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논문 기본 정보

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학술저널
저자정보
Germana de Nucci (Gastroenterology and Endoscopy Unit ASST Rhodense Garbagnate Milanese Milan Italy) Maria Chiara Petrone (Bilio Pancreatic Endoscopy and Endoscopy Ultrasound Unit San Raffaele Hospital Milan Italy) Nicola Imperatore (Gastroenterology Unit Federico II University Naples Italy) Edoardo Forti (Endoscopy Unit Ca Grande Niguarda Hospital Milan Italy) Roberto Grassia (Endoscopy Unit Cremona Hospital Cremona Italy) Silvia Giovanelli (Gastroenterology and Endoscopy Unit Forli-Cesena Hospital Forli Italy) Laura Ottaviani (Gastroenterology Unit Santa Maria Hospital Perugia Italy) Vincenzo Mirante (Endoscopy Unit Carpi Civil Hospital Carpi Italy) Giuseppe Sabatino (Gastroenterology Unit Cosenza Civil Hospital Cosenza Italy) Carlo Fabbri (Gastroenterology and Endoscopy Unit Forli-Cesena Hospital Forli Italy) Mauro Manno (Endoscopy Unit Carpi Civil Hospital Carpi Italy) Paolo Giorgio Arcidiacono (Bilio Pancreatic Endoscopy and Endoscopy Ultrasound Unit San Raffaele Hospital Milan Italy) Gianpiero Manes (Gastroenterology and Endoscopy Unit ASST Rhodense Garbagnate Milanese Milan Italy)
저널정보
대한소화기내시경학회 Clinical Endoscopy Clinical Endoscopy 제54권 제2호
발행연도
2021.1
수록면
229 - 235 (7page)

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Background/Aims: Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is the go-to method for obtaining samplesfrom gastrointestinal tract and pancreatic lesions. When the transduodenal approach is utilized, the use of a more flexible needle,such as a nitinol 19-gauge (G) needle, has been recommended. The aim of this study was to evaluate the feasibility and accuracy of19-G flexible aspiration needles in obtaining samples from solid lesions through a transduodenal approach. Methods: This was a retrospective analysis of prospectively collected data from eight Italian endoscopy centers. Consecutive patientswith solid lesions who underwent transduodenal EUS-FNA with a 19-G flexible needle were included. Results: A total of 201 patients were enrolled. According to histology, EUS, radiology and 12 months of follow-up, 151 patientshad malignant lesions and 50 patients had benign lesions. EUS-FNA was feasible in all cases. An adequate histologic sample wasobtained in all except eight cases (96.1%). The sensitivity of EUS-FNA was 92.1% (95% confidence interval [CI], 86.8%?95.7%), andthe specificity was 100% (95% CI, 90.5%?100%). The positive predictive value was 100% (95% CI, 93.4%?100%), and the negativepredictive value was 74% (95% CI, 62.8%?82.7%). The diagnostic accuracy was 93.5% (95% CI, 89.2%?96.5%). Conclusions: The transduodenal approach for obtaining samples from solid lesions using a 19-G flexible needle seems feasible andaccurate.

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