EUS-derived criteria for distinguishing benign from malignant metastatic solid hepatic masses.

Abstract:

BACKGROUND:Detection of hepatic metastases during EUS is an important component of tumor staging. OBJECTIVE:To describe our experience with EUS-guided FNA (EUS-FNA) of solid hepatic masses and derive and validate criteria to help distinguish between benign and malignant hepatic masses. DESIGN:Retrospective study, survey. SETTING:Single, tertiary-care referral center. PATIENTS:Medical records were reviewed for all patients undergoing EUS-FNA of solid hepatic masses over a 12-year period. INTERVENTIONS:EUS-FNA of solid hepatic masses. MAIN OUTCOME MEASUREMENTS:Masses were deemed benign or malignant according to predetermined criteria. EUS images from 200 patients were used to create derivation and validation cohorts of 100 cases each, matched by cytopathologic diagnosis. Ten expert endosonographers blindly rated 15 initial endosonographic features of each of the 100 images in the derivation cohort. These data were used to derive an EUS scoring system that was then validated by using the validation cohort by the expert endosonographer with the highest diagnostic accuracy. RESULTS:A total of 332 patients underwent EUS-FNA of a hepatic mass. Interobserver agreement regarding the initial endosonographic features among the expert endosonographers was fair to moderate, with a mean diagnostic accuracy of 73% (standard deviation 5.6). A scoring system incorporating 7 EUS features was developed to distinguish benign from malignant hepatic masses by using the derivation cohort with an area under the receiver operating curve (AUC) of 0.92; when applied to the validation cohort, performance was similar (AUC 0.86). The combined positive predictive value of both cohorts was 88%. LIMITATIONS:Single center, retrospective, only one expert endosonographer deriving and validating the EUS criteria. CONCLUSION:An EUS scoring system was developed that helps distinguish benign from malignant hepatic masses. Further study is required to determine the impact of these EUS criteria among endosonographers of all experience.

journal_name

Gastrointest Endosc

authors

Fujii-Lau LL,Abu Dayyeh BK,Bruno MJ,Chang KJ,DeWitt JM,Fockens P,Forcione D,Napoleon B,Palazzo L,Topazian MD,Wiersema MJ,Chak A,Clain JE,Faigel DO,Gleeson FC,Hawes R,Iyer PG,Rajan E,Stevens T,Wallace MB,Wang KK,

doi

10.1016/j.gie.2014.10.035

subject

Has Abstract

pub_date

2015-05-01 00:00:00

pages

1188-96.e1-7

issue

5

eissn

0016-5107

issn

1097-6779

pii

S0016-5107(14)02391-8

journal_volume

81

pub_type

杂志文章
  • Validity of the Rockall scoring system after endoscopic therapy for bleeding peptic ulcer: a prospective cohort study.

    abstract:BACKGROUND:The Rockall scoring system was developed in unselected patients, the majority of whom did not receive endoscopic therapy. The aim of this study was to assess the validity of the Rockall system in high-risk patients who undergo endoscopic therapy for peptic ulcer hemorrhage. METHODS:Rockall scores were calcu...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gie.2005.06.042

    authors: Church NI,Dallal HJ,Masson J,Mowat NA,Johnston DA,Radin E,Turner M,Fullarton G,Prescott RJ,Palmer KR

    更新日期:2006-04-01 00:00:00

  • Patient-administered nitrous oxide/oxygen inhalation provides effective sedation and analgesia for colonoscopy.

    abstract::In a double-blind, randomized, placebo-controlled study of patients undergoing colonoscopy, sedation with an inhaled mixture of nitrous oxide/oxygen was compared with conventional intravenous sedation (pethidine 50 mg, midazolam 2.5 mg). In the patients studied, no significant differences were noted in number of pain ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0016-5107(94)70203-9

    authors: Saunders BP,Fukumoto M,Halligan S,Masaki T,Love S,Williams CB

    更新日期:1994-07-01 00:00:00

  • ASGE Technology Committee systematic review and meta-analysis assessing the ASGE PIVI thresholds for adopting real-time endoscopic assessment of the histology of diminutive colorectal polyps.

    abstract::In vivo real-time assessment of the histology of diminutive (≤5 mm) colorectal polyps detected at colonoscopy can be achieved by means of an "optical biopsy" by using currently available endoscopic technologies. This systematic review and meta-analysis was performed by the American Society for Gastrointestinal Endosco...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.gie.2014.12.022

    authors: ASGE Technology Committee.,Abu Dayyeh BK,Thosani N,Konda V,Wallace MB,Rex DK,Chauhan SS,Hwang JH,Komanduri S,Manfredi M,Maple JT,Murad FM,Siddiqui UD,Banerjee S

    更新日期:2015-03-01 00:00:00

  • Endoscopic assessment of mucosal hemodynamic changes in a canine model of gastric ulcer.

    abstract::In studying the side effects of sclerosants injected into the gastric submucosa in dogs (N = 7), we noted that 3 ml of absolute ethanol induced a large gastric ulceration. We describe the time course of change in the ulcer size, and suggest that such ulceration can be used for the endoscopic assessment of factors impo...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(91)70721-9

    authors: Chung SC,Sung JY,Suen MW,Leung JW,Leung FW

    更新日期:1991-05-01 00:00:00

  • Endoscopic submucosal dissection for treatment of gastric subepithelial tumors (with video).

    abstract:BACKGROUND:Endoscopic submucosal dissection (ESD) is a well-accepted method for removing superficial mucosal tumors; however, there is limited data on the use of this method for removing subepithelial tumors. OBJECTIVE:To investigate the efficacy, safety, and outcome of ESD for gastric subepithelial tumors and determi...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2011.08.029

    authors: Białek A,Wiechowska-Kozłowska A,Pertkiewicz J,Polkowski M,Milkiewicz P,Karpińska K,Ławniczak M,Starzyńska T

    更新日期:2012-02-01 00:00:00

  • Electrocautery therapy for refractory anastomotic strictures of the esophagus.

    abstract:BACKGROUND:Anastomotic esophageal stenoses after esophageal resection are common and sometimes are refractory to Savary bougie dilation. The efficacy of electrocautery needle-knife treatment in these patients is described. METHODS:Twenty patients with a refractory anastomotic stricture of the esophagus were treated wi...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2005.06.016

    authors: Hordijk ML,Siersema PD,Tilanus HW,Kuipers EJ

    更新日期:2006-01-01 00:00:00

  • An update on the management of implanted cardiac devices during electrosurgical procedures.

    abstract::To date, the major guidelines for the management of implanted cardiac devices during electrosurgical procedures have come from 1 of several major medical societies.These most recent guidelines are from the ACCF/AHA in 2009, a combined consensus statement from the Heart Rhythm Society and the American Society of Anesth...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,评审

    doi:10.1016/j.gie.2013.08.013

    authors: Parekh PJ,Buerlein RC,Shams R,Herre J,Johnson DA

    更新日期:2013-12-01 00:00:00

  • Clinical prediction rule to determine the need for repeat ERCP after endoscopic treatment of postsurgical bile leaks.

    abstract:BACKGROUND AND AIMS:In patients who have undergone ERCP with biliary stenting for postsurgical bile leaks, the optimal method (ERCP or gastroscopy) and timing of stent removal is controversial. We developed a clinical prediction rule to identify cases in which a repeat ERCP is unnecessary. METHODS:Population-based stu...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2016.10.027

    authors: Tsolakis AV,James PD,Kaplan GG,Myers RP,Hubbard J,Wilson T,Zimmer S,Mohamed R,Cole M,Bass S,Swain MG,Heitman SJ

    更新日期:2017-05-01 00:00:00

  • Utility of contrast-enhanced harmonic EUS in the diagnosis of malignant gallbladder polyps (with videos).

    abstract:BACKGROUND:The differential diagnosis between benign and malignant polyps of the gallbladder (GB) is often challenging. OBJECTIVES:To evaluate whether contrast-enhanced harmonic EUS (CEH-EUS) might be an accurate method for discriminating malignant GB polyps from benign polyps. DESIGN:Observational study. SETTING:Te...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2013.03.1328

    authors: Choi JH,Seo DW,Choi JH,Park DH,Lee SS,Lee SK,Kim MH

    更新日期:2013-09-01 00:00:00

  • Patient experience and preferences toward colon cancer screening: a comparison of virtual colonoscopy and conventional colonoscopy.

    abstract:BACKGROUND:Virtual colonoscopy has excellent sensitivity for the detection of cancer and polyps greater than 1 cm in diameter. For virtual colonoscopy to succeed as a screening test for colorectal neoplasia, it must be well tolerated and accepted by patients. Patients' experiences with virtual colonoscopy and conventio...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2001.117595

    authors: Akerkar GA,Yee J,Hung R,McQuaid K

    更新日期:2001-09-01 00:00:00

  • Multicenter comparison of the interobserver agreement of standard EUS scoring and Rosemont classification scoring for diagnosis of chronic pancreatitis.

    abstract:BACKGROUND:EUS has less than optimal interobserver agreement for the diagnosis of chronic pancreatitis. The newly developed Rosemont consensus scoring system includes weighted criteria and stricter definitions for individual features. OBJECTIVE:The primary aim was to compare the interobserver agreement of standard and...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.gie.2009.10.043

    authors: Stevens T,Lopez R,Adler DG,Al-Haddad MA,Conway J,Dewitt JM,Forsmark CE,Kahaleh M,Lee LS,Levy MJ,Mishra G,Piraka CR,Papachristou GI,Shah RJ,Topazian MD,Vargo JJ,Vela SA

    更新日期:2010-03-01 00:00:00

  • Histologic results of EMR for esophageal lesions diagnosed as high-grade intraepithelial squamous neoplasia by endoscopic biopsy.

    abstract:BACKGROUND:Biopsy specimens obtained from esophageal lesions detected in endoscopic screening with iodine staining have often been diagnosed as high-grade intraepithelial squamous neoplasia (WHO 2000). However, a management strategy for such lesions has not been established. The purpose of this study was to perform EMR...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2005.09.027

    authors: Shimizu Y,Kato M,Yamamoto J,Ono Y,Katsurada T,Ono S,Mori Y,Nakagawa M,Nakagawa S,Itoh T,Asaka M

    更新日期:2006-01-01 00:00:00

  • Gastric endoscopic submucosal dissection assisted by a new traction method: the clip-band technique. A feasibility study in a porcine model (with video).

    abstract:BACKGROUND:Endoscopic submucosal dissection (ESD) is the standard of care for treating gastric intramucosal neoplasias in Japan. However, it is seldom performed in Western countries, mainly because it is technically very challenging. Several traction methods have been proposed to facilitate submucosal dissection, but t...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2011.07.037

    authors: Parra-Blanco A,Nicolas D,Arnau MR,Gimeno-Garcia AZ,Rodrigo L,Quintero E

    更新日期:2011-11-01 00:00:00

  • EUS characteristics of celiac ganglia with cytologic and histologic confirmation.

    abstract:BACKGROUND:Celiac ganglia have not been previously identified by EUS. OBJECTIVE:To assess whether celiac ganglia can be detected by EUS and to define their characteristics. DESIGN:Retrospective review followed by prospective study. METHODS:Retrospective characterization was performed of all celiac ganglia that were ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2006.01.071

    authors: Gerke H,Silva RG Jr,Shamoun D,Johnson CJ,Jensen CS

    更新日期:2006-07-01 00:00:00

  • Endoscopic balloon dilation for benign gastric outlet obstruction with or without Helicobacter pylori infection.

    abstract:BACKGROUND:Endoscopic balloon dilation has been used to treat patients with gastric outlet obstruction caused by peptic stricture. This study assessed the role of endoscopic balloon dilation in patients with gastric outlet obstruction with or without Helicobacter pylori infection. METHODS:Consecutive patients seen bet...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(04)01569-x

    authors: Lam YH,Lau JY,Fung TM,Ng EK,Wong SK,Sung JJ,Chung SS

    更新日期:2004-08-01 00:00:00

  • Endoscopic overestimation of colorectal polyp size.

    abstract:BACKGROUND AND AIMS:Polyp size ≥ 1 cm triggers more frequent colonoscopic surveillance, yet size is typically based on subjective endoscopic estimates. We sought to compare contemporary assessments of polyp size by endoscopic estimation and pathology measurement. METHODS:Colonoscopy and pathology reports were reviewed...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2015.06.058

    authors: Anderson BW,Smyrk TC,Anderson KS,Mahoney DW,Devens ME,Sweetser SR,Kisiel JB,Ahlquist DA

    更新日期:2016-01-01 00:00:00

  • Managing the post-liver transplantation anastomotic biliary stricture: multiple plastic versus metal stents: a systematic review.

    abstract:BACKGROUND:Anastomotic biliary strictures (ABSs) are common after liver transplantation, especially with living donors. The strategy of balloon dilation and multiple plastic stents (MPSs) is effective in treating ABSs, but requires multiple ERCPs with the associated risks, cost, and patient burden. Covered self-expanda...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,评审

    doi:10.1016/j.gie.2013.01.015

    authors: Kao D,Zepeda-Gomez S,Tandon P,Bain VG

    更新日期:2013-05-01 00:00:00

  • Diagnostic performance of two confocal endomicroscopy systems in detecting Barrett's dysplasia: a pilot study using a novel bioprobe in ex vivo tissue.

    abstract:BACKGROUND:There are currently 2 existing confocal laser endomicroscopy (CLE) platforms: probe-based CLE (pCLE) and endoscope-based CLE (eCLE) systems, each with its own criteria for identifying dysplasia in Barrett's esophagus (BE). The diagnostic performance of these 2 systems has not been directly compared. DESIGN:...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2012.07.005

    authors: Gorospe EC,Leggett CL,Sun G,Anderson MA,Gupta M,Penfield JD,Lutzke L,Lewis JT,Wong Kee Song LM,Wang KK

    更新日期:2012-11-01 00:00:00

  • Outcomes of endoscopic resection for superficial duodenal epithelial neoplasia.

    abstract:BACKGROUND AND AIMS:Pancreaticoduodenectomy is an invasive procedure, and endoscopic resection (ER) is an alternative therapy. However, details regarding the outcomes of ER are unknown, especially for superficial duodenal epithelial neoplasia (SDET). The aim of this study was to elucidate the outcomes of ER for SDET an...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2018.05.002

    authors: Yahagi N,Kato M,Ochiai Y,Maehata T,Sasaki M,Kiguchi Y,Akimoto T,Nakayama A,Fujimoto A,Goto O,Uraoka T

    更新日期:2018-10-01 00:00:00

  • EMR for early gastric cancer in Korea: a multicenter retrospective study.

    abstract:BACKGROUND:EMR has been accepted as a treatment modality for selected cases of early gastric cancer (EGC) in Japan. However, long-term outcomes after EMR for EGC have not been fully documented. OBJECTIVES:We reviewed the experiences of EMR for EGC in Korea, with emphasis on the long-term outcome. DESIGN:Multicenter, ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.gie.2007.04.013

    authors: Kim JJ,Lee JH,Jung HY,Lee GH,Cho JY,Ryu CB,Chun HJ,Park JJ,Lee WS,Kim HS,Chung MG,Moon JS,Choi SR,Song GA,Jeong HY,Jee SR,Seol SY,Yoon YB

    更新日期:2007-10-01 00:00:00

  • Impact of patient audiovisual re-education via a smartphone on the quality of bowel preparation before colonoscopy: a single-blinded randomized study.

    abstract:BACKGROUND AND AIMS:Education on preparation is essential for successful colonoscopy. This study aimed to evaluate the impact of audiovisual (AV) re-education via a smartphone on bowel preparation quality before colonoscopy. METHODS:A prospective, endoscopist-blinded, randomized, controlled study was performed. Patien...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gie.2017.09.007

    authors: Back SY,Kim HG,Ahn EM,Park S,Jeon SR,Im HH,Kim JO,Ko BM,Lee JS,Lee TH,Cho JH

    更新日期:2018-03-01 00:00:00

  • The rate of false-positive results with EUS-guided fine-needle aspiration.

    abstract:BACKGROUND:The aims of this study were to determine the rate of false-positive diagnosis with EUS-guided fine-needle aspiration and to identify factors contributing to this type of error. METHODS:The records of 577 patients undergoing EUS-guided fine-needle aspiration were reviewed and a subset of 188 patients with ma...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2002.129610

    authors: Schwartz DA,Unni KK,Levy MJ,Clain JE,Wiersema MJ

    更新日期:2002-12-01 00:00:00

  • Simplified endoscopic placement of nasoenteral feeding tubes.

    abstract::A technique for expeditious and safe placement of nasoenteric feeding tubes under direct vision is described. Adult patients undergo feeding tube placement with intravenous sedation and topical anesthesia. Endoscopic tube placement requires an average of 10 min and eliminates many risks associated with blind passage. ...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(86)71882-8

    authors: Van Stiegmann G,Pearlman NW

    更新日期:1986-10-01 00:00:00

  • Adenoma recurrence after piecemeal colonic EMR is predictable: the Sydney EMR recurrence tool.

    abstract:BACKGROUND AND AIMS:EMR is the primary treatment of large laterally spreading lesions (LSLs) in the colon. Residual or recurrent adenoma (RRA) is a major limitation. We aimed to identify a robust method to stratify the risk of RRA. METHODS:Prospective multicenter data on consecutive LSLs ≥20 mm removed by piecemeal EM...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2016.11.027

    authors: Tate DJ,Desomer L,Klein A,Brown G,Hourigan LF,Lee EY,Moss A,Ormonde D,Raftopoulos S,Singh R,Williams SJ,Zanati S,Byth K,Bourke MJ

    更新日期:2017-03-01 00:00:00

  • Endoscopic balloon dilation of colonic and ileo-colonic Crohn's strictures: long-term results.

    abstract::The long-term effects of endoscopic dilation of colonic or ileo-colonic Crohn's disease strictures were analyzed. In 18 patients with a Crohn's disease-related low gastrointestinal stricture, the stenosis was dilated using through-the-scope (TTS) balloon catheters. A dilation to a diameter of 18 mm was always attempte...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(92)70379-4

    authors: Breysem Y,Janssens JF,Coremans G,Vantrappen G,Hendrickx G,Rutgeerts P

    更新日期:1992-03-01 00:00:00

  • Mucosal pseudolipomatosis: an air pressure-related colonoscopy complication.

    abstract::Mucosal pseudolipomatosis is a recently described colonoscopic finding, most likely caused by intramucosal air. We describe four asymptomatic patients with this lesion which completely resolved 3 weeks later on repeat colonoscopy. This is a benign, transient lesion with distinct endoscopic and histologic findings. The...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/s0016-5107(89)72716-4

    authors: Waring JP,Manne RK,Wadas DD,Sanowski RA

    更新日期:1989-03-01 00:00:00

  • Antral nodularity identifies children infected with Helicobacter pylori with higher grades of gastric inflammation.

    abstract:BACKGROUND:The endoscopic pattern of antral nodularity is a peculiar finding in children with Helicobacter pylori infection. The aim of this study was to determine whether this finding is related to more severe gastritis. METHODS:One hundred seventy-four consecutive children (median age 8.7 years) referred for gastros...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1067/mge.2001.111043

    authors: Luzza F,Pensabene L,Imeneo M,Mancuso M,Contaldo A,Giancotti L,La Vecchia AM,Costa MC,Strisciuglio P,Docimo C,Pallone F,Guandalini S

    更新日期:2001-01-01 00:00:00

  • The role of oral simethicone on the adenoma detection rate and other quality indicators of screening colonoscopy: a randomized, controlled, observer-blinded clinical trial.

    abstract:BACKGROUND AND AIMS:Combining simethicone (SIM) with a colon preparation agent has been shown to improve mucosal visibility during screening colonoscopy, but its effect on the adenoma detection rate (ADR) remains unclear. SIM is commonly used through the endoscope to eliminate bubbles during endoscopy. However, this pr...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gie.2019.03.018

    authors: Moraveji S,Casner N,Bashashati M,Garcia C,Dwivedi A,Zuckerman MJ,Carrion A,Ladd AM

    更新日期:2019-07-01 00:00:00

  • Comparison of quality of life and worry of cancer recurrence between endoscopic and surgical treatment for early gastric cancer.

    abstract:BACKGROUND:The quality of life (QOL) of patients who survive early gastric cancer (EGC) is an area of increasing interest. OBJECTIVE:To compare the QOL and degree of worry of cancer recurrence in EGC patients who underwent endoscopic submucosal dissection (ESD) or surgery. DESIGN:Cross-sectional study. SETTINGS:A te...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章

    doi:10.1016/j.gie.2015.01.019

    authors: Choi JH,Kim ES,Lee YJ,Cho KB,Park KS,Jang BK,Chung WJ,Hwang JS,Ryu SW

    更新日期:2015-08-01 00:00:00

  • An endoscopist-blinded, randomized, controlled trial of a simple visual aid to improve bowel preparation for screening colonoscopy.

    abstract:BACKGROUND:The effect of patient education on bowel preparation for colonoscopy has not been well studied. An improvement in patient understanding of the rationale for bowel preparation before colonoscopy might enhance adherence to the prescribed bowel regimen and improve bowel preparation quality. OBJECTIVE:To measur...

    journal_title:Gastrointestinal endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.gie.2010.10.013

    authors: Calderwood AH,Lai EJ,Fix OK,Jacobson BC

    更新日期:2011-02-01 00:00:00