지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.9
- 수록면
- 730 - 738 (9page)
- DOI
- 10.5946/ce.2020.251
이용수
초록· 키워드
오류제보하기
Background/Aims: Several fine-needle biopsy (FNB) needles are available for endoscopic ultrasound (EUS)-guided tissueacquisition. However, there is disagreement on which type of needle has the best diagnostic yield. The aim of this study was tocompare the performance and safety of two commonly used EUS-FNB needles.
Methods: We retrospectively analyzed consecutive patients who underwent EUS-FNB between June 2016 and March 2020 in ourhospital. Two types of needles were evaluated: a 20-gauge Menghini needle with a lateral forward bevel and a 22-gauge Franseenneedle. Rapid on-site evaluation was performed in all the cases. A multivariate analysis was performed to clarify the negativepredictive factors for obtaining a histological diagnosis. Propensity score matching was performed to compare the diagnostic yieldsof these two needles.
Results: We analyzed 666 patients and 690 lesions. The overall diagnostic rate of histology alone was 88.8%, and the overall adverseevent rate was 1.5%. Transduodenal access and small lesions (≤2 cm) were identified as negative predictive factors for obtaining ahistological diagnosis. After propensity score matching, 482 lesions were analyzed. The diagnostic accuracy rates of histology in theM and F needle groups were 89.2% and 88.8%, respectively (p=1.00).
Conclusions: Both the needles showed high diagnostic yield, and no significant difference in performance was observed between thetwo.
목차
등록된 정보가 없습니다.
참고문헌 (38)
참고문헌 신청
Ryozawa S / 2005 / Usefulness of endoscopic ultrasound-guided fine-needle aspiration biopsy for the diagnosis of pancreatic cancer / J Gastroenterol 40:907~911
Yasuda I / 2006 / Endoscopic ultrasound-guided fine-needle aspiration biopsy for lymphadenopathy of unknown origin / Endoscopy 38:919~924
Inoue T / 2019 / Impact of endoscopic ultrasound-guided fine-needle biopsy on the diagnosis of subepithelial tumors : a propensity score-matching analysis / Dig Endosc 31:156~163
Kamata K / 2016 / Histologic diagnosis of pancreatic masses using 25-gauge endoscopic ultrasound needles with and without a core trap : a multicenter randomized trial / Endoscopy 48:632~638
Iwashita T / 2012 / Use of samples from endoscopic ultrasound-guided 19-gauge fine-needle aspiration in diagnosis of autoimmune pancreatitis / Clin Gastroenterol Hepatol 10:316~322
Yasuda I / 2006 / Endoscopic ultrasound-guided fine-needle aspiration biopsy for lymphadenopathy of unknown origin / Endoscopy 38:919~924
Inoue T / 2019 / Impact of endoscopic ultrasound-guided fine-needle biopsy on the diagnosis of subepithelial tumors : a propensity score-matching analysis / Dig Endosc 31:156~163
Kamata K / 2016 / Histologic diagnosis of pancreatic masses using 25-gauge endoscopic ultrasound needles with and without a core trap : a multicenter randomized trial / Endoscopy 48:632~638
Iwashita T / 2012 / Use of samples from endoscopic ultrasound-guided 19-gauge fine-needle aspiration in diagnosis of autoimmune pancreatitis / Clin Gastroenterol Hepatol 10:316~322
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