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
- 2018.1
- 수록면
- 360 - 366 (7page)
이용수
초록· 키워드
오류제보하기
Background/Aims: Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is useful for obtaining pancreatic mass samples. The combination of modified techniques (i.e., slow-pull technique and fanning technique) may improve the quality of the sample obtained by EUS-FNA. We investigated the effectiveness of a combined slow-pull fanning technique in EUS-FNA for pancreatic mass. Methods: This prospective comparative study investigated EUS-FNA performed for pancreatic solid masses between August 2015 and July 2016. Pairwise specimens were alternately obtained using the following two techniques for targeted pancreatic lesions: standard suction or slow-pull with fanning. We compared the specimen quality, blood contamination, and diagnostic accuracy of these techniques. Results: Forty-eight consecutive patients were included (29 men; mean age, 68.1±11.9 years), and 96 pancreatic mass specimens were obtained. The slow-pull with fanning technique had a significantly superior diagnostic accuracy than the suction technique (88% vs 71%, p=0.044). Furthermore, blood contamination was significantly reduced using the slow-pull with fanning technique (ratio of no or slight contamination, 77% vs 56%, p=0.041). No difference was observed in the acquisition of adequate cellularity between the groups. In the subgroup analysis, the tumor size and sampling technique were related to the EUSFNA diagnostic accuracy. Conclusions: The slow-pull with needle fanning technique showed a good diagnostic yield for EUS-FNA for pancreatic mass. This technique can be useful for performing EUS-guided sampling for diagnosing pancreatic disease.
목차
등록된 정보가 없습니다.
참고문헌 (29)
참고문헌 신청
Hewitt MJ / 2012 / EUS-guided FNA for diagnosis of solid pancreatic neoplasms: a meta-analysis / Gastrointest Endosc 75:319~331
Itoi T / 2011 / Current status of diagnostic endoscopic ultrasonography in the evaluation of pancreatic mass lesions / Dig Endosc 23(Suppl 1):17~21
Puli SR / 2013 / How good is endoscopic ultrasound-guided fine-needle aspiration in diagnosing the correct etiology for a solid pancreatic mass? A metaanalysis and systematic review / Pancreas 42:20~26
Chang Yun Hwang / 2009 / Endoscopic Ultrasound Guided Fine Needle Aspiration Biopsy in Diagnosis of Pancreatic and Peripancreatic Lesions: A Single Center Experience in Korea / Gut and Liver 3(2):116~121
Affolter KE / 2013 / Needle size has only a limited effect on outcomes in EUS-guided fine needle aspiration: a systematic review and meta-analysis / Dig Dis Sci 58:1026~1034
Itoi T / 2011 / Current status of diagnostic endoscopic ultrasonography in the evaluation of pancreatic mass lesions / Dig Endosc 23(Suppl 1):17~21
Puli SR / 2013 / How good is endoscopic ultrasound-guided fine-needle aspiration in diagnosing the correct etiology for a solid pancreatic mass? A metaanalysis and systematic review / Pancreas 42:20~26
Chang Yun Hwang / 2009 / Endoscopic Ultrasound Guided Fine Needle Aspiration Biopsy in Diagnosis of Pancreatic and Peripancreatic Lesions: A Single Center Experience in Korea / Gut and Liver 3(2):116~121
Affolter KE / 2013 / Needle size has only a limited effect on outcomes in EUS-guided fine needle aspiration: a systematic review and meta-analysis / Dig Dis Sci 58:1026~1034
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