Abstract:
Background and Objective:Robust data in favor of clear superiority of 22G fine-needle biopsy (FNB) over 22G FNA for an echoendoscopic-guided sampling of pancreatic masses are lacking. The objective of this study is to compare the diagnostic outcomes and sample adequacy of these two needles. Materials and Methods:Computerized bibliographic search on the main databases was performed and restricted to only randomized controlled trials. Summary estimates were expressed regarding risk ratio (RR) and 95% confidence interval. Results:A total of 11 trials with 833 patients were analyzed. The two needles resulted comparable in terms of diagnostic accuracy (RR 1.02, 0.97-1.08; P = 0.46), sample adequacy (RR 1.01, 0.96-1.06; P = 0.61), and histological core procurement (RR 1.01, 0.89-1.15; P = 0.86). Pooled sensitivity in the diagnosis of pancreatic cancer was 93.1% (87.9%-98.4%) and 90.4% (86.3%-94.5%) with biopsy and aspirate, respectively, whereas specificity for detecting pancreatic cancer was 100% with both needles. Analysis of the number of needle passes showed a nonsignificantly positive trend in favor of FNB (mean difference: -0.32, -0.66-0.02; P = 0.07). Conclusion:Our meta-analysis stands for a nonsuperiority of 22G FNB over 22G FNA; hence, no definitive recommendations on the use of a particular device can be made.
journal_name
Endosc Ultrasoundjournal_title
Endoscopic ultrasoundauthors
Facciorusso A,Bajwa HS,Menon K,Buccino VR,Muscatiello Ndoi
10.4103/eus.eus_4_19subject
Has Abstractpub_date
2020-05-01 00:00:00pages
167-174issue
3eissn
2303-9027issn
2226-7190pii
257292journal_volume
9pub_type
杂志文章,评审abstract::Pancreatic lymphangiomas are rare, but benign neoplasms. Historically, the diagnoses in various case reports were mostly made after surgical resection. There are emerging data concerning the utility of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) to differentiate it from more sinister pancreatic cysti...
journal_title:Endoscopic ultrasound
pub_type:
doi:10.4103/2303-9027.204807
更新日期:2017-03-01 00:00:00
abstract::Insulinoma is the most common functioning islet cell tumor of the pancreas, with an annual incidence of 4 cases/1 million individuals. It is treated by surgical methods. Open surgery was once considered the standard approach for the treatment of insulinoma. However, the procedure is traumatic and requires a large inci...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章,评审
doi:10.4103/2303-9027.194703
更新日期:2017-05-01 00:00:00
abstract::Submucosal tumors (SMTs) are usually discovered fortuitously during routine endoscopy, including various non-neoplastic and neoplastic conditions. Endoscopic ultrasound (EUS) is considered to be the best imaging procedure to characterize SMTs and to determine the need for further treatment. In this review, the followi...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章,评审
doi:10.7178/eus.06.003
更新日期:2013-07-01 00:00:00
abstract:Background and Objectives:EUS guided core biopsy was once rarely performed but is now entering mainstream practice. Neuroendocrine tumors often warrant core biopsy as sufficient tissue must be obtained to allow for special staining to ensure a correct diagnosis. Traditionally these lesions were sampled with FNA needles...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章
doi:10.4103/eus.eus_51_17
更新日期:2018-09-01 00:00:00
abstract:Background and Objectives:There is an increasing global interest in screening programs aiming to detect pancreatic cancer (PC) in an early and potentially curable stage. Concerns still remain as to whether screening would confer any survival benefit. Another approach to evaluate the benefits of the pancreatic screening...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章,评审
doi:10.4103/eus.eus_25_18
更新日期:2019-01-01 00:00:00
abstract::Endobronchial ultrasound (EBUS) has gained importance for mediastinal lymph node staging. Contrast-enhanced EBUS is so far not a discussed technique including contrast-enhanced high mechanical index (MI)-EBUS and potentially contrast-enhanced low MI-EBUS. Possible use could include characterization of mediastinal lymp...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章,评审
doi:10.4103/2303-9027.200215
更新日期:2017-01-01 00:00:00
abstract::Lung cancer is one of the major causes of death in the world. Small cell carcinoma is the most aggressive type and can spread rapidly. The association of a small cell carcinoma with hepatic hilar metastasis and biliary obstruction is rare. Endoscopic ultrasound allows the aspiration of a cytology sample from adenopath...
journal_title:Endoscopic ultrasound
pub_type:
doi:10.4103/2303-9027.193570
更新日期:2018-07-01 00:00:00
abstract::This systematic review aims to assess the literature to determine the impact of EUS for diagnosing malignancy among indeterminate extrahepatic biliary strictures. A systematic review was performed using MEDLINE, EMBASE, Cochrane, and conference proceedings from inception to July 2016. Pooled results were calculated us...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章,评审
doi:10.4103/eus.eus_24_19
更新日期:2019-09-01 00:00:00
abstract::EUS-guided biliary drainage (EUS-BD) has been used as a salvage modality for relief of malignant biliary obstruction (MBO) after a failed ERCP. Multiple recent randomized controlled trials (RCTs) and observational studies have been published to assess the suitability of EUS-BD as a first-line modality for achieving pa...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章,评审
doi:10.4103/eus.eus_10_20
更新日期:2020-09-01 00:00:00
abstract:OBJECTIVE:To evaluate the diagnostic value of endoscopic ultrasonography (EUS) and contrast-enhanced harmonic (CEH) EUS in patients with gastrointestinal stromal tumors (GISTs). PATIENTS AND METHODS:About 19 patients with suspected GISTs underwent EUS and CEH-EUS before tumor resection. The malignant potential was ass...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章
doi:10.4103/2303-9027.180475
更新日期:2016-03-01 00:00:00
abstract:INTRODUCTION:Endoscopic ultrasonography (EUS)-guided fine-needle aspiration (FNA) have a better accuracy for the detection of pancreatic tumors compared with others images modalities. We assessed if the image criteria of elastography and contrast harmonic echo-endoscopic ultrasound could help in choosing the appropriat...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章
doi:
更新日期:2014-04-01 00:00:00
abstract::Endobronchial ultrasound (EBUS) is a useful technique for the diagnosis and staging of the lung and mediastinal lesions, which is crucial for selecting treatment protocol. Under EBUS guidance, transbronchial needle aspiration (TBNA) is widely applied for obtaining specimens for histological, cytological, and molecular...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章,评审
doi:10.4103/eus.eus_40_18
更新日期:2018-11-01 00:00:00
abstract:Background and Objectives:EUS-guided biliary drainage (EUS-BD) has emerged as a complementary technique for primary drainage or as a rescue technique after failed endoscopic retrograde cholangiography. The objective of this study was to demonstrate the feasibility of EUS-BD for malignant hilar stenosis (MHS), both as a...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章
doi:10.4103/eus.eus_68_20
更新日期:2021-01-05 00:00:00
abstract::Postoperative pancreatic fluid collection (POPFC) is an important complication following abdominal surgery. POPFC causes significant morbidity and mortality. Management options are time-consuming and severely affect patient's quality of life. Surgical and/or percutaneous drainage (PCD) is the traditional mainstay of t...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章,评审
doi:10.4103/eus.eus_18_19
更新日期:2019-09-01 00:00:00
abstract:Background and Objective:The widespread use of colonoscopy has led to an increasing number of subepithelial lesions (SELs) being detected in the lower gastrointestinal (GI) tract. This study aimed to analyze the utility of EUS and its role in the management of lower GI SELs. Patients and Methods:Records of all patient...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章
doi:10.4103/eus.eus_51_20
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Contrast-enhanced harmonic endoscopic ultrasound (CEH-EUS) is a novel technology that can identify subepithelial tumors (SETs) by detecting the degree of enhancement, but whether CEH-EUS can predict the malignancy risk of gastrointestinal stromal tumors (GISTs) remains unclear. The aim of our ...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章
doi:10.4103/2303-9027.195871
更新日期:2016-11-01 00:00:00
abstract::Double layered peritoneal folds or ligaments act as conduits for the passage of blood vessels in intraperitoneal organs and also provide a pathway for the spread of disease. It is difficult to identify these normal peritoneal folds at imaging. Computed tomography is the most common imaging modality used to detect dise...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章
doi:10.4103/2303-9027.151317
更新日期:2015-01-01 00:00:00
abstract:Objectives:The project is aimed to compare the tissue sampling rate and the diagnostic accuracy rate of EUS-FNA using 22G nitinol and reverse bevel-tipped needles. Subjects and Methods:This was a prospective, randomized, crossover study in a tertiary academic hospital. All consecutive adult patients undergoing EUS-gui...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章
doi:10.4103/eus.eus_113_17
更新日期:2018-01-01 00:00:00
abstract::[This corrects the article DOI: 10.4103/eus.eus_9_19]. ...
journal_title:Endoscopic ultrasound
pub_type: 已发布勘误
doi:10.4103/2303-9027.282542
更新日期:2020-05-01 00:00:00
abstract:BACKGROUND:Laparoscopic and natural orifice transluminal endoscopic surgery techniques can diagnose peritoneal findings that suggest tumor cell dissemination. However, they have not been incorporated into routine practice, mainly owing to their complexity. To develop a minimally invasive endoscopic technique for the di...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章
doi:10.4103/2303-9027.144535
更新日期:2014-10-01 00:00:00
abstract:OBJECTIVES:The objective of guideline was to provide clear and relevant consensus statements to form a practical guideline for clinicians on the indications, optimal technique, safety and efficacy of endoscopic ultrasound guided celiac plexus neurolysis (EUS-CPN). METHODS:Six important clinical questions were determin...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章
doi:10.4103/eus.eus_97_17
更新日期:2017-11-01 00:00:00
abstract::The European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) introduced guidelines on the use of contrast-enhanced ultrasound (CEUS) in 2004. This EFSUMB-document focused mainly on liver applications. However, new applications extending beyond the liver were developed thereafter. Increased inte...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章,评审
doi:10.7178/eus.03.003
更新日期:2012-10-01 00:00:00
abstract::Hepaticogastrostomy (HGS) has been reported for the management of palliative malignant hilar stricture and involves draining the left liver as rescue therapy. For the management of this complex stenosis, another new option for draining the right liver under EUS guidance was introduced. Ten publications involving 38 pa...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章,评审
doi:10.4103/eus.eus_52_19
更新日期:2019-11-28 00:00:00
abstract::Endoscopic ultrasound (EUS) is one of the best diagnostic methods for diseases of the digestive tract and surrounding organs. Whereas EUS-guided fine needle aspiration (FNA) has been very useful for providing histological confirmation for previously hard to reach lesions, elastography is aiming to obtain a "virtual bi...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章,评审
doi:10.4103/2303-9027.123009
更新日期:2014-04-01 00:00:00
abstract:OBJECTIVE:Angiogenesis is a crucial event for pancreatic carcinogenesis, and it also plays an important role in chronic pancreatitis. The aim of our study was to evaluate the mRNA expression of vascular endothelial growth factor (VEGF) and epidermal growth factor receptor (EGFR) in chronic inflammatory or malignant pan...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章
doi:10.4103/2303-9027.117692
更新日期:2013-04-01 00:00:00
abstract:Background and Objectives:EUS-FNA is applied widely in clinical practice, but there remains a lack of authentic training models. The present study aimed to develop a novel swine training model and to perform a preliminary assessment of its feasibility and efficacy. Materials and Methods:To create an internal lesion-li...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章
doi:10.4103/eus.eus_13_20
更新日期:2020-07-01 00:00:00
abstract::Pancreatic adenocarcinoma may account for more than 80% of all pancreatic neoplasms. Occasionally, other rare tumors such as lymphoma, metastatic tumor, and solid pseudopapillary neoplasm can be considered in the differential diagnosis. We report the case of an 82-year-old man with a pancreatic solid mass. This case s...
journal_title:Endoscopic ultrasound
pub_type:
doi:10.4103/2303-9027.190923
更新日期:2017-07-01 00:00:00
abstract::Pancreatic pseudocysts are fluid collections in the peripancreatic tissues associated with acute or chronic pancreatitis. Endoscopic ultrasound (EUS)-guided drainage has become an established indication, having better results as compared to percutaneous drainage, nonguided endoscopic drainage, or surgical drainage. Th...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章
doi:10.4103/2303-9027.170424
更新日期:2015-10-01 00:00:00
abstract:BACKGROUND AND OBJECTIVES:Extra-pancreatic cysts (EPCs) are incidentally found in patients with pancreatic cystic lesions (PCLs). The aim of this study is to find the prevalence of concurrent EPC in patients with PCLs, investigate associations with neoplastic lesions, and compare the prevalence of EPC to a control popu...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章
doi:10.4103/2303-9027.163001
更新日期:2015-07-01 00:00:00
abstract::Endobronchial ultrasound (EBUS) has emerged as a routinely performed procedure in diagnostic bronchoscopy. Extending the view beyond the airway wall, EBUS provides evaluation of tumor involvement of tracheobronchial wall and mediastinum and plays an essential role as a guidance technique for peripheral pulmonary disea...
journal_title:Endoscopic ultrasound
pub_type: 杂志文章,评审
doi:10.7178/eus.02.003
更新日期:2012-07-01 00:00:00