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Incidents and adverse events of endoscopic ultrasound-guided fine-needle aspiration for pancreatic cystic lesions
- Source :
- World Journal of Gastroenterology
- Publication Year :
- 2017
- Publisher :
- Baishideng Publishing Group Inc., 2017.
-
Abstract
- AIM To evaluate the diagnostic value and safety mainly regarding incidents of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) for pancreatic cystic lesions (PCLs). METHODS A total of 150 consecutive patients with suspected PCLs were prospectively enrolled from April 2015 to November 2016. We finally enrolled 140 patients undergoing EUS-FNA. We compared the diagnostic accuracy of EUS-FNA and pathological diagnosis, which is regarded as the gold standard, for PCLs. Patients undergoing EUS-FNA at least 1 wk preoperatively were monitored for incidents and adverse events to evaluate its safety. RESULTS There were 88 (62.9%) women and 52 (37.1%) men among 140 patients, with a mean age of 50.1 (± 15.4) years. There were 67 cysts located in the head/uncinate of the pancreas and 67 in the body/tail, and 6 patients had at least 1 cyst in the pancreas. There were 75 patients undergoing surgery and 55 undergoing EUS-FNA with interval at least 1 wk before other operations, with 3 patients undergoing the procedure twice. The accuracy of EUS-FNA in differentiating benign and malignant lesions was 97.3% (73/75), while the accuracy of characterizing PCL subtype was 84.0% (63/75). The incident rate was 37.9% (22/58), whereas only 1 AE was observed in 58 cases. CONCLUSION EUS-FNA is effective and safe for diagnosis of PCLs, however procedure-related incidents are common. Caution should be taken in patients undergoing EUS-FNA.
- Subjects :
- Adult
Male
Endoscopic ultrasound
Incident
medicine.medical_specialty
Diagnosis, Differential
Pancreatic cystic lesion
03 medical and health sciences
Cystic lesion
0302 clinical medicine
Preoperative Care
medicine
Humans
Prospective Studies
Adverse effect
Endoscopic Ultrasound-Guided Fine Needle Aspiration
Pancreas
Aged
Fine-needle aspiration
medicine.diagnostic_test
business.industry
Gastroenterology
General Medicine
Middle Aged
digestive system diseases
Pancreatic Neoplasms
030220 oncology & carcinogenesis
Prospective Study
Female
030211 gastroenterology & hepatology
Radiology
Pancreatic Cyst
business
Subjects
Details
- ISSN :
- 10079327
- Volume :
- 23
- Database :
- OpenAIRE
- Journal :
- World Journal of Gastroenterology
- Accession number :
- edsair.doi.dedup.....942417c9b40433ef39f2dc7d0a2fa08e