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EUS-guided through-the-needle biopsy for pancreatic cystic lesions.

Authors :
Samarasena, Jason
Samarasena, Jason
Yu, Allen
Lee, David
Hashimoto, Rintaro
Lu, Yuxin
Thieu, Daniel
Mai, Daniel
Lee, John
Chang, Kenneth
Samarasena, Jason
Samarasena, Jason
Yu, Allen
Lee, David
Hashimoto, Rintaro
Lu, Yuxin
Thieu, Daniel
Mai, Daniel
Lee, John
Chang, Kenneth
Source :
VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy; vol 4, iss 9, 436-439; 2468-4481
Publication Year :
2019

Abstract

Background and aimsDifferentiating pancreatic cystic lesions remains a challenge when the current technique of EUS-guided FNA is used. Recently, a miniaturized biopsy forceps with an outer diameter of 0.8 mm has been developed, thus allowing it to be passed through the bore of a standard 19-gauge FNA needle to acquire tissue.MethodsThis study consisted of a retrospective review of all cases of EUS-guided through-the-needle forceps biopsy technique (TTNFB) performed for pancreatic cystic lesions at a single academic tertiary care center over a 12-month period. Technical success was defined as acquisition of adequate tissue for formal histologic analysis. Safety was assessed through the monitoring and recording of periprocedural and postprocedural adverse events.ResultsThe technical success of EUS-guided TTNFB was 87% (13/15). EUS-guided TTNFB with histologic analysis yielded pancreatic cyst diagnoses in 11 of 15 (73%) patients, compared with 0 of 15 (0%) patients with the use of EUS-FNA and cytologic analysis (P < .001). Of the 15 cystic lesions, 8 were diagnosed as intrapapillary mucinous neoplasm based on EUS-TTNFB.ConclusionThis TTNFB technique has the potential to improve the diagnostic yield of EUS-FNA for pancreatic cystic neoplasms.

Details

Database :
OAIster
Journal :
VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy; vol 4, iss 9, 436-439; 2468-4481
Notes :
application/pdf, VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy vol 4, iss 9, 436-439 2468-4481
Publication Type :
Electronic Resource
Accession number :
edsoai.on1287292433
Document Type :
Electronic Resource