amor&#237;n"
                            4 => "M Garc&#237;a Clemente"
                            5 => "M Rodr&#237;guez Junquera"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Rev Clin Esp"
                        "fecha" => "1993"
                        "volumen" => "193"
                        "paginaInicial" => "12"
                        "paginaFinal" => "16"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/8337453"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            13 => array:3 [
              "identificador" => "bib14"
              "etiqueta" => "14"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Intrathoracic lymph node metastases from extrathoracic neoplasms"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:4 [
                            0 => "T McCloud"
                            1 => "L Kalisher"
                            2 => "L Stark"
                            3 => "R Greene"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:5 [
                        "tituloSerie" => "JR Am J Roentgenol"
                        "fecha" => "1978"
                        "volumen" => "131"
                        "paginaInicial" => "403"
                        "paginaFinal" => "407"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            14 => array:3 [
              "identificador" => "bib15"
              "etiqueta" => "15"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endoscopic ultrasound-guided fine-needle aspiration in patients with mediastinal abnormalities and previous extrathoracic malignancy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "H Kramer"
                            1 => "GH Koeter"
                            2 => "DT Sleijfer"
                            3 => "JW Van Putten"
                            4 => "HJ Groen"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.ejca.2003.11.010"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur J Cancer"
                        "fecha" => "2004"
                        "volumen" => "40"
                        "paginaInicial" => "559"
                        "paginaFinal" => "562"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14962723"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            15 => array:3 [
              "identificador" => "bib16"
              "etiqueta" => "16"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Fine-needle aspiration cytology guided by endoscopic ultrasonography&#58; results in 141 patients"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "M Giovanini"
                            1 => "JF Seitz"
                            2 => "G Monges"
                            3 => "H Perrier"
                            4 => "I Rabbia"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1055/s-2007-1005657"
                      "Revista" => array:6 [
                        "tituloSerie" => "Endoscopy"
                        "fecha" => "1995"
                        "volumen" => "27"
                        "paginaInicial" => "171"
                        "paginaFinal" => "177"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7601050"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            16 => array:3 [
              "identificador" => "bib17"
              "etiqueta" => "17"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endosonography-guided fine-needle aspiration biopsy&#58; diagnostic accuracy and complication assessment"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "MJ Wiersema"
                            1 => "P Vilmann"
                            2 => "M Giovannini"
                            3 => "KJ Chang"
                            4 => "LM Wiersema"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Gastroenterology"
                        "fecha" => "1997"
                        "volumen" => "112"
                        "paginaInicial" => "1087"
                        "paginaFinal" => "1095"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/9097990"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            17 => array:3 [
              "identificador" => "bib18"
              "etiqueta" => "18"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical impact of endoscopic ultrasound-guided fine needle aspiration biopsy in patients with upper gastrointestinal tract malignancies&#46; A prospective study"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "MB Mortensen"
                            1 => "T Pless"
                            2 => "AP Ainsworth"
                            3 => "GJ Plagborg"
                            4 => "C Hovendal"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1055/s-2001-14966"
                      "Revista" => array:6 [
                        "tituloSerie" => "Endoscopy"
                        "fecha" => "2001"
                        "volumen" => "33"
                        "paginaInicial" => "478"
                        "paginaFinal" => "483"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11437039"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            18 => array:3 [
              "identificador" => "bib19"
              "etiqueta" => "19"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endoscopic ultrasound-guided fine needle aspiration is superior to lymph node echofeatures&#58; a prospective evaluation of mediastinal and peri-intestinal lymphadenopathy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:2 [
                            0 => "VK Chen"
                            1 => "MA Eloubeidi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1111/j.1572-0241.2004.04064.x"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Gastroenterol"
                        "fecha" => "2004"
                        "volumen" => "99"
                        "paginaInicial" => "628"
                        "paginaFinal" => "633"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15089893"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            19 => array:3 [
              "identificador" => "bib20"
              "etiqueta" => "20"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Cost-efficacy of endoscopic ultrasonography with fine-needle aspiration vs mediastinotomy in patients with lung cancer and suspected mediastinal adenopathy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "L Aabakken"
                            1 => "GA Silvestri"
                            2 => "R Hawes"
                            3 => "CE Reed"
                            4 => "V Marsi"
                            5 => "B Hoffman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1055/s-1999-74"
                      "Revista" => array:6 [
                        "tituloSerie" => "Endoscopy"
                        "fecha" => "1999"
                        "volumen" => "31"
                        "paginaInicial" => "707"
                        "paginaFinal" => "711"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/10604611"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            20 => array:3 [
              "identificador" => "bib21"
              "etiqueta" => "21"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endoscopic ultrasound versus computed tomography in the evaluation of the mediastinum in patients with non-small cell lung cancer"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "R Hawes"
                            1 => "F Gress"
                            2 => "K Kesler"
                            3 => "O Cummings"
                            4 => "D Conces"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1055/s-2007-1009106"
                      "Revista" => array:6 [
                        "tituloSerie" => "Endoscopy"
                        "fecha" => "1994"
                        "volumen" => "26"
                        "paginaInicial" => "784"
                        "paginaFinal" => "787"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/7712989"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            21 => array:3 [
              "identificador" => "bib22"
              "etiqueta" => "22"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Evaluation of mediastinal lymphadenopathy with endoscopic US-guided fineneedle aspiration biopsy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "MJ Wiersema"
                            1 => "E V&#225;zquez-Sequeiros"
                            2 => "LM Wiersema"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1148/radiology.219.1.r01ap44252"
                      "Revista" => array:6 [
                        "tituloSerie" => "Radiology"
                        "fecha" => "2001"
                        "volumen" => "219"
                        "paginaInicial" => "252"
                        "paginaFinal" => "257"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/11274566"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            22 => array:3 [
              "identificador" => "bib23"
              "etiqueta" => "23"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endobronchial and endoscopic ultrasound-guided real-time fine-needle aspiration for mediastinal staging"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:6 [
                            0 => "RC Rintoul"
                            1 => "KM Skwarski"
                            2 => "JT Murchison"
                            3 => "WA Wallace"
                            4 => "WS Walker"
                            5 => "ID Penman"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1183/09031936.05.00095404"
                      "Revista" => array:6 [
                        "tituloSerie" => "Eur Respir J"
                        "fecha" => "2005"
                        "volumen" => "25"
                        "paginaInicial" => "416"
                        "paginaFinal" => "421"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15738283"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            23 => array:3 [
              "identificador" => "bib24"
              "etiqueta" => "24"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Real-time endobronchial ultrasound-guided transbronchial needle aspiration of mediastinal and hilar lymph nodes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "K Yasufuku"
                            1 => "M Chiyo"
                            2 => "Y Sekine"
                            3 => "PN Chhajed"
                            4 => "K Shibuya"
                            5 => "T Lizasa"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1378/chest.126.1.122"
                      "Revista" => array:6 [
                        "tituloSerie" => "Chest"
                        "fecha" => "2004"
                        "volumen" => "126"
                        "paginaInicial" => "122"
                        "paginaFinal" => "128"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15249452"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            24 => array:3 [
              "identificador" => "bib25"
              "etiqueta" => "25"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Endoscopic ultrasound in lung cancer patients with a normal mediastinum on computed tomography"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "MB Wallace"
                            1 => "J Ravenel"
                            2 => "MI Block"
                            3 => "M Fraig"
                            4 => "G Silvestri"
                            5 => "S Wildi"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1016/j.athoracsur.2003.10.009"
                      "Revista" => array:6 [
                        "tituloSerie" => "Ann Thorac Surg"
                        "fecha" => "2004"
                        "volumen" => "77"
                        "paginaInicial" => "1763"
                        "paginaFinal" => "1768"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15111182"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            25 => array:3 [
              "identificador" => "bib26"
              "etiqueta" => "26"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Operating characteristics and clinical utility of endoscopic ultrasound &#40;EUS&#41; guided FNA in the preoperative staging of nonsmall cell lung cancer &#40;NSCLCA&#41; in computerized tomographic negative patients&#58; preliminary results"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:3 [
                            0 => "D Ciaccia"
                            1 => "T Imperiale"
                            2 => "J Kim"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Gastrointest Endosc"
                        "fecha" => "1999"
                        "volumen" => "49"
                        "paginaInicial" => "AB154"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            26 => array:3 [
              "identificador" => "bib27"
              "etiqueta" => "27"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Transbronchial vs transesophageal ultrasound-guided aspiration of enlarged mediastinal lymph nodes"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => false
                          "autores" => array:5 [
                            0 => "FJF Herth"
                            1 => "W Lunn"
                            2 => "R Eberhardt"
                            3 => "HD Becker"
                            4 => "A Ernst"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:2 [
                      "doi" => "10.1164/rccm.200411-1560OC"
                      "Revista" => array:6 [
                        "tituloSerie" => "Am J Respir Crit Care Med"
                        "fecha" => "2005"
                        "volumen" => "171"
                        "paginaInicial" => "1164"
                        "paginaFinal" => "1167"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/15665318"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            27 => array:3 [
              "identificador" => "bib28"
              "etiqueta" => "28"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Clinical utility of EUS-guided fine-needle aspiration of mediastinal masses in the absence of known pulmonary malignancy"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "BM Devereaux"
                            1 => "JK LeBlanc"
                            2 => "E Yousif"
                            3 => "K Kesler"
                            4 => "J Brooks"
                            5 => "P Mathur"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Gastrointest Endosc"
                        "fecha" => "2002"
                        "volumen" => "56"
                        "paginaInicial" => "397"
                        "paginaFinal" => "401"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/12196779"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
            28 => array:3 [
              "identificador" => "bib29"
              "etiqueta" => "29"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Improving the accuracy of ultrasound-guided fine-needle aspiration &#40;EUS-FNA&#41;&#58; factors predicting a correct diagnosis and usefulness of an attendant pathologist"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "M Pellis&#233;"
                            1 => "A Gin&#232;s"
                            2 => "M Sol&#233;"
                            3 => "D Vera"
                            4 => "G Fern&#225;ndez-Esparrach"
                            5 => "A Castells"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:4 [
                        "tituloSerie" => "Gastrointest Endosc"
                        "fecha" => "2004"
                        "volumen" => "59"
                        "paginaInicial" => "AB236"
                      ]
                    ]
                  ]
                ]
              ]
            ]
            29 => array:3 [
              "identificador" => "bib30"
              "etiqueta" => "30"
              "referencia" => array:1 [
                0 => array:2 [
                  "contribucion" => array:1 [
                    0 => array:2 [
                      "titulo" => "Diagnosis of benign cysts of the mediastinum&#58; the role and risks of EUS-FNA"
                      "autores" => array:1 [
                        0 => array:2 [
                          "etal" => true
                          "autores" => array:6 [
                            0 => "SM Wildi"
                            1 => "RS Hoda"
                            2 => "W Fickling"
                            3 => "N Schmulewitz"
                            4 => "S Varadarajulu"
                            5 => "SS Roberts"
                          ]
                        ]
                      ]
                    ]
                  ]
                  "host" => array:1 [
                    0 => array:1 [
                      "Revista" => array:6 [
                        "tituloSerie" => "Gastrointest Endosc"
                        "fecha" => "2003"
                        "volumen" => "58"
                        "paginaInicial" => "362"
                        "paginaFinal" => "368"
                        "link" => array:1 [
                          0 => array:2 [
                            "url" => "https://www.ncbi.nlm.nih.gov/pubmed/14528209"
                            "web" => "Medline"
                          ]
                        ]
                      ]
                    ]
                  ]
                ]
              ]
            ]
          ]
        ]
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