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논문 기본 정보

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저자정보
Ahn Dong-Won (Department of Internal Medicine SMG-SNU Boramae Medical Center Seoul National University College of Medicine Seoul Korea) Chon Hyung Ku (Department of Internal Medicine Wonkwang University College of Medicine Iksan Korea) Moon Sung Hoon (Department of Internal Medicine Hallym University College of Medicine Anyang Korea) Park Sang Wook (Department of Internal Medicine Kwangju Christian Hospital Gwangju Korea) Paik Woo Hyun (Department of Internal Medicine Seoul National University Hospital Seoul National University College of Medicine Seoul Korea) Paik Chang Nyol (Department of Internal Medicine St. Vincent’s Hospital College of Medicine Catholic University of Korea Seoul Korea) Son Byoung Kwan (Department of Internal Medicine Uijeongbu Eulji Medical Center Eulji University School of Medicine Uijeongbu Korea) Song Tae Jun (Department of Internal Medicine University of Ulsan College of Medicine Seoul Korea) Lee Eaum Seok (Department of Internal Medicine Chungnam National University College of Medicine Daejeon Korea) Lee Yun Nah (Department of Internal Medicine Soonchunhyang University School of Medicine Bucheon Korea) Lee Yoon Suk (Department of Internal Medicine Ilsan Paik Hospital Inje University College of Medicine Goyang Korea) Lee Jae Min (Department of Internal Medicine Korea University College of Medicine Seoul Korea) Jeon Tae Joo (Department of Internal Medicine Sanggye Paik Hospital Inje University College of Medicine Seoul Korea) Park Chang Hwan (Department of Internal Medicine Chonnam National University Medical School Gwangju Korea) Cho Kwang Bum (Department of Internal Medicine Dongsan Medical Center Keimyung University School of Medicine Daegu Korea) Lee Dong Wook (Department of Internal Medicine School of Medicine Kyungpook National University Daegu Korea) Kim Hong Ja (Department of Internal Medicine Dankook University College of Medicine Cheonan Korea) Yoon Seung Bae (Department of Internal Medicine College of Medicine The Catholic University of Korea Seoul Korea) Chung Kwang Hyun (Department of Internal Medicine Uijeongbu Eulji Medical Center Eulji University School of Medicine Uijeongbu Korea) Park Jin-Seok (Department of Internal Medicine Inha University School of Medicine Incheon Korea)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver 제17권 제2호
발행연도
2023.3
수록면
328 - 336 (9page)
DOI
10.5009/gnl220131

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Background/Aims: Although endoscopic ultrasound (EUS)-guided fine needle aspiration (FNA) and fine needle biopsy (FNB) are widely used for tissue acquisition of pancreatic solid mass, the optimal strategy of this procedure has not been established yet. The aim of this nationwide study was to investigate the current practice patterns of EUS-FNA/FNB for pancreatic solid mass in Korea. Methods: The Policy-Quality Management of the Korean Pancreatobiliary Association (KPBA) developed a questionnaire containing 22 questions. An electronic survey consisting of the questionnaire was distributed by e-mail to members registered to the KPBA. Results: A total of 101 respondents completed the survey. Eighty respondents (79.2%) performed preoperative EUS-FNA/FNB for operable pancreatic solid mass. Acquire needles (60.4%) were used the most, followed by ProCore needles (47.5%). In terms of need size, most respondents (>80%) preferred 22-gauge needles regardless of the location of the mass. Negative suction with a 10-mL syringe (71.3%) as sampling technique was followed by stylet slow-pull (41.6%). More than three needle passes for EUS-FNA/FNB was performed by most respondents (>80%). The frequency of requiring repeated procedure was significantly higher in respondents with a low individual volume (<5 per month, p=0.001). Prophylactic antibiotics were routinely used in 39 respondents (38.6%); rapid on-site pathologic evaluation was used in 6.1%. Conclusions: According to this survey, practices of EUS-FNA/FNB for pancreatic solid mass varied substantially, some of which differed considerably from the recommendations present in existing guidelines. These results suggest that the development of evidence-based quality guidelines fitting Korean clinical practice is needed to establish the optimal strategy for this procedure.
#Endoscopic ultrasound-guided fine needle aspiration #Pancreatic neoplasms #Survey #Korea

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