Solid pancreatic lesions: The choice of fine-needle aspiration-needle to optimize the diagnosis.

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 appropriate FNA-needle in the evaluation of focal pancreatic mass in other to maximize the diagnostic yield. This study prospectively included all new patients with focal pancreatic masses referred to be examined by EUS from October to December/2013. A total of 21 patients performed EUS with sequentially elastography and intravenous injection of a second-generation contrast agent (2.4 mL of SonoVue, Braco International, The Netherlands). The lesions which appear hipovascular were assessed with 22 gauge or 25 gauge FNA-needles. The hipervascular masses were biopsied with 19 gauge needles. RESULTS:The topography of the lesions varied on 13 at the head, 4 at the body and 1 on the tail. The finding of a hypoenhanced mass was found in 57% (12/21 patients). Hyperenhanced was detected in 28% (6/21 patients). There were 14% (three patients) which the data were not recorded. The cytological diagnosis was achieved in 81% (17/21 patients) on the first biopsy. The others four patients have reached the diagnosis on the second examination. Of those four patients, in one was used the ProCore 25 gauge (lesion on the uncinatus process), and another one was used both 22 gauge and 25 gauge in the first examination. CONCLUSION:A characterization of the pancreatic lesions with elastography and contrast agents might be useful for clinical decision of which needle is better to improve biopsy quality and minimize EUS-FNA negatives results.

journal_name

Endosc Ultrasound

journal_title

Endoscopic ultrasound

authors

Francioni E,Reimão S,Bories E,Caillol F,Pesenti C,Poizat F,Monges G,Giovannini M

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

S12-3

issue

Suppl 1

eissn

2303-9027

issn

2226-7190

journal_volume

3

pub_type

杂志文章
  • The incremental benefit of EUS for the identification of malignancy in indeterminate extrahepatic biliary strictures: A systematic review and meta-analysis.

    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

    authors: Chiang A,Theriault M,Salim M,James PD

    更新日期:2019-09-01 00:00:00

  • Can contrast-enhanced harmonic endosonography predict malignancy risk in gastrointestinal subepithelial tumors?

    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

    authors: Park HY,Jeon SW,Lee HS,Cho CM,Bae HI,Seo AN,Kweon OK

    更新日期:2016-11-01 00:00:00

  • EUS and EUS-guided FNA/core biopsies in the evaluation of subepithelial lesions of the lower gastrointestinal tract: 10-year experience.

    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

    authors: Cazacu IM,Singh BS,Luzuriaga Chavez AA,Koduru P,Ejaz S,Weston BR,Ross WA,Lee JH,Roy-Chowdhuri S,Bhutani MS

    更新日期:2020-09-01 00:00:00

  • Endoscopic ultrasound comes of age: Mature, established, creative and here to stay!

    abstract::Research in endoscopic ultrasound (EUS) is alive and kicking! This paper will present recent interesting developments in EUS based on research presented at the Digestive Disease Week (DDW) held in Chicago in 2014. Endosonographers are looking at various techniques to improve yield of fine needle aspiration and core bi...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:10.4103/2303-9027.138782

    authors: Bhutani MS

    更新日期:2014-07-01 00:00:00

  • Drainage of the right liver using EUS guidance.

    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

    authors: Caillol F,Rouy M,Pesenti C,Ratone JP,Giovannini M

    更新日期:2019-11-28 00:00:00

  • Practice guidelines for endoscopic ultrasound-guided celiac plexus neurolysis.

    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

    authors: Wyse JM,Battat R,Sun S,Saftoiu A,Siddiqui AA,Leong AT,Arturo Arias BL,Fabbri C,Adler DG,Santo E,Kalaitzakis E,Artifon E,Mishra G,Okasha HH,Poley JW,Guo J,Vila JJ,Lee LS,Sharma M,Bhutani MS,Giovannini M,Kitano M

    更新日期:2017-11-01 00:00:00

  • Can elastography replace fine needle aspiration?

    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

    authors: Popescu A,Săftoiu A

    更新日期:2014-04-01 00:00:00

  • Endoscopic ultrasound-assisted direct peritoneal visualization with a small-caliber scope: A proof of concept study in a swine model.

    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

    authors: Suzuki R,Bhutani MS,Shin D,Irisawa A,Fleming JB,Richards-Kortum R,Ohira H

    更新日期:2014-10-01 00:00:00

  • The diagnostic value of endoscopic ultrasonography and contrast-enhanced harmonic endoscopic ultrasonography in gastrointestinal stromal tumors.

    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

    authors: Zhao Y,Qian L,Li P,Zhang S

    更新日期:2016-03-01 00:00:00

  • Is endoscopic ultrasonography useful for endoscopic submucosal dissection?

    abstract::Endoscopic submucosal dissection (ESD) is an innovative advance in the treatment of early gastrointestinal (GI) cancer without lymph node metastases and precancerous lesions as it is an effective and safe therapeutic method. ESD has also been a promising therapeutic option for removal of submucosal tumors (SMTs) for i...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章,评审

    doi:10.4103/2303-9027.191606

    authors: Han Y,Sun S,Guo J,Ge N,Wang S,Liu X,Wang G,Hu J,Wang S

    更新日期:2016-09-01 00:00:00

  • Placement of lumen-apposing metal stents to drain pseudocysts and walled-off pancreatic necrosis can be safely performed on an outpatient basis: A multicenter study.

    abstract:Backgrounds and Objectives:No study on the use of lumen-apposing fully covered self-expanding metal stent (LAMS) to drain pancreatic fluid collections (PFCs) has evaluated outcomes of patients in the outpatient setting. The objective of this multicenter study was to evaluate the clinical outcomes, success rate, and adv...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:10.4103/eus.eus_30_17

    authors: Adler DG,Shah J,Nieto J,Binmoeller K,Bhat Y,Taylor LJ,Siddiqui AA

    更新日期:2019-01-01 00:00:00

  • Cystic pancreatic lymphangioma diagnosed with endoscopic ultrasound-guided fine needle aspiration.

    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

    authors: Hussain I,Ang TL

    更新日期:2017-03-01 00:00:00

  • Comparison between 22G aspiration and 22G biopsy needles for EUS-guided sampling of pancreatic lesions: A meta-analysis.

    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:Compu...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章,评审

    doi:10.4103/eus.eus_4_19

    authors: Facciorusso A,Bajwa HS,Menon K,Buccino VR,Muscatiello N

    更新日期:2020-05-01 00:00:00

  • What should be known prior to performing EUS?

    abstract::Direct referral of patients for EUS - instead of preprocedural consultation with the endosonographer - has become standard practice (like for other endoscopic procedures) as it is time- and cost-effective. To ensure appropriate indications and safe examinations, the endosonographer should carefully consider what infor...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章,评审

    doi:10.4103/eus.eus_54_18

    authors: Dietrich CF,Arcidiacono PG,Braden B,Burmeister S,Carrara S,Cui X,Di Leo M,Dong Y,Fusaroli P,Gilja OH,Healey AJ,Hocke M,Hollerbach S,Garcia JI,Ignee A,Jürgensen C,Kahaleh M,Kitano M,Kunda R,Larghi A,Möller K,Napo

    更新日期:2019-01-01 00:00:00

  • The relationship between the interruption of the lower esophageal sphincter and relief of dysphagia after per-oral endoscopic myotomy for achalasia.

    abstract:Background and Objectives:We investigated the relationship between the interruption of the muscularis propria of the lower esophageal sphincter (LES) measured by EUS and the relief of dysphagia in patients with esophageal achalasia treated by per-oral endoscopic myotomy (POEM). Patients and Methods:Patients with achal...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:10.4103/eus.eus_30_20

    authors: Wang S,Liu X,Ge N,Wang G,Guo J,Liu W,Hu J,Sun S

    更新日期:2020-07-01 00:00:00

  • Multiple pancreatic metastases from malignant melanoma: Conclusive diagnosis with endoscopic ultrasound-guided fine needle aspiration.

    abstract::Pancreatic metastases are rare, ranging from 2% to 5% of pancreatic malignancies. Differentiating a primary pancreatic malignancy from a metastasis can be difficult due to similarities on imaging findings, but is crucial to ensure proper treatment. Although transabdominal ultrasound, computed tomography, and magnetic ...

    journal_title:Endoscopic ultrasound

    pub_type:

    doi:10.4103/2303-9027.156746

    authors: Jana T,Caraway NP,Irisawa A,Bhutani MS

    更新日期:2015-04-01 00:00:00

  • Endoscopic ultrasound-guided puncture suture device versus metal clip for gastric defect closure after endoscopic full-thickness resection: A randomized, comparative, porcine study.

    abstract:OBJECTIVE:The secure closure of the wall defect is a critical stage of endoscopic full-thickness resection (EFTR). The aim of this study was to compare the closure of post-EFTR defects using an endoscopic ultrasound-guided puncture suture device (PSD) with the metal clip (MC) technique in a randomized, comparative, por...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:10.4103/2303-9027.187891

    authors: Sun B,Guo J,Ge N,Sun S,Wang S,Liu X,Wang G,Feng L

    更新日期:2016-07-01 00:00:00

  • EUS-guided tissue acquisition in chronic pancreatitis: Differential diagnosis between pancreatic cancer and pseudotumoral masses using EUS-FNA or core biopsy.

    abstract:Background and Objective:EUS-FNA sensitivity for malignancy in parenchymal masses of patients with concurrent chronic pancreatitis (CP) has been reported to be unsatisfactory. The aim of the present study was to directly compare the diagnostic accuracy of EUS-FNA and EUS-fine-needle biopsy (FNB) in differentiating betw...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:10.4103/eus.eus_75_19

    authors: Grassia R,Imperatore N,Capone P,Cereatti F,Forti E,Antonini F,Tanzi GP,Martinotti M,Buffoli F,Mutignani M,Macarri G,Manes G,Vecchi M,De Nucci G

    更新日期:2020-03-01 00:00:00

  • The analysis of endoscopic ultrasonographic finding for esophageal subepithelial lesion.

    abstract:INTRODUCTION:The number of endoscopic ultrasonography (EUS) for esophageal subepithelial lesion (SEL) is on the increase recently. We retrospectively investigated the 230 patients who underwent EUS for esophageal SEL from July 2010 to June 2013. We analyzed EUS finding and assumptive diagnosis. RESULTS:Among 230 enrol...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:

    authors: Park C,Lee S,Oh M,Kim K

    更新日期:2014-04-01 00:00:00

  • Extramedullary plasmacytoma mimicking pancreatic cancer: A case report and literature review.

    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

    authors: Kim JH,Paik WH,Joo M,Kim JG,Kim JW,Bae WK,Kim NH,Kim KA,Lee JS

    更新日期:2017-07-01 00:00:00

  • Psychological impact of pancreatic cancer screening by EUS or magnetic resonance imaging in high-risk individuals: A systematic review.

    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

    authors: Cazacu IM,Luzuriaga Chavez AA,Saftoiu A,Bhutani MS

    更新日期:2019-01-01 00:00:00

  • Basic technique in endoscopic ultrasound-guided fine needle aspiration for solid lesions: What needle is the best?

    abstract::Basic technique for endoscopic ultrasound (EUS) of solid lesions has developed during 30 years of EUS, as endoscopes and accessory equipment, particularly needles, have been developed. Systematic high-quality examinations require understanding and planning. Needles used for EUS-guided fine needle aspiration (FNA) have...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章,评审

    doi:10.4103/2303-9027.124313

    authors: Lachter J

    更新日期:2014-01-01 00:00:00

  • Contrast-enhanced endoscopic ultrasound.

    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

    authors: Dietrich CF,Sharma M,Hocke M

    更新日期:2012-10-01 00:00:00

  • Endobronchial ultrasound.

    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

    authors: Gompelmann D,Eberhardt R,Herth FJ

    更新日期:2012-07-01 00:00:00

  • EUS versus percutaneous management of postoperative pancreatic fluid collection: A systematic review and meta-analysis.

    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

    authors: Mohan BP,Shakhatreh M,Dugyala S,Geedigunta V,Gadalay A,Pahal P,Ponnada S,Nagaraj K,Asokkumar R,Adler DG

    更新日期:2019-09-01 00:00:00

  • Validation of a novel swine model for training in EUS-FNA (with videos).

    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

    authors: Li J,Yao J,Li S,Wang S,Zhou W,Jin Z,Wang K

    更新日期:2020-07-01 00:00:00

  • Prospective multicenter study of primary EUS-guided choledochoduodenostomy using a covered metal stent.

    abstract:Background and Objectives:EUS-guided biliary drainage (EUS-BD) is increasingly reported as a salvage technique after failed endoscopic retrograde cholangiopancreatography, but it is still controversial whether EUS-BD can replace transpapillary biliary stenting. Therefore, we conducted this multicenter, prospective stud...

    journal_title:Endoscopic ultrasound

    pub_type: 杂志文章

    doi:10.4103/eus.eus_17_18

    authors: Nakai Y,Isayama H,Kawakami H,Ishiwatari H,Kitano M,Ito Y,Yasuda I,Kato H,Matsubara S,Irisawa A,Itoi T

    更新日期:2019-03-01 00:00:00

  • Expression of vascular endothelial growth factor and epidermal growth factor receptor in pancreatic ductal adenocarcinomas, neuroendocrine tumours and chronic pancreatitis.

    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

    authors: Angelescu R,Burada F,Angelescu C,Gheonea DI,Iordache S,Mixich F,Ioana M,Săftoiu A

    更新日期:2013-04-01 00:00:00

  • Erratum: A prospective comparison of conventional cytology and digital image analysis for the identification of pancreatic malignancy in patients undergoing EUS-FNA.

    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

    authors:

    更新日期:2020-05-01 00:00:00

  • Contrast-enhanced endobronchial ultrasound: Potential value of a new method.

    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

    authors: Dietrich CF

    更新日期:2017-01-01 00:00:00